Veruka vulgaris.docx

7/24/2019 Veruka vulgaris.docx

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BAGIAN KULIT DAN KELAMIN

FAKULTAS KEDOKTERAN

UNIVERSITAS HASANUDDIN

REFERAT BESAR

FEBRUARI 2016

DIAGNOSIS DAN PENATALAKSANAAN

VERUKA VULGARIS

Disusun Oleh:

He!n R F Ti"#s!le 200$ % &' % 0''An(e Si)#sul"# 200$ % &' % 0'1Le*ein# H Tun+#n#n 200$ % &' % 0,,

-e.*i.*in/

( Asin# Anis An#

Supervisor

( Asn#i M#(+i(3 S)KK3 MARS

DIBA4AKAN DALAM RANGKA TUGAS KE-ANITERAAN KLINIK

-ADA BAGIAN KULIT DAN KELAMIN

FAKULTAS KEDOKTERAN

UNIVERSITAS HASANUDIN

MAKASSAR

2016

DAFTAR ISI


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H#l#.#nDAFTAR ISI 555555555555555 2

BAB I -ENDAHULUAN 555555555555555555 '

BAB II DIAGNOSIS 55555555555555555555

II1 An#.nesis 5555555555555555555

II2 -e.ei7s##n Fisis 5555555555555555

II' -e.ei7s##n -enun+#n/ 55555555555555 $

II, Di#/n!sis *#n(in/ 5555555555555555 10

BAB III -ENATALAKSANAAN 555555555555555 12

BAB V KESIM-ULAAN 555555555555555555 1

DAFTAR -USTAKA 555555555555555555555 16

BAB 1

PENDAHULUAN


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Veu7# ul/#is #(#l#h )#)ul eu7!s# (i 7uli" .#u)un .u7!s# 8#n/(ise*#*7#n !leh Human Papiloma Virus 9H-V In;e7si -#)il!.# Vius "i(#7

.en/h#sil7#n "#n(#%"#n(# l!7#l #"#u sis"e.i7 #7u" #"#u /e+#l# "e"#)i .en/in(u7si

se E1 (#n E2 *e7!!(in#si e)li7#si (#n "#ns7i)si (#i /en!. ius>

(#n L1 (#n L2 )!"ein .e.*en"u7 7#)si( ius E, .en/7!(e )!"ein 8#n/ .un/7in

"eli*#" (#l#. )ele)#s#n ius (#i 7e#n/7# 7e#"in sel132

H-V sein/ (i7#"e/!i7#n se*#/#i eu7# 9n!n/eni"#l (#n "e.#su7 /en!"i)e

se)e"i H-V 13 23 '3 (#n ,3 se(#n/7#n H-V 63 113 16 3 (#n 1& .en(!.in#si (i /eni"#l

(#n in;e7si .u7!s# Be*#/#i .# (#n +enis (#n &3 8#n/

.un


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Risi7! )enul##n in;e7si H-V /eni"#l #"#u sei7s *e7!el#si (en/#n +u.l#h

)#s#n/#n se7su#l Risi7! in;e7si /eni"#l "#.)#7n8# le*ih en(#h )#(# l#7i%l#7i 8#n/

(isun#" (#n )#s#n/#n se7su#l .ee7#3 (#n #(# *u7"i *#h# )en//un##n u"in 7!n(!.

