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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