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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