SINDROM STEVENS

JOHNSON
Pembimbing :
dr. Nurul Kawakib Sp.KK
dr. Nur Aeni Mulyaningsih Sp.KK

Oleh :
Hanifa Noviabida
30101407200

http://www.free-powerpoint-templates-design.com
1 PENDAHULUAN

2 ANAMNESIS

3 PEMERIKSAAN FISIK

4 PEMERIKSAAN PENUNJANG
5 DIAGNOSIS

6 PENATALAKSANAAN

7 PROGNOSIS

8 PEMBAHASAN
PENDAHULUAN
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 PENDAHULUAN
SSJ merupakan sindrom yang mengenai kulit, selaput lendir di orifisium dan
mata dengan keadaan umum bervariasi dari ringan sampai berat, kelainan pada
kulit berupa eritema, vesikel/bula dan dapat disertai purpura.

Insidensi sindrom ini diperkirakan

berkisar antara 1-6 kasus/juta populasi
SSJ termasuk penyakit kulit dan mukosa per tahun. SSJ dapat menyerang segala
yang akut dan berat yang usia
diakibatkan oleh reaksi intoleran terhadap dengan risiko meningkat pada usia di
obat dan beberapa infeksi atas dekade ke 4 serta pada keadaan
immunodefisiensi dan penderita kanker.
ANAMNESIS
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Nama : Tn. S
TTL : Kendal, 21 September 1993
Umur : 25 tahun
Jenis Kelamin : Laki-Laki
Pekerjaan : Swasta
Agama : Islam
Alamat : Protomulyo 02/05 Kaliwungu
Tanggal Masuk : 12 November 2018
 Anamnesis dilakukan secara alloanamnesis

13 November 2018,
pukul 11.00 WIB

Poli Kulit Dan RSUD Dr. H. Soewondo

Kelamin Kendal.
 KELUHAN UTAMA

SELURUH BADAN TERASA PANAS,

MELEPUH DAN TIMBUL GELEMBUNG-
GELEMBUNG BERISI CAIRAN
 RIWAYAT PENYAKIT SEKARANG
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BERCAK GELEMBUNG
KEMERAHAN BERISI CAIRAN

BADAN TERASA MELEPUH

PANAS
RIWAYAT PENYAKIT RIWAYAT PENYAKIT
DAHULU
Riwayat Alergi Obat KELUARGA
Keluhan Sama (-)
(+)
Riwayat Keluhan
Serupa (-)
Riwayat Epilepsi (+)
RIWAYAT RIWAYAT SOSIAL
PENGOBATAN
Sedang mengonsumsi EKONOMI
BPJS
Asam Mefenamat dan
Cetirizine
PEMERIKSAAN FISIK
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 STATUS GENERALIS

- Keadaan umum : Tampak lemah

- Kesadaran : Compos mentis
- Status Gizi : Baik
 TB : 160 cm
 BB : 54 kg
- Tekanan Darah :140/90 mmHg
- HR ( Nadi ) : 84x/ Menit , reguler, isi dan tegangan
cukup.
- RR ( Laju Napas) : 24x/ Menit , reguler
- Suhu : 39,8 derajat celcius
 STATUS INTERNUS

- Kepala : Normocephali, rambut hitam, distribusi merata, terdapat kelainan kulit

wajah (sesuai status dermatologikus)
- Hidung : Normal, deviasi (-), sekret (-), terdapat kelainan kulit (sesuai status
dermatologikus)
- Telinga : Normotia, terdapat kelainan kulit (sesuai status dermatologikus)
- Mulut : Bibir tidak pucat, terdapat kelainan kulit (sesuai status dermatologikus)
- Thorax
 Inspeksi : Bentuk normal, pergerakan simetris, terdapat kelainan kulit (sesuai status
dermatologikus)
 Palpasi : Tidak dilakukan pemeriksaan
 Perkusi : Tidak dilakukan pemeriksaan
 Auskultasi
o Paru : Suara nafas vesikuler, ronkhi -/-, wheezing -/-
o Jantung : Bunyi jantung I-II reguler, murmur (-), gallop (-)
- Abdomen
 Inspeksi : Datar, terdapat kelainan kulit (sesuai status dermatologikus)
 Auskultasi : Tidak dilakukan pemeriksaan
 Perkusi : Tidak dilakukan pemeriksaan
 Palpasi : Tidak dilakukan pemeriksaan
Ekstremitas
  Superior Inferior

Oedem -/- -/-

Akral dingin -/- -/-

STATUS DERMATOLOGIKUS

 Makula eritema
 Purpura
 Bula
 Erosi
STATUS DERMATOLOGIKUS

 Makula eritema
 Purpura
 Bula
 Erosi
PEMERIKSAAN
PENUNJANG
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 Dilakukan pemeriksaan penunjang berupa pemeriksaan laboratorium darah
pada
tanggal 15 November 2018, adalah sebagai berikut:
Hemoglobin : 15,2 g/dl ( N: 13-18)
Leukosit : 3,5 [10^3/uL] (N: 4,0-10,0)
Hematokrit : 45,7 % (N: 39-54)
Trombosit : 126 [10^3/uL] (N:150-500)
DIAGNOSIS
DIAGNOSIS BANDING DIAGNOSIS KERJA
 Sindroma Stevens- Sindroma Stevens-Johnson
Johnson
 Nekrolisis Epidermal
Toksik (NET)
 Eritema Multiformis
PENATALAKSANAAN
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 UMUM

Menghentikan obat yang diduga Terapi cairan yang adekuat serta

menyebabkan penyakit yang diderita koreksi elektrolit.

Konsultasi dengan dokter spesialis

Stabilisasi jalan napas dan hemodinamik,
lain seperti spesialis mata,
perawatan luka, dan mengontrol nyeri.
periodontologi dan saraf
 KHUSUS

- Inj. Metilprednisolon 2 x 125 mg IV - Inj. Pamol 500 mg IV

Fusycom cream 2x/hari untuk lesi yang

- Inj. Ranitidine 2 x 1 ampul IV pecah

- Inj. Gentamicin 2 x 80 mg IV

- Inj. Ketorolac 2 x 1 ampul IV

PROGNOSIS
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P QUO AD VITAM
Ad bonam
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G QUO AD KOSMETIKUM

N Dubia Ad bonam

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QUO AD SANATIONAM
I Ad bonam

S
THANK YOU
 RIWAYAT PENYAKIT
DAHUSLU

RIWAYAT PENYAKIT RIWAYAT PENYAKIT

DAHULU KELUARGA

RIWAYAT RIWAYAT SOSIAL

PENGOBATAN EKONOMI
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