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Diagnosis dan Tatalaksana Psoriasis Muhammad Rafi Eka Putra; Dwi Indria Anggraini; Syahrul Hamidi Nasution; Hendra Tarigan Sibero
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.656

Abstract

Psoriasis is a chronic skin inflammation characterized by clear erythematous plaques, rough scales, and layered silvery white plaques, especially on the elbows, knees, scalp, back, umbilicus, and lumbar region. 125 million people worldwide have psoriasis, with prevalence varying in different countries. Psoriasis has a prevalence of 1% to 3% in Europe and the United States. Psoriasis is a disease caused by an autoimmune condition. The diagnosis of psoriasis can be made based on the clinical picture. The physical examination should include examination of the primary lesion and other common areas affected by psoriasis including the scalp. A family history should be asked to support the diagnosis. The diagnosis can also be established by the presence of candle drip phenomenon, auspitz and kobner (isomorphic) which are symptoms of psoriasis. In addition, a histopathological examination can also be performed with a picture of hyperkeratosis, parakeratosis, acanthosis, Munro's abscess, papillomatosis and vasodilatation subepidermis. Psoriasis therapy is given topically in mild degrees and systemic therapy and phototherapy are given in moderate to severe psoriasis. Topical therapy that can be given is corticosteroids, vitamin D analogues, retinoids, TAR (LCD 3-10%), keratolytics (salicylic acid), and emollients. Systemic therapy used in moderate to severe cases includes acitretin, methotrexate, cyclosporin. Commonly used autotherapy in the treatment of psoriasis are narrowband ultraviolet B (NB-UVB), broadband ultraviolet B (BB-UVB), and topical 8-methoxypsoralen and UVA (PUVA).
LEINER’S DISEASE Marlintan Sukma Ambarwati; Hendra Tarigan Sibero
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 1 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Leiner’s disease is a disease affecting infants (4-20 weeks) which is a complication from seborrhoeic dermatitis, universal erythema and squama (erythroderma), usually found with anemia, diarrhea and vomit. It is followed by secondary bacterial infection. The etiology of this disease has not been known yet and also so rare. A Baby, 5 months old, had chief complain of red spots and rough shells all over the body during a week, accompanied by fever, vomit, and diarrhea. From physical findings, the general condition seemed to be in a serious illness, consciousness was compos mentis, regular pulse 96 x/minute, respiration rate 24 x/minute, temperature 37,3 OC. Nutrient status was normal (Z - Score WHO 2006 Curve). From dermatologic findings, the lesion was general, diffuse erythematous covered by rough scaly layer of squama, yellowish white, oily, wax drop phenomenon test (-). Laboratory assessment found leukocytes 16.700/ul, hemoglobin 11,1 gr/dl, hematocrit 34,4% and platelets 717.000/ul. The patient was diagnosed with Leiner’s disease and given systemic therapy dexamethasone, chlorpheniraminemaleat, paracetamol, lacto-bio, and zinc, and topical therapy gentamicyn ointment and emollients lanolin 10%. The etiology of Leiner, although has not been known yet, commonly caused by spreading seborrhoeic dermatitis. The diagnosis determined based on anamnesis, physical examination, and laboratory examination. With adequate management, clinical improvement obtained.[J Agromed Unila 2014; 1(1):28-34] Keywords: leiner’s disease, seborrhoeic dermatitis