Poster Mini Miliaria

8/20/2019 Poster Mini Miliaria

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Miliaria

Crystallina

NURUL FATEN IZZATI NORHARIZAM C11111842NOVI ANDRIAWATI C11111263


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Patient’s Identity

• Name : Sisilia Jeliman

• Gender : Female

• Age : 21 years old

• Marital Status : Married

• Address : Jl. Andi Tonro

• Admission ate : 2! "#to$er 2%1&


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'istory Ta#ing

C(ie) *om+laint : red and small ,esi*les all o,er

t(e $ody and it*(y

'a++ened 1 -ee# ago started -it( it*( and small red

s+ots on t(e )a*e and t(e ne*#. /y times it $e*ame

small ,esi*les and started *ontain +us and s+read all

o,er t(e $ody es+e*ially at t(e trun# u++er and lo-ere0tremities. S(e (ad a (istory o) se*tio o+eration 2

mont(s ago.

Fe,er 3 $e)ore lesion a++ear.


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'ad (istory o) e0*essi,e s-eating )re4uently use

t(i*# *lot(es

First time $eing in)e*ted -it( t(is disease.

Conta*t (istory : No

Medi*ation (istory : No medi*ation


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P(ysi*al 50amination

• Sclera Ic!er"# $%&

• C'()"(c!*+a a(e,*a $%&

• L*-# c.a('#*# $%&• Hear!/l"(0 N'r,al

• A',e( ra*#e ,'+*(0 *!5 re#-*ra!*'(-er*#!al!*c $&

• E7!re,*!. Ee,a $%&

• L.,-5 ('e N' e(lar0e,e(!


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Current Status

• General status9 Com+os mentis

9 Mild Si*#ness

9 Ade4uate nutrition9 Poor 'ygiene

• 6ital sign9 /lood +ressure : 12%78% mm'g

9 Pulse rate : !9 07min9 es+iration rate : 18 07min

9 Tem+erature : ;!%


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ermato,enerology Status

• =o*ation : egio Generalisata

• 5))lores*en*e : 5ryt(emi* +a+ulemiliaria

(i+er+igmentation

+ustuleerosion


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e*ommended e0amination

• Not stated


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esume

A 21 years old -oman *ame to t(e (os+ital -it(

*om+lain o) red and small ,esi*les all o,er t(e $ody and

it*(y. It (a++ened 1 -ee# ago started -it( it*( and small

red s+ots on t(e )a*e and t(e ne*#. /y times it $e*amesmall ,esi*les and started *ontain +us and s+read all o,er

t(e $ody es+e*ially at t(e trun# u++er and lo-er

e0tremities. S(e (ad a (istory o) se*tio o+eration 2

mont(s ago. S(e (ad a (istory o) e0*essi,e s-eating and)re4uently use t(i*# *lot(es. No medi*ation (istory.


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iagnosis

7 Miliaria Crystalina


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Treatment

1. Saly*yl tal* 2> ? ment(ol 1> all o,er t(e

$ody3

2. /et(amet(ason ? gentami*in *ream 1 tu$e

;. M/S lotion ment(ol %@> /ori* a*id 8>in* o0ide 1%> S+iritus ad. 1%> tal*

,enetum a4uadest 1%% ml3


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PICTURES 2!1%2%1&3


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MI=IAIA

isorder o) t(e e**rine s-eat glands t(at o)ten o**urs

in *ondition o) in*rease (eat and (umidity *aused $y

$lo*#age o) t(e s-eat du*ts -(i*( results in t(e

lea#ge o) e**rine s-eat into t(e e+idermis or dermis.


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Miliaria Crystallina

• M*l*ar*a cr.#!all*(a c'(#*#!# ': #"-er:*c*al

#"c'r(eal ('(*(:la,,a!'r. +e#*cle# !5a!ea#*l.

r"-!"re 5e( r"e *!5 a :*(0er


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5+idemiology

• Miliaria is most *ommon in tro+i*alen,ironments

• Bnder *(roni* and e0treme tro+i*al *onditionsadults sus*e+ti$le to miliaria a++arently

in*reases to )rom !% to %> -ell o,er t(e

&%> le,el o) moderately (ot *onditions


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5tiology

•Prolonged e0+osure to a (ot (umiden,ironment su*( as e0ist in t(etro+i*s and in *ertain o**u+ation)a,ors t(e +rodu*tion o) miliaria


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Pat(ogenesis


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Sign and Sym+toms

• Miliaria crystallina, *# c5arac!er*;e . ,*("!e cr.#!all*(e +e#*cle# a'"! 1 ,, *( *a,e!er '( "(*(:la,e '!5er*#e('r,al%l''


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MILIARIA

CRYSTALLINA

MILIARIA

RUBRA

MILIARIA

PROFUNDA


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iagnosis

• =a#e '( cl*(*cal ,a(*:e#!a!*'(

• T5ere are (' '!5er c"!a(e'"# 'r la'ra!'r.-r'ce"re# ': *a0('#!*c +al"e


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i))erential diagnosis

Folli*ulitisEr.!5e,a T'7*c",(e'(a!'r",Candidiasis


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Treatment

TOPICAL drug

1. Saly*yl tal* 2> ? ment(ol 1> all o,er t(e

$ody3

2. /et(amet(ason ? gentami*in *ream 1 tu$e

;. M/S lotion ment(ol %@> /ori* a*id 8>in* o0ide 1%> S+iritus ad. 1%> tal* ,enetum

a4uadest 1%% ml3


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Patient’s Education

• Wear a !5*( cl'!5e# a( ca( a#'r #ea!e::*c*e(!l. $c'!!'(&

• >r'!ec! :r', #"(l*05!

• A+'* -5.#*cal ac!*+*!. '( #"((. a.

• ?'' +e(!*la!*'(


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Prognosis

• M*l*ar*a *ll ('! re,*! #-'(!a(e'"#l. "(le## ac''l ('(#ea!*(0 e(+*r'(,e(! *# -r'+*e

• I( a 5'! e(+*r'(,e(! *!5 c'(!*("e e7!e(e-er*'# ': #ea!*(0 !5e ,*l*ar*a *ll ec',e*(crea#*(0l. e7!e(#*+e e+e(!"all. *(+'l+*(0

e('"05 0la(# !' c',-r',*#e !5e !e,-era!"r%re0"la!*(0 ,ec5a(*#, a( lea !' a 5ea! #!re###.(r',e


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THANK YOU

Poster Mini Miliaria

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