Morbus Hansen Ref
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Morbus Hansen SITTI MONICA ASTRILIA AMBON
030.09.239
Fakultas Kedokteran Universitas Trisakti
Ilmu Penyakit Kulit dan Kelamin
RSPAU Dr. Esnawan Antariksa
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Pendahuluan
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Epidemiologi
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Etiologi
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Faktor Risiko
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Patogenesis
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Patogenesis
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Patogenesis
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Klasifikasi
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Gambaran Klinis
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Gambaran Klinis
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Gambaran Klinis
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Reaksi Kusta
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Fenomena Lucio
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Gambaran Klinis
N. FacialisN. Auricularis magnus
N. Peroneus Communis
N. Tibialis Posterior
N. Medianus
N. Ulnaris
N. Radialis
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Saraf
Fungsi
Motorik Sensorik Otonom
Facialis Mempersarafi kelopak mata agar bisa menutup
Mempersarafi kelenjar keringat,
kelenjar minyak dan pembuluh
darah Ulnaris Mempersarafi
jari tangan ke 4 dan ke 5
Rasa raba telapak tangan : separuh jari ke 4 (jari manis) & ke 5 (jari kelingking)
Medianus
Mempersarafi jari ibu jari, telunjuk dan jari tengah
Rasa raba telapak tangan bagian ibu jari, jari ke 2, 3, dan separuh jari ke 4.
Radialis Kekuatan pergelangan tangan
Peroneus
Kekuatan pergelangan Kaki
Tibialis posterior
Mempersarafi jari-jari kaki
Rasa raba telapak kaki
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Pemeriksaan Penunjang
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DiagnosisPB :
- Bercak mati rasa < 5 - Penebalan saraf dengan ggn fungsi, hanya 1 - BTA negatif
MB :
- Bercak mati rasa > 5
- Penebalan saraf dengan ggn fungsi > 1
- BTA positif
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Diagnosis Banding
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Penatalaksanaan
Deteksi dini & pengobatan penderita
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Penatalaksanaan
(WHO 1982, Pedoman nasional kusta 2012) PB 6 dosis diselesaikan dlm 6 - 9 bulan
Rifampisin 600 mg/bulan DDS 100 mg/hari
MB 12 dosis diselesaikan dlm 12 – 18 bulan Rifampisin 600 mg/bulan DDS 100 mg/hari Klofazimin 300 mg /bulan, dilanjutkan 50 mg/hari
MDT
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Penatalaksanaan
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Penatalaksanaan
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Penatalaksanaan
Pengobatan PB lesi Tunggal
Rifampisin Ofloxacin Minosiklin
Dewasa (50 – 70 kg) 600 mg 400 mg 100 mg
anak (5 – 14 th) 300 mg 200 mg 50 mg
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PenatalaksanaanEfek Sampik PengobatanRifampisin
• Kerusakan pada hati dan ginjal. Bila terjadi hepatitis drug induced, rifampisin tidak lagi diberikan.
• Efek samping yang ringan: flu-like syndrome, lemah.• Beritahukan pasien bahwa air seni akan berwarna
merah bila minum obat.Klofazimin
• Pewarnaan pada kulit, terutama pada infiltrat/bercak, berwarna kecoklatan sampai kehitaman self limited
• Gangguan pencernaan: diare, nyeri lambung.
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PenatalaksanaanEfek Sampik Pengobatan
Dapson• Alergi (stop DDS)• Sindrom dapson (lesi makulopapular generalisata,
demam, ikterik,malaise, leukositosis, eosinofilia, limfositosis atipik, limfadenopati generalisata, kelainan hepar)
• Anemia Hemolitik• Gangguan saluran cerna; anoreksia, mual, muntah,
hepatitis.• Gangguan saraf; neuropati perifer, sakit kepala,
vertigo, penglihatan kabur, sulit tidur, psikosis.
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PenatalaksanaanPengobatan Reaksi
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Penatalaksanaan
Rehabilitasi Medik
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Komplikasi
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Prognosis
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Kesimpulan
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