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DERMATITIS – ECZEMA DERMATITIS -Eczema Inflamasi kulit yang sering terjadi akibat mikroorganisme Gejala utama gatal Tipe of Dermatitis- eczema Atopic dermatitis Contact dermatitis Seborrhoic dermatitis Statis dermatitis Neurodermatitis Nummular eczema Dishidrosis Asteatotic eczema Infective Eczematoid Dermatitis Atopic Dermatitis / Eczema A.D 3 stadium Infantil ( 2 months – 2 years) anak-anak ( 2 years – 10 years) Dewasa Infantile Awal : eritem &gatal pada pipi vesikel krusta Lesi dapat meneyebar ke badan, dahi, pergelangan tangan, extremitas Dapat Melibatkan bokong dan area popok Dapat menyebar dan menjadi eritroderma Anak-anak AD Lesi lebih eksudatif Lokasi yg sering terkena : antekubiti, poplitea, pergelangan tangan, kelopak mata, wajah, leher. Gatal Frekuensi meningkat karena sensitisasi oleh telur, susu, gandum . Dapat meningkat oleh karena wool, bulu kucing & anjing, pollen Remaja & dewasa AD Predileksi antekubiti, poplitea, dahi, sekitar mata Resiko dermatitis tangan pada daerah dorsum Sifat Gatal : paroksismal, nokturnal, dicetuskan oleh stres. Trigger faktor : iritasi wool & bahan lainnya, makanan, ketegangan Diagnosis Hanifin & Rajka , Svenson, SCORAD criterias Hanifin & Rajka criteria : Major criteria Pruritus Typical morphology and distribution Tendency toward chronics or chronically relapsing dermatitis Personal or family history of atopic diseases (asthma, allergic rhinitis, AD) Minor criteria : Xerosis / ichthyosis/ hyperlinear palms Pityriasis alba Keratosis pilaris Facial pallor / infraorbital darkening Elevated serum IgE Keratoconus Tendency to non spesific hand eczema Tendency to repeat cutaneous infections 39 Download (/download/link/dermatitis-56abec75f24e7) DD/ : Dermatitis numularis Dermatitis seboroik Dermatitis kontak Psoriasis Skabies General management Bayi & anak2 Mencegah: Iritasi eksternal Infeksi lokal Menghindari : makanan yang All materials on our website are shared by users. If you have any questions about copyright issues, please report (/document/report/dermatitisdapat mencetuskan Terapi : antihistamin sistemik Minyak zaitun Topikal kortikosteroid potensi lemah Dewasa: 56abec75f24e7) us to resolve them. We are always happy to assist you. Mengontrol stres Mencegah suhu ekstrim Hidrasi kulit kering Antihistamin Topikal steroid Antiobiotik (jika perlu) 212 DERMATITIS Dermatitis Kontak Dermatitis yang dicetuskan oleh reaksi kulit yang kontak dengan benda asing / lingkungan views by aggifitiyaningsih baik iritan maupun alergik Dicetuskan oleh sinar UV 2 reaksi : fotoalergik & fototoksik on Jan 30, 2016 Category: Download: 0 Kontak Dermatitis Alergika Hanya terjadi pada individu yang memiliki predisposisi Sensitisasi terjadi dalam Report (/document/report/dermatitisComment: 0 DOCUMENTS seminggu setelah kontak dengan alergen , tetapi tidak menunjukkan kelainan kulit Kontak kedua, dengan 56abec75f24e7) alergen yang sedikit dapat mencetuskan dermatitis Sensitisasi akan bertahan dalam beberapa bulan, tahun (/category/documents.html) bahkan seumur hidup. 0 Share Tweet Share Share Like 0 Dermatitis Kontak Iritan Terjadi pada individu yang terpapar bahan iritan kimia dalam waktu yang lama Peradangan terjadi pada bagian tubuh yang terpapar Tidak ada reaksi alergi, kerusakan akibat reaksi kimia Comments langsung Bahan Iritan: Iritan kuat radang berat saat pertama kali terpapar Iritan lemah konsentrasi kecil yang berulang (detergen, ) 0 Comments Sort by Oldest Sign Dermatitis alergi dasar kulit eritem, udem, papul, vesikel,bula. Singel/ multipel, berbagai ukuran. Iritan kuat luka bakar, ulkus, nekrosis. Patch Test Add a comment... Terapi Preventive : Menghindari kontak Topikal : Akut : Balut basah ( Burowi solution 1/20 –1/40), Permanganat 1/10.000 dilanjutkan kortikosteroid topikal. Kronik : steroid topikal potensi sedang