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TEACHING BANGSAL

ERYTHRODERMA

Group Name
Natasya Uzu Barsela
Ferdian Eris Prianto
Siti Hardiyanti
Suci Anugrah
Rahmawati
Raswinda
Muh. Mustaqiblat
Meyliana Kusuma

PATIENT IDENTITY
Name
Gender
Age
Job
Address

: Saebo
: Male
: 55 years old
: Farmer
: Jln. Pampangan Abulosibatang,
Maros
Marital Status
: Married
Religion
: Moslem
Admission Date : 24th August 2014
Medical Record Number : 677158

History Taking
Anamnesis
: autoanamnesis
Chief complaint
: scaling all over the body
Further Anamnesis :
Redness spots and scaling on almost the body since
20 days ago, accompanied by itching since about 4
year ago. The itching was perceived intermittent
and appears when the patient is getting sweats. At
the first time, the itchy was appearing at whole the
body, then more severe.

History Taking
Treatment history : had been treated by
primary health care with dexamethasone. And
he ever consume chinesse traditional medicine
for about among 1 year.
Family History with the same complaint : (-)
History of allergy : (+) meatballs and fish
(bandeng)
Medical history : DM (-)

Current Status
Consciousness
General Condition
Hygiene
Nutrition
Vital Sign
BP : 110/70 mmHg
HT : 88x/minutes
RR : 18x/minutes
T : 36,6 C

: Conscious (E4V5M6)
: Medium
: Medium
: Medium

Physical examination
Anemic (-), icterus (-), cyanoses (-)
Cor/ Pulmonal: S1 S2 normal, reguler,
Rh-/- Wh-/Abdomen: Normal, peristaltic (+)
Extremities: Edema (-)
Lymph nodes: Enlargement (-)

DERMATOLOGY STATUS
Location
: Regio Generalisata
Distribution
: General
Efflorescence
: Macula erythema,
Lichenification on legs, thick squama,
fissure

Before treatment

After treatment

Laboratory Result
RBC
WBC
HGB
HCT
PLT
GDS
Ureum
Creatine
SGOT
SGPT

:
:
:
:
:
:
:
:
:
:

4,52 (10 6 /uL)


13,2 (10 3 /uL)
14,6 (g/dL)
42 (%)
489 (10 3 /uL)
85 mg/dl
27 mg/dl
0,95 mg/dl
27 U/I
26 U/I

Treatment
R/

IVFD RL 20 ttp/minute
Acytromicin 500 mg 1 tab daily
CTM 3 x 1
Lanolin 10%
Vaselin add 100 gr

Resume
A man 55 years complain there was redness
spots and squama in the whole body,
accompanied by itching since 4 years ago.
The itching was perceived intermittent and
appears when the patient is getting sweats.
At the first time, the itchy was appearing at
whole the body, then more severe.

History of medication (+) Dexamethasone, and chinesse


traditional medicine for about among 1 year. History of allergic
(+).
Dermatology status :
Location
: Regio Generalisata
Efflorescence
: Macula erythema, Lichenification on
legs, thick squama, fissure
Diagnosis : Erythroderma ec susp. psoriasis

Discussion
Erythroderma is the term applied
inflammatory skin disease that affects
more than 90% of the body surface.
Erythroderma has multiple etiologies; the
most common causes are psoriasis, atopic
dermatitis, cutaneous T-cell lymphoma
(CTCL) and drug reactions.

Men are more commonly affected (male-tofemale ratio of approximately 2:1 to 4:1).
An even higher ratio can be found in the subset
of idiopathic erythroderma. The average age at
onset of erythroderma was 52 years.

Erythroderma is defined clinically as


generalized redness and scaling of the skin.
Systemic manifestations include peripheral
edema, tachycardia, loss of fluid and
proteins,
and
disturbances
in
thermoregulation.

TREATMENT
TOPIKAL

Emollients
Urea Cream
10%
Lanolin 10%

SISTEMIK
Prednisone
4x10 mg/day
Metilprednisolon
4x10 mg/day
Dexamethason

Becom-C

REFERENCE
Bolognia, Jorizzo, Rapini. 2008. Dermatology
2nd ed.
Burns DA. Diseases caused by arthropods and
other noxious animals. In: Rooks textbook of
dermatology. 8th ed. United kingdom. Willeyblackwell; 2010.
Blauvelt A. MP. Inflammatory disease bsd on
abnorml hmorl ctivity and inflamatory disease. In,
fitzpatricks dermatology in general medicine.
Ed.8th.vol 1.New York, america. 2008. P327-328

Thank You