ERYTHRODERMA

TEACHING BANGSAL

Group Name

Natasya Uzu BarselaFerdian Eris PriantoSiti HardiyantiSuci AnugrahRahmawatiRaswindaMuh. MustaqiblatMeyliana Kusuma

PATIENT IDENTITY

Name: Saebo

Gender: Male

Age: 55 years old

Job: Farmer

Address: Jln. Pampangan Abulosibatang, Maros

Marital Status: Married

Religion: Moslem

Admission Date: 24th August 2014

Medical Record Number : 677158

History Taking

Anamnesis: autoanamnesis

Chief complaint: scaling all over the body

Further Anamnesis:

Redness spots and scaling on almost the body since 20 days ago, accompanied by itching since about 4 year ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.

Treatment history: had been treated by primary health care with dexamethasone. And he ever consume chinesse traditional medicine for about among 1 year.Family History with the same complaint: (-)History of allergy : (+) meatballs and fish (bandeng)Medical history : DM (-)

History Taking

Current Status

Consciousness : Conscious (E4V5M6)General Condition : MediumHygiene : MediumNutrition : MediumVital Sign

BP : 110/70 mmHg

HT : 88x/minutes

RR : 18x/minutes

T : 36,6 C

Physical examination

Anemic (-), icterus (-), cyanoses (-)Cor/ Pulmonal: S1 S2 normal, reguler, Rh-/- Wh-/-Abdomen: Normal, peristaltic (+)Extremities: Edema (-)Lymph nodes: Enlargement (-)

DERMATOLOGY STATUS

Location: Regio Generalisata

Distribution: General

Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure

Before treatment

After treatment

Laboratory Result

RBC: 4,52 (10 6 /uL)WBC: 13,2 (10 3 /uL)HGB: 14,6 (g/dL)HCT: 42 (%)PLT: 489 (10 3 /uL)GDS: 85 mg/dlUreum: 27 mg/dlCreatine: 0,95 mg/dlSGOT: 27 U/ISGPT: 26 U/I

Treatment

R/IVFD RL 20 ttp/minute

Acytromicin 500 mg 1 tab daily

CTM 3 x 1

Lanolin 10%

Vaselin add 100 gr

Resume

A man 55 years complain there was redness spots and squama in the whole body, accompanied by itching since 4 years ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.

History of medication (+) Dexamethasone, and chinesse traditional medicine for about among 1 year. History of allergic (+).

Dermatology status :

Location: Regio Generalisata

Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure

Diagnosis : Erythroderma ec susp. psoriasis

Discussion

Erythroderma is the term applied inflammatory skin disease that affects more than 90% of the body surface.

Erythroderma has multiple etiologies; the most common causes are psoriasis, atopic dermatitis, cutaneous T-cell lymphoma (CTCL) and drug reactions.

Men are more commonly affected (male-to-female ratio of approximately 2:1 to 4:1).

An even higher ratio can be found in the subset of idiopathic erythroderma. The average age at onset of erythroderma was 52 years.

Erythroderma is defined clinically as generalized redness and scaling of the skin.

Systemic manifestations include peripheral edema, tachycardia, loss of fluid and proteins, and disturbances in thermoregulation.

TREATMENT

Emollients

Urea Cream

10%

Lanolin 10%

TOPIKAL

Prednisone

4x10 mg/day

Metilprednisolon

4x10 mg/day

Dexamethason

SISTEMIK

Becom-C

REFERENCE

Bolognia, Jorizzo, Rapini. 2008. Dermatology 2nd ed.Burns DA. Diseases caused by arthropods and other noxious animals. In: Rooks textbook of dermatology. 8th ed. United kingdom. Willey-blackwell; 2010.Blauvelt A. MP. Inflammatory disease bsd on abnorml hmorl ctivity and inflamatory disease. In, fitzpatricks dermatology in general medicine. Ed.8th.vol 1.New York, america. 2008. P327-328

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