Sistemik : Antihistamin dan steroid Contact Dermatitis Facebook Comments Plugin Dermatitis Seboroik Dua bentuk: * Infantil* Skuama kuning berminyak pada kulit kepala, wajah, aksila dan daerah popok. Tidak ada hubungan antara bentuk infantil dan bentuk dewasa No pruritus eat & sleep well “Infantil form” Seborrhoeic Dermatitis Description Cradle Cap dermatitis adalah * The adult form * Affect the face, scalp, anterior chest, axilla, sub mammary fold, groins, external ear Facial Download Dermatitis lesion, particularly in the nasolabial fold, in men, maybe very persistent the scalp is frequently involved presenting complaint, esp severe and persistent dandruff Eyebrow/ eyelid stickness of the eyelid in early morning Transcript Differential diagnosis : Contact dermatitis, psoriasis and Pityriasis versicolor Treatment : Tends to recure DERMATITIS – ECZEMA whatever treatment is chosen Topical : imidazol antifungal ketokonazol (cream/shampoo) , weak potency DERMATITIS -Eczema Inflamasi kulit yang sering terjadi akibat mikroorganisme Gejala utama gatal topical steroid Tipe of Dermatitis- eczema Atopic dermatitis Contact dermatitis Seborrhoic dermatitis Statis dermatitis “Adult form” Seborrhoeic Dermatitis Neurodermatitis Nummular eczema Dishidrosis Asteatotic eczema Infective Eczematoid Dermatitis Stasis dermatitis dermatitis on the lower legs, commonly seen in association with venous insufficiency inner Atopic Dermatitis / Eczema A.D 3 stadium Infantil ( 2 months – 2 years) anak-anak ( 2 years – 10 years) Dewasa aspects of boths lower legs above and around the medial malleous are chiefly involved the skin is shinny, Infantile Awal : eritem &gatal pada pipi vesikel krusta Lesi dapat meneyebar ke badan, dahi, pergelangan atrophic and large numbers of small blood vessels clearly visible, purpura, pigmentation (due to haemosiderin) tangan, extremitas Dapat Melibatkan bokong dan area popok Dapat menyebar dan menjadi eritroderma pruritus may be severe and cause scratch marks which are slow to heal Treatment : treatment of underlying Anak-anak AD Lesi lebih eksudatif Lokasi yg sering terkena : antekubiti, poplitea, pergelangan tangan, kelopak varicose veins, topical steroid (weak) be ware of side effects atrophy mata, wajah, leher. Gatal Frekuensi meningkat karena sensitisasi oleh telur, susu, gandum . Dapat meningkat Stasis Dermatitis oleh karena wool, bulu kucing & anjing, pollen Neurodermatitis (liken simplex chronicus) a well demarcated are of chronic lichenified dermatitis which is not Remaja & dewasa AD Predileksi antekubiti, poplitea, dahi, sekitar mata Resiko dermatitis tangan pada daerah due to either external irritants or identified allergens In predisposed persons, the lesions are induced by dorsum Sifat Gatal : paroksismal, nokturnal, dicetuskan oleh stres. Trigger faktor : iritasi wool & bahan lainnya, continual scratching or rubbing of a localized area of itching skin stress / emotional disturbance pruritic makanan, ketegangan stimulus scratch itch-scratch-itch cycle stimulate a reactive hyperplasia, recognized clinically as Diagnosis Hanifin & Rajka , Svenson, SCORAD criterias Hanifin & Rajka criteria : Major criteria Pruritus Typical lichenification clinically, neurodermatitis are seen as a well-circumscribe, lichenified, slightly elevated plaque, morphology and distribution Tendency toward chronics or chronically relapsing dermatitis Personal or family seen on the nape of neck, forearm, or the legs Treatment : Reduce pruritus, topical steroid (ointment/ intra history of atopic diseases (asthma, allergic rhinitis, AD) lesion) Minor criteria : Xerosis / ichthyosis/ hyperlinear palms Pityriasis alba Keratosis pilaris Facial pallor / infraorbital Neurodermatitis darkening Elevated serum IgE Keratoconus Tendency to non spesific hand eczema Tendency to repeat Asteatotic aczema (eczema craquele) The