Erythroderma Ec Drug Eruption

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    ERYTHRODERMA EC

    DRUG ERUPTION

    CREATED BY:

    AGIL RUMBOKO S/ C11108305INAYAH S ABUBAKAR/ C11108601

    AULIA ISTIQAMAH S/ C11108183

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    Patient Identity

    Name : Mr.Mustar

    Age : 23 years old

    Address : Bonto Manai street No 12.

    Patient came to the hospital at June, 19 2012

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    History Taking

    Chief Complaint :

    peeling off the skin

    Systematic Anamnesis :Experienced since 1 week ago in almost all of

    the body. The lesion started as red patches at

    the face and then spreads to the chest,trunchus, upper and lower extremities. The

    patient also feels itchy.

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    A few days later, the lesion thickened, scaly and wet

    surface. Patient feels like a burning because of the

    lesion peeling off. Treatment history : Patient had a treatment before

    (diarhea and vomiting), he get tetracyclin capsul.

    He never had experiencing the lesion and no family

    history with the same complaint.

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    Present Status

    General StatusModerate Condition/composmentis/enough nutrition

    Vital SignBlood Pressure : 110/80

    Pulse Rate : 84 x/minute

    Respiratory Rate : 20 x/minute

    Temperature : 36,7o C

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    Physical Examination

    Anemic (-), Icterus (-), cyanoses (-)

    Cor /Pulmonal: Normal

    Abdomen : Normal, Peristalric (+)

    Extremities :Edema (-)

    Lymph nodes : Enlargement (-)

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    DERMATOLOGY-

    VENEROLOGY STATUS

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    FACE REGIONJune 21 2012 June 26 2012

    ,

    Effluorescence : Scuama, Erythematous, Crust

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    Dermatology- Venerology Status

    Location

    Neck Region

    Effluorescence

    Scuama,

    Erythematous.

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    Dermatology- Venerology Status

    Location

    chest and

    abdominal region

    Effluorescence

    Scuama,erythematous

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    Dermatology- Venerology Status

    Location

    Back Region

    Effluorescence

    Scuama,

    Erythematous.

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    Dermatology- Venerology StatusBoth of Lower Extremities

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    Dermatology- Venerology Status

    Location

    Lower Extremities

    Effluorescence

    Scuama, Erythematous. Crust.

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    Laboratory Finding

    WBC : 11,5 x 103

    RBC : 3,85 x 106

    Hb : 11, 1 g/dl

    Ureum : 40 mg/dl

    Kreatinin : 1,53 mg/dl

    Albumin : 3,3 g/dl

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    Resume

    A man, 23 years old, came to the Labuang Baji Hospital.Experienced since 1 week ago in almost all of the body. The

    lesion started as red patches at the face and then spreads to the

    chest, trunchus, upper and lower extremities. The patient also

    feels itchy. A few days later, the lesion thickened, scaly andwet surface. Patient feels like a burning because of the lesion

    peeling off.

    Treatment history : Patient had a treatment before (diarhea

    and vomiting), he get tetracyclin capsul. He never hadexperiencing the lesion and no family history with the same

    complaint.

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    Working Diagnosis

    Erythroderma ec Drug

    Eruption

    Dif ferent ial Diagnos isAtopic Dermatitis

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    Treatment

    Prednison 5 mg 3-3-3

    Cetirizine 1x1 Tab

    Hidrocortison cr applied to the face Lanolin 10%

    Vaselin 80 gr applied to the body

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    Discussion

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    ERYTRHODERMA