REFERAT JUNI 2015 BAGIAN ILMU KESEHATAN KULIT DAN KELAMIN FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN
DIAGNOSIS DAN PENATALAKSANAAN DERMATOMIOSITIS
Oleh : Raja Nuula!" B!"#! Raja Naha $u#a %11111&'&
$e()!()!"* : +, D-ah $a#!.! $u"a"!"*/!h
DIBAWAKAN DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAAN KLINIK KLINI K BAGIAN ILMU KESEHATAN KULIT DAN KELAMIN FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN 2015
HALAMAN PENGESAHAN
a"* )e#a"+a #a"*a" +!)a.ah !"! (e"-a#aa" )ah.a :
Na(a
: Raja Nuula!" B!"#! Raja Naha $u#a
N!(
: %11111&'&
Reaa#
: D!a*"3/!/ +a" $e"a#ala/a"aa" De(a#3(!3/!#!/
U "! 4e / !# a/ : F K U NH AS
Telah (e"-ele/a!a" #u*a/ +ala( a"*a ea"!#eaa" l!"! a+a )a*!a" Kul!# +a" Kela(!" Faul#a/ Ke+3#ea" U"!4e/!#a/ Ha/a"u++!" Maa//a
Maa//a6
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+, D-ah $a#!.! $u"a"!"*/!h
Ju"! 2015,
BAB 1 PENDAHULUAN I.
DEFINISI
De(a#3(!3/!#!/ (euaa" e"-a!# !"la(a#3! +a" +e*e"ea#! +e"*a" a"*!3a#! +! ul!#6 /u)u#!/ +a" 3#3#, Kela!"a" #e/e)u# (e"*a!)a#a" ea/aa" le(ah +a" a#3! a+a 3#3#6 #eu#a(a +! /e!#a !"**ul, Be)eaa #a"+a l!"!/ /a(a +e"*a" *ejala a+a $,S,S (progressive systemic sclerosis), L,E,S, (lupus eritematous sistemik), a#au 4a/ul!#!/,'67 II.
ETIOLOGI
$e"-e)a) +e(a#3(!3/!#!/ )elu( +!e#ahu!6 "a(u" +!/a"*a e"-a!# au#38 !(u", Be)eaa e"-el!+! (e(!!a" 4!u/ /e)a*a! e"-e)a)"-a, 1626' III.
PATOGENESIS
De(a#3(!3/!#!/ +!a#aa" )ehu)u"*a" +e"*a" (a/alah *e"e#!6 +! (a"a #e+aa# ea/! au#3!(u" -a"* #!+a "3(al aa)!la )ee/3" +e"*a" a*e" -a"* #e+aa# +! /e!#a"-a, De(a#3(!3/!#!/ +!a#aa" )ee()a"* +a! )e)eaa a/e /euel -a!#u a/e ee"#a"a"6 a/e !"+u/!6 a/e e/a"/! +a" a/e 9e+ea,162
Gambar 1 : $a#3*e"e/!/ +e(a#3(!3/!#!/ /u()e +a! )uu +e(a#3l3*! B3l3*"a;
BAB 2
DIAGNOSIS
$a+a e"-a!# +e(a#3(!3/!#!/6 *ejala l!"!/"-a )!/a +!+aa#a" +ala( +ua )e"#u -a!#u le/! u#a"eu/ +a" le/! /!/#e(!, $a+a e(e!/aa" !/!/ )!/a +!+aa#a" /ee#! )e!u#: Le! "#$a%e#
Ta"+a +!a*"3/#! -a"* al!"* e"#!"* +a! eu/! ul!# +a! +e(a#3(!3/!#!/ a+alah 3!!l3+e(a, $3!!l3+e(a )!/a (u"9ul a+a a/!e" +e"*a" +e(a#3(!3/!#!/6 +!#a"+a! +e"*a" .a"a 4!3le# +a" a+a a/!e" +e"*a" luu/ e!#e(a#3/u/6 3!!l3+e(a"-a )e.a"a (eah, $3!!l3+e(a +a" luu/ e!#e(a#3/u/ #e+aa# le/! h!e!*(e"#a/!6 h!3!*(e"#a/!6 #ela"*!e#a/!/ +a" e!+e(al a#3!6 +a" le/! !"! u(u("-a a+a a+a e+ua e"-a!#, J!a +3#e /alah (e"+!a*"3/!/ 3!!l3+e(a6 eu/! +e(a#3(!3/!#!/ #ea+a"* +aa# +!+!a*"3/!/ /e)a*a! /3!a/!/6 ae"a le/! (u"9ul +ala( )e"#u la -a"* )e)a#a/ #e*a/ a+a /!u +a" lu#u# +a" +!#u#u! +e"*a" /!/! )e.a"a u#!h, 16267
Gambar 2 : $3!!l3+e(a +a" (aula e!#e( 4!3le#1
