ichthyosis vulgaris slide.ppt

8/19/2019 ICHTHYOSIS VULGARIS SLIDE.ppt

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ICHTHYOSIS

VULGARIS


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Introduction

• Ichtyosis one of ichtyocyform disease,

which is marked with differentiated

abnormality from the epidermal.• Ichthyosis Vulgaris The type of

ichthyosis, most founded on children with

autosomal dominant inheritance.


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Introduction

• The sign of ichthyosis are :

– Smooth suama like scales of fish, on

the e!tensor surface of arms and legs,the skin of head, and on the fle!ures.

– Thickened on the palm and sole also

can be found.


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"pidemiology

• Ichthyosis #ulgaris is most founded type

of ichthyosis

• Sometime start to occure when the babies born. $sually found at baby with age %&

'( month, and same eui#alent between

boys and girls.


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"pidemiology

• The risk factor possibilities to suffer ichthyosis

#ulgaris :

– )amily member that suffering ichthyosis

– *old weather

– +ath habit, usually long time and with warm

water – ard soap or detegent

– $sing soap that contains fragrant.


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Ichthyosis vulgaris predilection


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"tiopathogenesis

• The cause of ichthyosis #ulgaris are

unknown. -uessed because less of

prophylagrine and it phylaments thatcontains in epidermis.


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*linical anifestation

• $sually found since born, and between %&

'( month. /ike scales on almost the body

surface.• The most area is on e!tensor surface,

which smooth scales . The more rough

scales is on the lower e!tremity


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*linical anifestation

• $sually hiperkeratosis happened on the

palm of hand and sole of foot.

• The scaly skin condition clearly seen onthe outside skin surface especially on the

cold and dry weather.


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The scrap on the palm on ichthiosis #ulgaris,

compared with normal palm.


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)urther "!amination

• The spesific result cannot be found by

laboratory e!amination.

• 1n histological e!amination, can befound hiperkeratosis, abnormal

keratohyaline, and none of inflammation

process.


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Shows epidermal atrophy with thinning of

the granular layer


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0iagnosis

• Ichthyosis #ulgaris can be diagnose by

skin e!amination and scale

charatheristics.• iperkeratosis can be found on the palm

of hand and sole of foot.

• Ichthyosis history on family must becounted.


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0ifferential 0iagnose

• Ichthyosis #ulgaris can be differentiated

with :

– 2erosis – 2&linked ichthyosis

– /amellare Ichthyosis


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Therapy

• Ichthyosis #ulgaris usually treated with

topical therapy with direct and early

charatheristics : – 3lpha&hydro!y acid

– 4ropylene gycol

– Some products contains '5&(56 urea

– Scales can be decreased by keratolytic


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Therapy

• Topical retinoid 7such as tretinoine8 might

be used.

• Take a bath with salt water can help byhydrating the lipid layers.


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*omplication

• The e!tremity skin may become crack

and de#eloping to secondary infection, if

there is a wound scratch that can makethe skin easy to be contaminated by

bacteria.


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4rognose

• The prognosis of ichthyosis #ulgaris,

depends on the systemic disease which

based it.


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ichthyosis vulgaris slide.ppt

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