Erupsi Obat Alergi
-
Upload
shinta-lisseva -
Category
Documents
-
view
239 -
download
2
description
Transcript of Erupsi Obat Alergi
![Page 1: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/1.jpg)
Erupsi Obat Alergi
![Page 2: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/2.jpg)
Erupsi Obat Alergi (EOA)
Reaksi alergi pada kulit / mukokutan akibat pemberian obat sistemik
PatogenesisAlergi terhadap obatHipersensitivitas (+) terhadap obatReaksi imunologik : Coombs & Gell (Rx I –IV)
![Page 3: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/3.jpg)
Gol. Obat Penyebab (sering)
Penisilin dan derivatSulfonamidAnalgetik-antipiretik
MetampironPiramidonParasetamolAsam salisilat
![Page 4: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/4.jpg)
DiagnosisI. ANAMNESIS
Obat-obat yang diminumKelainan terjadi akut s/d bbrp hariRasa gatalDemam subfebril
II. KELAINAN KULITDistribusi
Universalgeneralisata
Bentuk kelainan
![Page 5: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/5.jpg)
Bentuk Kelainan
1. URTIKARIAUrtika : edema & eritemaUkuran : lentikuler – plakatGatal
![Page 6: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/6.jpg)
Bentuk Kelainan
2. ERITEMA Kemerahan pada kulit Vasodilatasi pemb darah Eritema (-) penekanan Eritema morbiliformis : milier Eritema skrlatiformis : lentikuler Gatal
![Page 7: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/7.jpg)
Eritema
![Page 8: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/8.jpg)
3. DERMATITIS MEDIKA MENTOSADermatitis akutDistribusi generalisataEfloresensi polimorf
4. PURPURAKemerahan pada kulitEkstravasasi sdm ke kulit & mukosaPenekanan (+)
![Page 9: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/9.jpg)
Purpura
![Page 10: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/10.jpg)
Bentuk Kelainan
5. EKSANTEMA FIKSTUM (FIXED DRUG ERUPTION)
Predileksi sekitar mulut, bibir & penisKelainan :
Eritema & vesikelBentuk bulat – lonjongUkuran numulerBercak hiperpigmentasiBerulang-kali pada tempat yang sama
![Page 11: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/11.jpg)
FDE
![Page 12: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/12.jpg)
Bentuk Kelainan
6. ERITEMA NODOSUMPredileksi : tungkai bawah (ekstensor)Kelainan : nodus eritem, nyeriDemam, malese
7. ERITRODERMAEritema generalisataSkuama (+) pada stadium penyembuhanMendadak / akut
![Page 13: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/13.jpg)
Bentuk Kelainan
8. Pustulosis Eksantema Generalisata Akut (PEGA)Jarang terjadiPustul2 milier diatas kulit eritematosaPurpura + / -~ lesi targetDemam tinggi (38 c)Pustul (-) sebelum 7 hr deskuamasiD/ Banding : psoriasis pustulosaPA : pustul intra epidermal / subkorneal
dermis udem,vaskulitis, PMN perivaskuler nekrosis fokal keratinosit
![Page 14: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/14.jpg)
PEGA
![Page 15: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/15.jpg)
PENGOBATAN
UMUMStop obat tersangka
KHUSUSSITEMIK
1. Kortikosteroid Prednison 3 x 10 mg s/d 4 x 10 mg
2. Antihistamin : CTM, Loratadin
![Page 16: Erupsi Obat Alergi](https://reader035.fdokumen.com/reader035/viewer/2022081504/563db860550346aa9a931fe8/html5/thumbnails/16.jpg)
PENGOBATAN
TOPIKAL1. Bergantung kelainan kulit2. Eritema dan urtikaria
Bedak salisil 2%Menthol 0,5 – 1%
3. Dermatitis medikamentosaKompres asam salisilat 1%
4. EritrodermaDeskuamasi : lanolin 10%