poster miini erytroderma ec suspect eruption drug

7/24/2019 Poster Miini ERYTRODERMA EC Suspect Eruption Drug

1/21

RYTHROD RMA C.

SUSP CT DRUG

RUPTION

Poster Mini


2/21

GROUP MEMBERS

Risandi TuhareaAsriani Paranoan


3/21

PATIENT IDENTITYName : Mr. MSGender : MaleAge : 55 years old

Marital status : MarriageReligion : MoslemAddress : Jl. Masjid

Babul Jannah

!!u"ation : #nem"loyedAddmission date : $% A"ril &'$&Medi!al re!ord no : ''5((%55


4/21

HISTORY TAKING

)hie* )om"laint : S+in "eeling o, all o-er bodyurther Anamnesis :S+in "eeling all o-er the body

that is *elt sin!e / days ago. 0t ha""ened suddenlyand is a!!om"anied by it!hiness and "ain. The"atient is also su,ering *rom edema at both o* hisle*t and right leg and yello1ness in his eyes .

Pre-ious Medi!al 2istory :$ month ago3 the "atienthas been treated at RS Pelamonia 1ith li-er disorderand generali4ed yello1ness and soon a*ter his been

dis!harged the "atient had *elt his s+in started to"eel o,. The "atient had been gi-en a bottle o*un+no1n syru" and hydrodeo6yhydroi! tablets.

No *amily members su,ers the same disease


5/21

CURRENT STATUS

)ons!iousness : )om"os MentisGeneral )ondition : Moderate2ygiene : ModerateNutrition : Normal7ital sign :

BP : $''89' mm2g

Pulse : %(68minutesRR : &'68minutes

Tem"erature : /%.5')


6/21

PHYSICAL EXAMINATION

Anemi! ;3 i!terus nlargement ;


7/21

FACE REGION


8/21

CHEST & ABDOMINALREGION


9/21

SUPERIOR EXTREMITIESRIGHT HAND


10/21

SUPERIOR EXTREMITIESLEFT HAND


11/21

INFERIOR EXTREMITIES


12/21

INFERIOR EXTREMITIESPLANTAR SURFACE


13/21

DERMATO-VENEROLOGYSTATUS


14/21

RESUMEA man aged 55 years old entered the hos"ital 1ith the !hie*

!om"laint o* s+in "eeling all o-er the body that is *elt sin!e /

days ago. 0t ha""ened suddenly and is a!!om"anied byit!hiness and "ain.

Besides that the "atient also su,ers *rom edema at both o* hisin*erior e6tremities and i!terus.

Pre-ious Medi!al 2istory :Prior to this3 $ month ago; the

"atient has been treated at RS Pelamonia 1ith li-er disorderand jaundi!e and soon a*ter he is been dis!harged the "atienthad *elt his s+in started to "eel o,. The "atient had beengi-en a bottle o* un+no1n syru" and hydrodeo6yhydroi!tablets.

Dermato- ere!o"o#$%Re#o ' %#ni-ersali4ed

E()ore*+e!+$ % >rythematous ma!ules3 s!aleRe#o , : Regio lo1er e6tremities

Eore!+e!+$ : >dema


15/21

DIAGNOSIS>rytroderma e!. Sus"e!t drug eru"tion


16/21

DISCUSSION>rytroderma is !hara!teri4ed by e6tensi-e

erythema and s!aling3 ultimately the entirebody sur*a!e uni-ersali4ed; may be a,e!ted1ith dull s!arlet3 laminated s!ales.#sually a drugindu!ed rea!tion should be

!onsidered in any "atient 1ho !omes 1iththis !om"laint and is "riorly ta+ingmedi!ations and suddenly de-elo"s asymmetri! !utaneous eru"tion.This in!ludes antimi!robial agents3

nonsteroidal antiinammatory drugsNSA0s;3 !yto+ines3 !hemothera"euti!agents3 anti!on-ulsants3 and "sy!hotro"i!agents.


17/21

May be di-ided into immunologi!ally andnon immunologi!ally mediated rea!tions0mmulogi!ally:

Ty"e 0 : immunoglobulin > 0g>;Cde"endent rea!tionsTy"e 00 : !ytoto6i! rea!tionsTy"e 000 : immune !om"le6 rea!tionsTy"e 07 : delayedty"e rea!tions 1ith

!ellmediated hy"ersensiti-ity


18/21

Nonimmunologi!ally:a!!umulation3 ad-erse e,e!ts3dire!t release o* mast !ell

mediators3 idiosyn!rati! rea!tions3intoleran!e3 Jaris!h2er6heimer"henomenon3 o-erdosage3 or

"hototo6i! dermatitisAd-erse !utaneous rea!tions to drugs are

more "re-alent in 1omen than in men.


19/21

RECOMMENDEDEXAMINATION?i-er *un!tionS+in bio"sy

Plasma "rotein *ra!tion

Renal *un!tion!ardio"ulmonary *un!tion

ele!trolytes

albumin


20/21

TREATMENT &MANAGEMENT

0nerson !r / tube?anolin $'D7aselin %' gr

0nerson !ream 3?anolin3 and -aselin is a""lied

on the u""er hal* body in the morning3 andthe lo1er hal* o* the body in the e-ening;0nterhistin /6$e6ametason $ am"ul8&( hours07 Na!l '3EDB.!om /6$7it. ) /6$


21/21

PROGNOSISubia et Bonam

poster miini erytroderma ec suspect eruption drug

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