Fk Upn Presentasi Kasus - Herpes Zooster

8/18/2019 Fk Upn Presentasi Kasus - Herpes Zooster

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HERPES ZOOSTER

DISUSUN OLEH :

ADIMAS RATMANHANA KESUMA(FK UPN 122-022-1126)

MODERATOR :

DR. WIDYO ATMOKO, SP.KK

KEPANITERAAN KLINIK DEPARTEMEN KULIT

KELAMIN

RUMAH SAKIT PUSAT ANGKATAN DARAT GATOT

SOEBROTO

PERIODE 30 JUNI – 8 AGUSTUS 2014


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IDENTITAS PASIEN

Nama : N. P

Um!" : #2 $a%!&

'&* +am& : P"m!a&

Aama$ : '&. O$*$a IIIH 1#2,

RT/2, 'a$&a"a.

P+"aa& : I! R!ma% Ta&a

S!+! a&*a : 'a3a

N4m4" R+am M5* : 26-61-6


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ANAMNESIS

A!$4a&am&**, $a&a 2 '! 201/

K!%a& !$ama: $m! m!&-m!& +7 5 5a%

+a&a& K!%a& $ama%a&

Dmam, &", a&a*, a$a, +!$

+m"a%a&


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RIWAYAT PENYAKIT

SEKARANG

DEMAM TIN88I

MENDADAK 2 HARI

MUN9U RUAM KEMERAHANDISERTAI 8EEM;UN8-

8EEM;UN8 KE9I DI SEKITARAIS KANAN

< HARI KEMUDIAN RUAMKEMERAHAN DAN

8EEM;UN8-8EEM;UN8

KE9I MENYE;AR KE SEURUH;A8IAN DAHI KANAN

NYERI PANAS 8ATA


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RIWAYAT PENYAKIT

DAHULU Pa*& m&a$a+a& a5a 3a+$! m!5a

"&a% m&aam +!%a& a& m"*"$ *aa$ &, &am!& m&!"!$ a*&

5!! +a&a&&a $"*a" 5 a5a&, 5a&$a&a&.


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RIWAYAT PENYAKIT

KELUARGA M&!"!$ a*& 5!! *!am 5a& a&a+-

a&a+ a*& "&a% m&aam 7a7a"a", &am!& *aa$ & $5a+ a5a a&

m&aam +!%a& *"!a 5&a&a*&.


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PEMERIKSAAN ISIK

Ka5aa& !m!m : ;a+

K*a5a"a& : K4m4* m&$*

Ta&5a-$a&5a =$a

T+a&a& 5a"a%: 1m&$

P"&aa*a& : 20>m&$

S!%! :


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STATUS

DERMATOLOGIKUS 4+a*: Da% +a&a&

EB4"*&*:

Tama+ "7a+-"7a+ "$ma$4*a"&$!+ $5a+ "a$!"a&, 5&a&!+!"a& a+a$, 5*"$a 5&a& =*+-

=*+ "+4m4+.


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RESUME

N. P !*a #2 $a%!& 5a$a& + 4+&+ +!$+am& RSPAD 8a$4$ S4"4$4 5&a&+!%a& $m! =*+-=*+ +7 5 5a%

+a&a& *a+ < %a" a& a!. K!%a& 5a3a5&a& 5mam 2 %a" a& +m!5a& 5 +!$5&a& $m!&a "7a+ "$ma 5a& !a=*+-=*+ "+4m4+ "* 7a"a& 5

*+$a" a* 5a& *ma+& %a" * *ma+&m&a" + *!"!% 5a% *a% +a&a&.


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K!%a& 5*"$a 5&a& "a*a &",a&a* 5a& !a a$a 5*+$a" * a&*ma+& mm"a$. Pa*& *!5a%

"&a% m&aam +!%a& a& m"5&a& *aa$ & &am!& a5a *aa$ $!4+a* 5a" * $"*a" 5 a5a& 5a&

!a $a&a&. Pa5a *$a$!* 5"ma$44+!*

5$m!+a& * 5 5a% +a&a& 5&a&"7a+-"7a+ "$ma$4*a "&$!+$5a+ "a$!"a&, 5&a& !+!"a& a+a$,

5 *"$a 5&a& =*+-=*+


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DIAGNOSIS KERJA

H"* C44*$"


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DIAGNOSIS BANDING

E"*a*

S!$*

a"7a


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ANJURAN PEMERIKSAAN

Pa5a +a*!* & 5 a&!"+a& !&$!+m"+*aa& TCa&7+ $*$


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PENATALAKSANAAN

N4& M5+am&$4*a

T5a+ m&a"!+ a"a a& a$a aa" =*+ $5a+7a%

U&$!+ m&7a% &?+* *+!&5" aa +"*%a&

a5a&.

M5+am&$4*a

S*$m+

A*+4=" G00 m%a" *ama # %a" A*am ma?&ama$ 00m%a"

T4+a ;5a+ *a7 2


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PROGNOSIS

!4 a5 =$am : 4&am

!4 a5 ?!&7$4&am : 4&am

!4 a5 *a&a$4&am: 4&am


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TINJAUAN PUSTAKA


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1

Herpes zoster &?+* &a+$ a+!$ a& *?a$&a localized, m&"a&

+!$ 5a& m!+4*a, 5&a& 7" +%a*&" "a5+!", !&a$"a 5a&"4m4a& =*+&a $"*a"

**!a 5"ma$4m a+a$ "a+$=a* ="!* =a"*a C4*$" a& a$&

DEINISI


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20


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21

E

P

I

D

E

MI

O

L

O

G

I

P"m!a& JJ a+-a+Ra* !$% JJ "a* +!$ %$am

Im!&474m"4m*5 JJm!&474m$&


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22

Ha


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Pa$4&**

2<


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2/


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Ka"a+$"*$+

2

8E'AA KINIS


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26

$%4"a+a*a"a? !ma*a+"!m

4+a* T"*"&


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2#

S$a5!m


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Ra*aRa*a

2G


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2


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DIA8NOSIS

A&am&**

Pm> *+

Pm> &!&a& Tzanck smear

multinucleated giant cell L* a+a&$4$+

K!$!" P9R

DFA


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P&a$aa+*a&aa&


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;a+Pm"a&


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Fk Upn Presentasi Kasus - Herpes Zooster

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