8/9/2019 ALLERGIC SKIN DISEASES.ppt

1/20

 

DERMATOLOGY

ALLERGIC SKINDISEASES

BY :

E.SUTEDJA,DR,Sp.kk

8/9/2019 ALLERGIC SKIN DISEASES.ppt

2/20

 

ALLERGIC SKIN DISEASES

ALLERGY ALLOS + ERGOS

 

DEVIATION IN BODY IMMUNE REACTION

(HYPERSENSITIVITY)

COOMB & GEL

TYPE I IMMEDIATE (RAPID) ANAPHYLAIS

  II CYTOTOIC

  III ANTIGEN!ANTIBODY COMPLE

  IV DELAYED TYPE (CELL!MEDIATED)

8/9/2019 ALLERGIC SKIN DISEASES.ppt

3/20

 

ALLERGEN : "OOD

  INHALANT

DRUGS

 

PSYCHOLOGICAL 

DISEASES :

URTICARIA

DRUG ERUPTION

CONTACT DERMATITIS

ATOPIC DERMATITIS

8/9/2019 ALLERGIC SKIN DISEASES.ppt

4/20

 

URTICARIA

DE"INITON :A VASCULAR REACTION IN THE SKIN RESULTS "ROM A VARIETY O"

CAUSES THAT IS CHARACTERI#ED BY :

♦LOCALI#ED EDEMA $ RAPIDLY DISAPPEARED! GRADUALLY

♦"AINT %RED COLOR

♦RISE "ROM THE SUR"ACE

♦SENSATION O" ITCHING%BITE%PRICKED

ANGIOEDEMA DEEP SKIN LAYER  LOOSE CONNECTIVE TISSUE

  SUB!MUCOSA%SUB!CUTIS

  (RESPIRATORY,GASTRO! INTESTINAL,

CARDIOVASCULAR TRACTS)

8/9/2019 ALLERGIC SKIN DISEASES.ppt

5/20

 

ETIOLOGY : ' UNKNON

DRUGS : PENCILLIN & DERIVATIVES

  SULPHONAMIDES

  ANALGESICS%ANTIPYRETICS

  DIURETICS

  OPIATES  CONTRAST

TRAN*UILI#ERS

  ANTICONVULSANTS

"OODS : SEA "ISHES

  LEGUMES

  COCOA

  EGGS

8/9/2019 ALLERGIC SKIN DISEASES.ppt

6/20

 

INSECT BITES (VENOME)

PHOTOSENSITI#ER : GRISEO"ULVINE

  SULPHONAMID

  COSMETICS

INHALANT : POLLEN

  "UNGAL SPORES

  DUST  ANIMAL "URS

CONTACTANTS

PHYSICAL TRAUMAIN"ECTIONS

IN"ESTATION

PSYCHE

SYSTEMIC DISEASES

8/9/2019 ALLERGIC SKIN DISEASES.ppt

7/20 

CLASSI"ICATION :

  ACUTE : EEKS  - EEKS (DAILY)

  CHRONIC : EEKS

  - EEKS (DAILY)

MORPHOLOGY : PAPULAR

  GUTTATA

  GIRATA

ETENT : LOCALI#ED  GENERALI#ED

  ANGIOEDEMA

8/9/2019 ALLERGIC SKIN DISEASES.ppt

8/20 

MECHANISM : IMMUNOLOGICAL

  NON!IMMUNOLOGICAL

PATHOGENESIS : CAPILLARY VASODILATATION%ERYTHEMA  INCREASED CAPILLARY PERMEABILITY

  RELEASING O" MEDIATORS

  IMMUNOLOGICAL%NON!IMMUNOLOGICAL

SYMPTOMS : ITCHING, SENSE O" BURNED , PRICKED,ERYTHEMATOUS & EDEMATOUS

SUPPORTIVE TESTS :

/. ROUTINE BLOOD, URINE, "AECES

0. TEETH LOCAL IN"ECTIONS

1. I2E, EOSINOPHIL

-. PRICK TEST INHALANTS, "OODS, "UNGUS

3. ELIMINATION TEST ELIMINATING

  ATTEMPTED ONE BY ONE

  . ICE TEST

8/9/2019 ALLERGIC SKIN DISEASES.ppt

9/20 

THERAPY : IDEAL AVOID THE CAUSES

  ANTIHISTAMINE (H/)  CORTICOSTEROID

U45678468 :

-98;7;85<-8=56p4>465>9

8/9/2019 ALLERGIC SKIN DISEASES.ppt

10/20

 

ERYTHEMA MULTI"ORME

Erupsi :- Sudden & recurent

- Skin/mucosa

- Pupil-like- Severe S/constitution; vesceral lesion

TYPE : Macula erythema  esico!ullosa

8/9/2019 ALLERGIC SKIN DISEASES.ppt

11/20 

M87>8

8/9/2019 ALLERGIC SKIN DISEASES.ppt

12/20

 

DRUG ERUPTION

I=76

8/9/2019 ALLERGIC SKIN DISEASES.ppt

13/20 

D4>2 4

8/9/2019 ALLERGIC SKIN DISEASES.ppt

14/20 

"ORMS : 

U45678468E4;548E8=5@ ("62 E4>p56?=)

! H;p

8/9/2019 ALLERGIC SKIN DISEASES.ppt

15/20

 

STEVENS!JOHNSONS

SYNDROME

D7?98

  V846

8/9/2019 ALLERGIC SKIN DISEASES.ppt

16/20 

DIAGNOSIS :

M6 9

8/9/2019 ALLERGIC SKIN DISEASES.ppt

17/20 

E;< D69?4

8/9/2019 ALLERGIC SKIN DISEASES.ppt

18/20 

THERAPY :

-C84

8/9/2019 ALLERGIC SKIN DISEASES.ppt

19/20

 

T E N

 M?4< 9

8/9/2019 ALLERGIC SKIN DISEASES.ppt

20/20

ith the mucosa o, :

.ral/lipsErosion/ecoriation

'rust

P85??2678 8=85?@; : Epidermolysis

  0ikolsky si1n 23)T