.un/7in (#)#" .elin(un/i "eh#(#) )enul##n in;e7si H-V /eni"#l S7inin/ Pap

smears se


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A. Ananesis

D#i #n#.nesis (i"#n8#7#n .en/en#i 7eluh#n )#sien3 .es7i)un sein/ "#n)#

/e+#l#3 "e"#)i (#)#" .en8e*#*7#n 7e"i(#7n8#.#n#n Bi#s#n8# *eu)# 7el#in#n 7uli"

*eu)# )#)ul )#(#" eu7!s#3 7e#"!"i73 (en/#n u7u#n *e*e#)# .. s#.)#i (en/#n

1


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7*ne Common wartse*#/i#n *es# #si."!.#"i7 (#n .e.ili7i .#ni;es"#si 7linis

8#n/ s)esi;i7 13,3

Se


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*i#s#n8# .e.ili7i /#.*##n 7u"il 8#n/ (#"# #"#u *esisi7 (#"# .#7ul#

)e"i.*#n/7#n (i#/n!sis Ke"eli*#"#n sei7s (#n !!;#in/ +##n/ "e+#(i

Ke/#/#l#n un"u7 .en/hil#n/7#n lesi .es7i)un )en/!*#"#n su(#h .e.#(#i

.eu)#7#n in(i7#si l#in *e)!"ensi .en+#(i EV K#en# 7u"il )#(# EV h#.)i

sel#lu 7#.*uh se"el#h )en/!*#"#n3 ini *e#"i #(#n8# 7e/#/#l#n (#l#.

.e.*en"u7 es)!n i.un 8#n/ e;e7"i; un"u7 in;e7si H-V In(ii(u (en/#n EV

*i#s#n8# "i(#7 .e.ili7i in;e7si *#7"ei #"#u ius l#inn8# in(ii(u

i..un!

(i*e#n"#s3 "#)i 7ele.#h#n ini (i)e!leh S??s (i EV (#n i.un!su)esi

*i#s#n8# "i.*ul se)e"i lesi )i"ii#sis )#(# (#e#h 8#n/ "e7en#n# .#"#h#i

.e"#s"#sis e/i!n#l (#n (is"#"n" .e"#s"#sis (#)#" "e+#(i Mes7i)un lesi

)i"8i#sis%se)e"i 8#n/ (ise*#*7#n !leh +enis EV *eesi7! un"u7 .en+#(i

/#n#s3 .e.ili7i esi7! "in//i 8#n/ (ise*#*7#n !leh H-V% (#n %&1

G#.*# 1 Common wart; 9# (i/i"i .#nus3 9* h#n('.


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G#.*# 2 Verruca vulgaris: 9# )#(# (#e#h 8#n/ sein/ "#u.#3 9* doughtnut wart

G#.*# 'Plantar warts

G#.*# ,Filiform wart on forearm

". Peeri!saan Penun#an$

-e.ei7s##n his"!l!/is. Verruca"e(ii (#i e)i(e.is 8#n/ #7#n"!"i7 (en/#n

)#)ill!.#"!sis3 hi)e7e#"!sis3 (#n )##7e#"!sis Rete ridges 8#n/ .e.#n+#n/

sein/7#li "e"u+u l#n/sun/ )#(# )us#" 7u"il -e.*uluh (##h 7#)ile (e.is i#l#h

)!.inen (#n .un/7in .en/#l#.i "!.*!sis Sel%sel .!n!nu7le# .un/7in #(#

Ke#"in!si" *es# (en/#n nu7leus )i7n!sis e7sen"i7 (i7elilin/i !leh h#l! )einu7leus


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9sel 7!il!si"!"i7 #"#u 7!il!si" .eu)#7#n 7##7"eis"i7 (#i )#)ill!.# 8#n/ (i7#i"7#n

(en/#n H-V K!il!si" 8#n/ (iisu#lis#si7#n (en/#n )en/e

.#"ei 7linis3 "e.#su7 +#in/#n ;!.#lin 8#n/ "e;i7s#si3 "e"#)i "i(#7 sensi"i; (#n

"i(#7 u"in (il#7u7#n Hi*i(is#si in si"u .en//un#7#n H-V )!*e +#uh le*ih sensi"i;

