SMF/Bag.

Ilmu Kesehatan Kulit dan

Kelamin
RSU. dr. Saiful Anwar/Fak. Kedokteran
UNIBRAW Malang
2014

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1.

Direct infection of skin : impetigo,

ecthyma, folliculitis, furunculosis,
carbuncle, sycosis.

2.

Secondary infection: eczema,

infestations, ulcers, etc.

3.

Effect of bacterial toxin: staph.associated scalded skin syndrome (SSSS),

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toxic shock syndrome.

1. Direct infection of skin or subcutaneous

tissue:
Impetigo, ecthyma, cellulitis, vulvovaginitis,
perianal infection, strepto. ulcers, blistering
distal dactylitis, necrotizing fasciitis.
2. Secondary infection: eczema, infestations,
ulcers, etc.
3. Tissue damage from circulating
scarlet fever, toxic shock-like syndrome.

toxin:

4. Skin lesions attributed to allergic hypersensitivity to strepto. antigens: erythema

nodosum, vasculitis.
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5. Skin disease provoked or influenced by

 Abrasio / maceration
Insect bite

Immunosupresant
medicine
Malnutrition
DM
HIV/AIDS
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Nutrition
Personal hygiene
Climate
Underlying disease

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2 clinical patterns :
- Nonbullous : streptococcus
staphylococcus
- Bullous
: staphylococcus
Clinical pattern :
-Red patch
-Vesicles to flaccid bullae
(hipopion)
-Honey-colored crusted plaque
-Erosion
-Baby : SSSS
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Treatment :
-Causal :
Topical antibiotic
Mupirocin 2%
Fusidic acid
Neomisin basitrasin
Systemic antibiotic
-Symptomatic
-Supportif
Complication :
-Acute glomerulonephritis
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 Multiple ulcerations, punched-out

Granulating base extends deeply
into dermis
Scar (+)
Predilection : extensor lower
extremity
Etiology : streptococcus
Treatments :
Local
NaCl 0,9% wet dressing
Topical antibiotic
Systemic antibiotic
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 Pyoderma that begins within

the hair follicle
Papule atau pustule
Etiology : staphylococcus

Deep-seated inflammatory nodule

that develops around hair follicle
Hard, tender, red folliculocentric
nodule in hair-bearing skin that
enlarges, become painful & fluctuant
Papule or nodule
Pus (+)
Etiology : staphylococcus
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 Nodule
Red, indurated, multiple
pustules, draining externally
around multiple hair follicles
Predilection :
Neck
Shoulder
Thighs
Back
Face
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Acute infection
Etiology : streptococcus
Minor wound, abrasio/excoriation (+)
Clinical findings :
Erythematous plaque-like
Sharply defined margin
Tenderness
Vesiculated
Constitutional symptoms :
Fever
Malaise
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 Suppurative inflammation of skin

and subcutaneous fat
Regional lymphadenopathy
May cause deeper necrosis
Etiology : streptococcus >>, staphylococcus
Clinical findings :
Erythemathous plaque
Margins generally indistinct
Rapidly intensify and spread
Pain, firm and tender induration
Constitutional symptoms :
Fever
Malaise
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 Etiology :
Corynebacterium minutissimum
Gram-positif rod
Predilection :
Genitocrural, axillary, inframammary regions
Web spaces of the feet
Clinical findings :
Asimptomatic
Pruritic
Generalisata : scally plaque
Excoriation
Chronic : lichenification

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