dry irritable skin seen mainly on the limbs of elderly patients. The cutaneous infections skin is dry and has large scale with a “crazy-paving” appearance. Treatment : - lubrication - steroid topical DD/ : Dermatitis numularis Dermatitis seboroik Dermatitis kontak Psoriasis Skabies should be avoided (skin is already thin and fragile) General management Bayi & anak2 Mencegah: Iritasi eksternal Infeksi lokal Menghindari : makanan yang dapat Asteatotic Eczema mencetuskan Terapi : antihistamin sistemik Minyak zaitun Topikal kortikosteroid potensi lemah Dewasa: Dishydrotic (eczema dishydrosticum) a very characteristic pattern of intensely itchy vesicles of the skin of the Mengontrol stres Mencegah suhu ekstrim Hidrasi kulit kering Antihistamin Topikal steroid Antiobiotik (jika perlu) hands and occasionally the feet and also the side of finger Deep-seated vesicle ; often easier to feel than to Dermatitis Kontak Dermatitis yang dicetuskan oleh reaksi kulit yang kontak dengan benda asing / lingkungan baik see The cause is not understood ( contact dermatitis / stress? ) Treatment ; systemic antihistamins ( control the iritan maupun alergik Dicetuskan oleh sinar UV 2 reaksi : fotoalergik & fototoksik need to scratch) prevent secondary infection, potent topical steroid ( a short time) ; for the moist lesion Kontak Dermatitis Alergika Hanya terjadi pada individu yang memiliki predisposisi Sensitisasi terjadi dalam calamine lot. seminggu setelah kontak dengan alergen , tetapi tidak menunjukkan kelainan kulit Kontak kedua, dengan alergen Dishydrotic yang sedikit dapat mencetuskan dermatitis Sensitisasi akan bertahan dalam beberapa bulan, tahun bahkan Nummular or Discoid dermatitis a chronic, recurrent pattern of dermatitis with discrete coin-shape lesions seumur hidup. tending to to involve the limbs Usually affects adults (many of whom will have a past history of AD) ; The Dermatitis Kontak Iritan Terjadi pada individu yang terpapar bahan iritan kimia dalam waktu yang lama aetiology is unknown Clinically : subacute with erythema, edema, vesiculation; the surface may be moist and Peradangan terjadi pada bagian tubuh yang terpapar Tidak ada reaksi alergi, kerusakan akibat reaksi kimia appear infected bacterial eczema Pruritus is variable Treatment : topical steroid + antibiotic langsung Bahan Iritan: Iritan kuat Nummular or Discoid Dermatitis radang berat saat pertama kali terpapar Iritan lemah konsentrasi kecil yang berulang (detergen, ) INFECTIVE ECZEMATOID DERMATITIS IED is exogen in nature, can be defined as fluid/ exudate which Sign Dermatitis alergi dasar kulit eritem, udem, papul, vesikel,bula. Singel/ multipel, berbagai ukuran. Iritan kuat originates from inflammation or disorders such as: OMP, sinusitis, chronic ulcers, etc IED is thought as luka bakar, ulkus, nekrosis. autosensitisation dermatitis which occurs from skin’s sensitivity toward chemical substances originating from Patch Test tissues/ bacteria in the body’s own exudate Terapi Preventive : Menghindari kontak Topikal : Akut : Balut basah ( Burowi solution 1/20 –1/40), Permanganat Clinical appearances : Erythema & exudation In a dry state, there is crust. If crust is peeled, we would see 1/10.000 dilanjutkan kortikosteroid topikal. Kronik : steroid topikal potensi sedang Sistemik : Antihistamin dan erythema & often pustules on the edges Examples : The earlobes of children suffering from OMP. The area steroid around the nose of maxilaris sinusitis sufferers Contact Dermatitis Therapy : Rivanol 1/1000, Betadine dressing When cleared Hidrocortisone 1 % or combination with antibiotic Dermatitis Seboroik Dua bentuk: * Infantil* Skuama kuning berminyak pada kulit kepala, wajah, aksila dan daerah Infective Eczematoid Dermatitis popok. Tidak ada hubungan antara bentuk infantil dan bentuk dewasa No pruritus eat & sleep well “Infantil form” Seborrhoeic