Ta"+a la!" -a"* al!"* ha/ a+alah eu)aha" l!a#a" uu, J!a 3"+!/! !"! #!+a +!a(a#!6 (aa eu/! +aa# +!+!a*"3/!/ /e)a*a! 3"+!/! la!" -a"* +!#a"+a! +e"*a" 3!!l3+e(a6 /ee#! l!(3(a /el8T ul!#, Se!"*al!6 +3#e ul!# #ahu aa" e"a(aa" 3#3 +!/#!)u/! )a*!a" #u)uh -a"* /e!"* #eaa /!"a (a#aha!; "a(u"6 (eea le)!h /e!"* (ele#aa" eu/! 3)a# a#au luu/ e!#e(a#3/u/ /e)a*a! +!a*"3/!/ u#a(a /e+a"*a"6 +e(a#3(!3/!#!/ #!+a #e(a/u +ala( +!a*"3/!/ )a"+!"*, 162
Gambar & : $3!!l3+e(a +!/e#a! ela!"a" l!a#a" uu1
Ta"+a -a"* al!"* ha/6 +a" (e()e+aa" +e(a#3(!3/!#!/ +a! luu/ e!#e(a#3/u/6 a+alah .a"a 4!3le# +a! 3!!l3+e(a +a" e9e"+eu"*a" le/! #e+!/#!)u/! +! /e!#a (a#a +a" a+a e(uaa" e/#e"/3, Le/! ul!# +a! +e(a#3(!3/!#!/ /e!"* +!#e(ua" a+a +aeah #u)uh -a"* /e!"* #eja+! e"ea"a" /ee#! a+a e(uaa" e/#e"/36 #e(a/u )uu8)uu ja!, J!a e"ea"a" +!)!aa" #eja+! #eu/8(e"eu/ a+a +aeah #e/e)u#6 (aa aa" #eja+! l!e"3!+ /eu"+e -a"* +!e"al /e)a*a! *ejala G3##3" -a!#u aul G3##3"6 eu)aha" .a"a 4!3le# +a! )uu8)uu ja!6 /!u +a"
$u!#u/ (euaa" *ejala u(u( +a! e"-a!# ul!#
+e(a#3(!3/!#!/ +a" /e9aa /!*"!!a" +aa# (e(e"*auh! ual!#a/ h!+u a/!e", 16267
Gambar ' : Maula e!#e( 4!3le# a+a el3a (a#a1
Pe%(a"!$ !$em!"
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Ju(lah -a"* +!la3a" #e"#a"* e*a"a/a" !"#e"al +e.a/a +e"*a" +e(a#3(!3/!#!/ )e4a!a/! +a! ua"* +a! 10= h!"**a 50=, Ke*a"a/a" *e"!#3u!"a!6 #eu#a(a a"e 34a!u(6 +a" a"e u/u/ )e/a (u"*!" le)!h )a"-a, Ke*a"a/a" la!" -a"* /e!"* #el!ha# (el!u#! a-u+aa6 au8au6 la()u"*6 a"ea/6 l!(3(a #e(a/u "3"8H3+*!"; +a" a"e ela(!" ee(ua" la!""-a, R!/!3 e*a"a/a" +aa# e()al! "3(al /e#elah 28' #ahu", %alle" #elah (e"-aa"a" )ah.a e"+ea#a" #e)a! u"#u (a"aje(e" a/!e" +e"*a" e"-a!# !"! a+alah e.a/a+aa" la"ju# +e"*a" e4alua/! la)3a#3!u( -a"* !"9!6 e(e!/aa" !/! +a" #e/ /!"!"* la)3a#3!u(,162 Pemer!"aa% Pe%#%*a%)
18 $e(e!/aa" e"?!( 3#3#2 $e"!"*a#a" ea#!"!" !"a/e +ala( /eu( a+alah e"a"+a -a"* al!"* /e/!! /e)a*a! !"+!a#3 la)3a#3!u( a+a e"-a!# -a"* )ea!#a" +e"*a" (a/alah 3#3#, Hal !"! )!/a +!#e(ua" a+a ha(! @0= a/!e" -a"* #e+!a*"3/a +e"*a" IIDM6 $e"!"*a#a" ea#!"!" !"a/e +ala( /eu( )!/a #eja+! /e)elu( (u"9ul"-a ele(aha" 3#3# +a" )!/a e()al! "3(al )e)eaa (!"**u /e#elah ea.a#a", 28 $e(e!/aa" au#38a"#!)3+!2 $e"!"*a#a" le4el a"#!)3+! a"#!"ulea +e"*a" /u)/#a# /el #u(3 )!/a +!#e(ua" a+a >0= /eh!"**a &0= a/!e" +e(a#3(!3/!#!/,
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BAB & PENATALAKSANAAN
Se)uah #a"**a #ea! u"#u e"*3)a#a" a/!e" +e"*a" +e(a#3(!3/!#!/ +!!"*a/ +ala( #a)le +! )a.ah !"! 26' : TANGGA TERAPI PENGOBATAN DERMATOMIOSITIS Tera/! !$em!"
TANGGA TERAPI PENGOBATAN DERMATOMIOSITIS
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DAFTAR PUSTAKA
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