(#n (#)#" (i/un#7#n )#(# s)esi.en )#"!l!/is 1


10/16

Te7ni7 -?R #"#u +enis EV H-V un"u7 .en(e"e7si 7uli" "e"#)i u.u.n8#

"e*#"#s )#(# )eneli"i#n (#n l#*!#"!iu. (i#/n!s"i7 Tes hi*i(is#si (i#/n!s"i7 8#n/

s#n/#" sensi"i; (#n s)esi;i7 un"u7 .en/i(en"i;i7#si +enis%+enis H-V .u7!s# /eni"#l

8#n/ "ese(i# se

D. Dia$nosis Ban%in$

A(# *e*e#)# +enis 7u"il .e.*ei7#n 7##7"eis"i7 7linis (i#/n!s"i7 8#n/

7h#s Ku"il (#)#" (i*e(#7#n (#i l!7#si 7linis (#n .!;!l!/i N#.# 7u"il sesu#i

(en/#n ;i"u 7linis3 +enis ius (#n si"us 8#n/ "e7en# Un"u7 7u"il 8#n/ *e#(# (i

"#n/#n (#n 7#7i 8#n/ sein/ .eu)#7#n .#ni;es"#si (#i common wart (#)#"

.e.ili7i (i#/n!s# *#n(in/ se)e"i )#(# "#*el

T#*el 1 Di#/n!s# B#n(in/ Lesi Ku"il )#(# T#n/#n (#n K#7i1

LOKASI LESI SOLITER LESI &ULTIPEL

Te'apa!

(an$an %an

(e'apa!

!a!i

-i7i7#n:

Veu

-i7i7#n:

Aseni

(an$an %an

pun$$un$

!a!i

-eh#"i7#n:

Veu


11/16

Sin/7i7#n:

Su#.!us

*e)i/.en"#si (i#/n!sis *#(nin/ l#in *i#s#n8# neus eu7!s *i#s#n8# "esusun

line# (#n su(#h #(# (#i *#8i A

e.!si!n#l3 "in/7#" (#n (u#si lesi3 s"#"us i.un!l!/i )#sien3 7ein/in#n )#sien un"u7

"e#)i3 (#n isi7! )enul##n 7e)#(# !#n/ l#in Re7uensi 8#n/ u.u. (en/#n se.u#

.!(#li"#s )en/!*#"#n Ke*#n8#7#n )en/!*#"#n un"u7 eu7# .eli*#"7#n 7eus#7#n

;isi7 (#i sel 8#n/ "ein;e7si1

A(#n8# *e*e#)# .!(#li"#s )en/!*#"#n .en


12/16

u7u#n3 +u.l#h (#n +enis eu7#3 se"# )#(# usi# (#n 7e+#s#.# )#sien N8ei3

7e"i(#7n8#.#n#n3 isi7! +#in/#n )#u"3 (#n .#n;##" un"u7 )#sien h#us

(i)e"i.*#n/7#n1

An#7%#n#7 (en/#n eu7# u.u.n8# .un/7in "i(#7 .e.elu7#n )en/!*#"#n

e/esi s)!n"#n sein/ "e+#(i N#.un3 eu7# *#u .un/7in .un l#7i%l#7i 8#n/ 7!n"#7 (#i #ni"# (en/#n

)en8#7i" sei7s +u/# h#us (i)ei7s# An!/eni"#l eu7# )#(# 7!n"#7 se7su#l h#us

(i"#n/#ni1

1. Terapi (opi!a'

As#. S#lisil )!"ensi 7u#" 9'%20@ #(#l#h "e#)i lini )e"#.# (i/un#7#n un"u7

.en/!*#"i eu7# Ini "ese(i# "#n)# ese)3 (#n (#)#" (i"e#)7#n !leh )#sien (i

u.#h An/7# 7ese.*uh#n =0%&0@ ?#n"h#i(in .en8e*#*7#n ne7!sis e)i(e.#l3

(i*u"il #s#. su#i73 +u/# (i7en#l se*#/#is!uaric asam diutil ester 9SADBE3 (#n

diphencyclopropenone 9D?- #(#l#h sensi"ie 7!n"#7 As#. "i7l!!#se"#" #(#l#h

sen8## 7#us"i7 8#n/ .en8e*#*7#n ne7!sis +#in/#n -!(!)h8llin #(#l#h sen8##

si"!"!7si7 le*ih sein/ (i/un#7#n (#l#. )en/!*#"#n eu7# /eni"#li# As#.

