Drug Eruption
BED SIDE TEACHING 1
GROUP MEMBERS
1.
2.
3. 4.
5.
6. 7. 8.
Fausan Umar Iin Paranuan Hasmirah Bt Hamsa Maggie R Sutanto Jaslyanti Achmad Moh. Rifaie Harry Achsan
10. Habibi
PATIENTS IDENTITY
Name
: Mr. M Gender : Male Age : 43 y.o Marital Status : Married Religion : Islam Address : Wagom Fakfak Occupation : Employment Registered : March 12th , 2013
HISTORY TAKING
Anamnesis from brother) Chief complaint skin Present history : Appeared since one month ago. firstly, appeared reddish patches on upper extremities, than spread to neck, trunk, back, and lower extremities. After several days skin blister appear on these area, and ruptured. One week after, black patches appear on previously ruptured blister. This lesion is accompanied with pain, burning sensation, without itching symptom. On February 4th, patient admitted in Rumah Sakit Umum Daerah Fakfak, and diagnosed as pulmonary : : (Alloanamnesis younger patients
History Taking
Fever (-), nausea (-), vomiting (-), headache (-),
dizziness (-), chest pain (-). 2 weeks after administered with anti-tuberculosis therapy, symptoms of reddish skin, blister, and black patches appeared. On march 12th, patient admitted to our hospital to get further treatment. During the appearance of disease, weight lost is (+), urination by catheterization. Defecation last time a week ago. Past history: history of similar disease (-). Admitted in RSUD Fakfak, diagnosed as pulmonary tuberculosis, oral candidiasis, and westing syndrome Allergic history: patient allergic to amoxillin. Family history: No family member that have similar disease with patient
PRESENT STATUS
General condition Consciousness Vital sign
: : :
Moderately ill Compos mentis(Alert) BP: 110/80 mmHg Pulse: 90x/minute, Respiratory rate: minute Temperature: 36,3 0 C
28x/
Head Examination
Cor / Pulmo
normal limit Thorax : Vesiculer, Rh (-/-) Wh(-/-) Abdomen : Peristaltic (+) Extremities : Edema (-) Localization : Neck, trunk, back, upper and lower extremities regions
Dermatology Status
- Location : Regio colli, regio trunkus anterior et posterior, extremity superior et inferior dextra et sinistra - Efflorescence : hyperpigmentation patches, multiple, scales, crusts
Diagnosis: drug eruption dd/ seborrhoic
dermatitis
Treatment: Bethamethasone cream 20 mg +
RESUME
A male patient, 43 y.o, had been consulted to Dermatology and Venerology
Department on March 13th 2013 with chief complaint of black patches on the skin. Lesion started one month ago with redness of the skin that appear on the upper extremities and spread into neck, trunk, back, and lower extremities. This redness soon became blister and ruptured. One week after, black patches appear on previously ruptured skin. History of admitted in RSUD Fakfak on Febraury 4th with diagnosis of Pulmonary tuberculosis, oral candidiasis, and westing syndrome. 2 weeks after given antituberculosis treatment symptoms mentioned earlier appear. On march 12th 2013, patient admitted to our hospital to get further treatment.
Vital sign:
BP: 110/80 mmHg, Pulse: 90x/minute, Respiratory rate: 28x/minute, Temperature: 36,930 C
Dermato-venerology :
Location : Regio colli, regio trunkus anterior et posterior, extremity superior et inferior dextra et sinistra Efflorescence scales, crusts : hyperpigmentation patches, multiple,
m.f.ung.