poster mini.pptx

7/27/2019 poster mini.pptx

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CASE REPORT

Name : Mr. IF

Age : 49 Years Old

Address : Bontolaja Street, Gowa Add. Date : July 9th 2012

Reg. No. : 251942


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HISTORY TAKING

Chief Complain : itchy in whole body

Brief Anamnesis : the patient consuled from interna

department with complaints of itching of the whole

body on July 11th 2012. there is a lump in almost theentire body since 6 months ago. There are abscess

in regio femoralis dextra et sinistra, pain (+).

There is a mass on his scrotum like a cocks comb

that arise from a year ago.

History of fever 5 days before come to hospital.

History of drug comsumption (+) since 1997.


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PHYSICAL EXAMINATION

Anemic (-), icterus (-), cyanoses (-), candidiasisoral (+).

Thorax :

there is a mass in the left breast with rubberyconsistency and flat surfaces

Cor / Pulmonal : normal

Abdomen : normal,peristaltik(+) Genitals : stemmed vegetation such as

cauliflower.


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CURRENT STATUS

General status : moderate sickness

Conciousness : compos mentis

Hygiene : moderate

Nutritional status : inadequate

Vital signs :

BP : 120/80 mmHg

HR : 78 x/minute

RR : 20x/minute

temp : 36,5 C


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DERMATO-VENEOROLOGY STATUS

Regio pedis dextra et sinistra : nodule

hyperpigmentation

Regio genitalia : stemmed vegetation such as

cauliflower


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LABORATORY RESULT

WBC : 12,4 (10 3 /uL) RBC : 5,126 /uL)

HB : 14,4 (g/dL)

HCT : 42,3 (%) PLT : 621 (10 3 /uL)

LYM : 7,2 (%)

Creatine : 0,73 mg/dl

NEUT : 79,8 %

SGOT : 47 U/I

SGPT : 41 U/I


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RECOMMENDED EXAMINATION


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RESUME


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DIAGNOSIS

Condyloma Acuminata + Prurigo Nodularis

Eruption ec. Immunodeficiency


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TREATMENT & MANAGEMENT

TCA (Trichloroasetic Acid)

Cetirizine


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CONDYLOMA ACUMINATA

Condyloma acuminata is sexually transmitted

HPV infection of genital and perianal

transition mucosa.


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PATHOGENESIS

Most commonly caused by HPV 6 and 11

which are not oncogenic. Important to exclude

infection with HPV 16 and 18 which are

oncogenic. In affected women, HPV analysis ofpap smear may supplement cytology to assess

risk.


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CLINICAL MANIFESTATION

Incubation period 4 weeks 6 months.

Tiny white papules which rapidly both spread

and enlarge. Larger lesions often macerated.

May be genital or perianal.


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DIAGNOSIS

Always examine sexual partner and exclude

other STDs. Painting with 5% acetic acid will

unmask discrete lesions by turning them

white. Be sure affected women have cervicalexamination. If lesions are recalcitrant,

consider HPV typing.


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DD

Verruca vulgaris

Condyloma latu

Squamous cell carsinoma


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TREATMENT

1. Chemotherapy : Podofilin 25%

Triclorasetat acid

5-fluorourasil2. Electric surgical

3. Cryosurgical (N2, N2o

4. Scalpel surgical5. Carbondioxide laser

6. Interferon

7. Immunotherapy


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PROGNOSIS

Although even residif, but the prognosis is

good.


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THANK YOU

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