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Hardyanto Soebono

Department of Dermato-Venereology

Faculty of Medicine Gadjah Mada University

ogya!arta

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Unique :

the largest

limits our body and environment

Express our psychological conditionEstimate age

Plays a role in homeostasis

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Discomfort

Dis"gurement

Disability

Quality of Life/QoL

2/23/14ASM2014 3

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2/23/14ASM2014 4

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2/23/14ASM2014 5

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2/23/14ASM2014 6

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3 % (Specialist)

17 % (GP)

80 % without

complaints

SKIN DISEASES IN THE COMMUNITY

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Sanitasi jelek ------> n!eksi" in!estasi

Panas # lembab ---> n!eksi bakteri"jamur ndustri -------------> $ermatitis kontak %adiasi U& ------> 'anker kulit

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POLA PENYAKIT KULITPOLA PENYAKIT KULIT

DI NEGARA MAJU DAN NEGARADI NEGARA MAJU DAN NEGARA

ERKEMANGERKEMANG

Negara Maju

1 Non!"n#e$si

&umor

3 "n#e$si' in#estasi

Negara er$emang

1 "n#e$si ' in#estasi

Non!"n#e$si

3 &umor

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(ol) $ermatitis"Ek*ema : dermatitis kontak+ dermatitis atopik+ dermatitis

seboroik+ dishidrosis+ likhen kronik (ol) Penyakit %eakti! :

urtikaria+ erupsi obat ,sindrom Stevens ohnson dll). (ol) Eritroskuamosa:

Psoriasis+ parapsoriasis dll

(ol) Penyakit /ulosa:

Pem0gus vulgaris+ pem!ogoid (ol) Penyakit 'olagen:

1upus eritematosus+ skleroderma

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a!te"i # Pioderma : mpetigo+ Ektima+ 2urunkel+ 'arbunkel+

Erisipelas+

3uberkulosis 'ulit+ 1epra+ 2rambusiaJa$u" :

3inea+ 'andidiasis+ Pityriasis

%i"u& : &arisela+ 4) 5oster+ 4) simpleks+ &eruka+

6oluskum

Pa"a&it : Skabies+ Pedikulosis+ 7reeping eruption

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POLA PENYAKIT KULITPOLA PENYAKIT KULIT

DI RSUP DR' SARDJITO TH' ()*+ DANDI RSUP DR' SARDJITO TH' ()*+ DAN

())+())+

%

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I. Direct infection of skin and adjacenttissues

a. Impetigo

b. Ecthyma

c. Folliculitis

d. Furunculosis

e. Carbuncle

f. Sycosis barbae

II. Cutaneous disease due to eect ofbacterial toxina. Staphylococcal scalded skin syndrome

b. oxic shock syndrome

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I. Direct infection of skin orsubcutaneous

a. Impetigo !non bullous"b. Ecthyma

c. Erysipelas

d. Cellulitis

e. #ecroti$ing fascitis

II. Secondary infectionEc$ema infection

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Impetigo is a superfcial skin inection withcrusting or bullaecaused by streptococci,staphylococci, or both.

Ecthyma is an ulcerative orm o impetigo.

i 9 ll

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No,-.ullou& i$eti0o i&

a &ue"12ial &!i,i,fe2tio, t3at $a,ife&t&a& 2lu&te"& of 4e&i2le& o"u&tule& t3at "utu"ea,5 5e4elo a 3o,ey-2olo"e5 2"u&t'

ullou& i$eti0o i& a&ue"12ial &!i, i,fe2tio, t3at$a,ife&t& a& 2lu&te"& of4e&i2le& o" u&tule& t3ate,la"0e "ai5ly to fo"$ .ullae'T3e .ullae .u"&t a,5 e6o&ela"0e" .a&e&7 83i23 .e2o$e

2o4e"e5 8it3 3o,ey-2olo"e5

I$eti0o 9ullouI$eti0o 9No,-ullou&:

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Ecthyma gangrenosum is abacterial skin in!ection ,causedby #seudomonas aeruginosa.that usually occurs in people8ith a compromised immunesystem)

Ecthyma is a skin in!ectionsimilar to impetigo+ but more

deeply invasive) Usually causedby a streptococcus in!ection+ecthyma goes through the outerlayer ,epidermis. to the deeperlayer ,dermis. o! skin+ possibly

causing scars)

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Folliculitis is a bacterial infection ofhair follicles.

Folliculitis is usually caused by

Staphylococcus aureusbutoccasionally %seudomonas aeruginosa!hot&tub folliculitis" or otherorganisms. 'ot&tub folliculitis occurs

because of inade(uate treatment of)ater )ith chlorine or bromine.

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;olli2uliti& $a,ife&t& a&

&ue"12ial u&tule& o"

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*ecurrent red follicular papules or

pustules centered on a hair+ usually

remain discrete o,er the beard or upper

lip+ but may coalesce to produce raised

la ues studded )ith ustules.

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Furuncles are skin abscesses caused bystaphylococcalinection, which involve ahair ollicle and surrounding tissue.

Carbuncles are clusters o urunclesconnected subcutaneously, causing deepersuppuration and scarring. They are smaller

and more superfcial than subcutaneousabscesses

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2uruncles ,boils. are tender nodules or pustules caused by

staphylococcal in!ection) 7arbuncles are clusters o!!uruncles that are subcutaneously connected)

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idradenitis suppurativa is a chronic,scarring in!ammation o apocrine glandso the a"illae, groin, and around thenipples and anus.

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Cellulitis is acute bacterial inection o theskin and subcutaneous tissue most otencaused by streptococci orstaphylococci.

Erysipelas is a type o superfcial cellulitiswith dermal lymphatic involvement.

#ther causes $ %taphylococcus aureus&including methicillin$resistant %. aureus'()%*+, -lebsiella pneumoniae,aemophilus in!uenae, Escherichia coli.

It is commonly accompanied by high ever,chills, and malaise. Erysipelas may berecurrent and may result in chroniclymphedema.

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Typically caused by amixture of aerobic andanaerobic oranismst!atcause necrosis ofsubcutaneous tissue"

usually includin t!efascia#

T!is infection mostcommonly affects t!eextremities and perineum#

Affected tissues becomered" !ot" and s$ollen"resemblin seerecellulitis#

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