aminolevulinic 9ALA #(#l#h ;!"!sensi"ie 8#n/ "el#h *eh#sil (i/un#7#n se


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''%$2@ In"e;e!n%#l;# .eu)#7#n si"!7in #l#.i (en/#n #n"iius3 #n"i*#7"ei3

#n"i7#n7e3 (#n e;e7 i.un!.!(ul#"!136

*. A$en sis(ei!

A/en sis"e.i7 8#n/ "el#h (i/un#7#n un"u7 .en/!*#"i eu7# "e.#su7

si.e"i(in3 e"in!i(3 (#n si(!;!i in"#en# Si.e"i(in #(#l#h #n"#/!nis ese)"!

his"#.in "i)e%2 8#n/ *i#s# (i/un#7#n un"u7 .en/!*#"i )en8#7i" ul7us )e)"i7u.

K#en# e;e7 i.un!.!(ul#"!%n8# )#(# (!sis "in//i3 si.e"i(ine (i#n//#) se*#/#i

)en/!*#"#n 8#n/ .un/7in un"u7 eu7#3 n#.un h#siln8# *e#i#si S"u(i )l#se*!%

"e7!n"!l (!u*le%*lin( "el#h .enun+u77#n "i(#7 #(# .#n;##" Re"in!i( .eu)#7#n

i"#.in A sin"e"is #n#l!/ 8#n/ (#)#" .e.*#n"u .en!n#7"i;7#n eu7# hi)e7e#"!"i7

)#(# )#sien i..un!7!.)!.is Re"in!i( (#)#" .e.*#n"u .ein/#n7#n #s# s#7i"

(#n .e.;#sili"#si )en//un##n )en/!*#"#n l#in Du# l#)!#n "el#h .en//#.*#7#n

si(!;!i in"#en# (i/un#7#n un"u7 )en/!*#"#n e7s"ensi;3 (#n eu7# e;#7"!i Ini

h#us (i/un#7#n (en/#n h#"i%h#"i 7#en# isi7! ne;!"!7sisi"#s136310

+. &e(o%e Be%a,

a# Cryosurgery

Ni"!/en


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(#n .enin//#l7#n +#in/#n )#u" S#"u s"u(i e"!s)e7"i; .en/un/7#)7#n #n/7#

7ese.*uh#n (#i 6,@ )#(# 12 *ul#n (en/#n l#se 7#*!n (i!7si(#1363&

-. Kure(ase %an Operasi

Mes7i)un ele7"!(esi7#si (#n 7ue"#se .un/7in le*ih e;e7"i; (#i)#(#

cryosurgery3 "#)i (#)#" "e#s# le*ih s#7i" (#n *e)e#n (#l#. )en/u.)ul#n H-V )#(#

7uli" Hin(#i .en//un#7#n e7sisi *e(#h (i se*#/i#n *es# 7e#(##n 7#en# isi7!

+#in/#n )#u" Tu+u#n ;#.#7!"e#)i #(#l#h un"u7 .en/u#n/i .!*i(i"#s (#n

.en


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DAFTAR PUSTAKA

1 An(!)h83 Elli!" 3 R!83 D!u/l#s R $art% Human Papiloma Virus&Common $art e(i"e( *8 Kl#us 4!l;;3 L!ell A G!l(s.i"h3 e"


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6 S"elin/ Gui(elines B+( Bi"ish !un#l O; De.#"!l!/8 Bi"ishAss!

& A..#( I ?#se Re)!": ?#n -eiun/u#l Veu

$ A**#s S ssu

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