Dermatitis Cradle Cap Please download to view * The adult form * Affect the face, scalp, anterior chest, axilla, sub mammary fold, groins, external ear Facial lesion, particularly in the nasolabial fold, in men, maybe very persistent the scalp is frequently involved presenting complaint, esp severe and persistent dandruff Eyebrow/ eyelid stickness of the eyelid in early morning Differential diagnosis : Contact dermatitis, psoriasis and Pityriasis versicolor Treatment : Tends to recure whatever treatment is chosen Topical : imidazol antifungal ketokonazol (cream/shampoo) , weak potency topical steroid “Adult form” Seborrhoeic Dermatitis Stasis dermatitis dermatitis on the lower legs, commonly seen in association with venous insufficiency inner aspects of boths lower legs above and around the medial malleous are chiefly involved the skin is shinny, atrophic and large numbers of small blood vessels clearly visible, purpura, pigmentation (due to haemosiderin) pruritus may be severe and cause scratch marks which are slow to heal Treatment : treatment of underlying varicose veins, topical steroid (weak) be ware of side effects atrophy Stasis Dermatitis Neurodermatitis (liken simplex chronicus) a well demarcated are of chronic lichenified dermatitis which is not due to either external irritants or identified allergens In predisposed persons, the lesions are induced by continual scratching or rubbing of a localized area of itching skin stress / emotional disturbance pruritic stimulus scratch itch-scratch-itch cycle stimulate a reactive hyperplasia, recognized clinically as lichenification clinically, neurodermatitis are seen as a well-circumscribe, lichenified, slightly elevated plaque, seen on the nape of neck, forearm, or the legs Treatment : Reduce pruritus, topical steroid (ointment/ intra lesion) Neurodermatitis Asteatotic aczema (eczema craquele) The dry irritable skin seen mainly on the limbs of elderly patients. The skin is dry and has large scale with a “crazy-paving” appearance. Treatment : - lubrication - steroid topical should be avoided (skin is already thin and fragile) Asteatotic Eczema Dishydrotic (eczema dishydrosticum) a very characteristic pattern of intensely itchy vesicles of the skin of the hands and occasionally the feet and also the side of finger Deep-seated vesicle ; often easier to feel than to see The cause is not understood ( contact dermatitis / stress? ) Treatment ; systemic antihistamins ( control the need to scratch) prevent secondary infection, potent topical steroid ( a short time) ; for the moist lesion calamine lot. Dishydrotic Nummular or Discoid dermatitis a chronic, recurrent pattern of dermatitis with discrete coin-shape lesions tending to to involve the limbs Usually affects adults (many of whom will have a past history of AD) ; The aetiology is unknown Clinically : subacute with erythema, edema, vesiculation; the surface may be moist and appear infected bacterial eczema Pruritus is variable Treatment : topical steroid + antibiotic Nummular or Discoid Dermatitis INFECTIVE ECZEMATOID DERMATITIS IED is exogen in nature, can be defined as fluid/ exudate which originates from inflammation or disorders such as: OMP, sinusitis, chronic ulcers, etc IED is thought as autosensitisation dermatitis which occurs from skin’s sensitivity toward chemical substances originating from tissues/ bacteria in the body’s own exudate Clinical appearances : Erythema & exudation In a dry state, there is crust. If crust is peeled, we would see erythema & often pustules on the edges Examples : The earlobes of children suffering from OMP. The area around the nose of maxilaris sinusitis sufferers Therapy : Rivanol 1/1000, Betadine dressing When cleared Hidrocortisone 1 % or combination with antibiotic Infective Eczematoid Dermatitis
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