WARD TEACHING

SCABIES

GROUP MEMBERSRininurdianaDian RosyidawatiHardianty MaulidinaFajrin Dwi SyaputraMuh. AdamAsmal MustafaNur Fajri RamadhanMuh. Jusuf Pikoli A. Indri BungawaliMusdalifahBudiwahyunisa Bahari

PATIENT’S IDENTITY Name : Mr. I Gender : Male Age : 34 years old Marital status : Single Religion : Moeslim Occupation : Laborer Register no : 63 96 56 Admission : December 2013

HISTORY TAKING Anamnesis : Autoanamnesis Chief complaint : Itching felt on the

whole body Further Anamnesis :

Patient come with chief complaint itching on the whole body since ± 4 months ago. According to patient, Itching more frequently felt at night. The lesion started with red spots at thigh region and spread to abdominal region, back region, hand and foot region. Patient also complaint about wound at both hand his since 1 week ago. It is caused by frequent scraping due to itching.

SYSTEMATICAL ANAMNESIS Nausea (-) Vomiting (-) Fever (-) epigastric pain (-) Patient has same complaint before (-) Family history: same complaint (+) Treatment history (+) like amoxicilin,

dexamethasone and CTM Drugs and food allergic denied

PRESENT STATUS General condition : good Consiousness : compos mentis

(E4M6V5) Vital sign

BP : 100/70 mmHgHR : 82 x/minuteRR : 22 x/minuteTemp : 36,7 °C

DERMATOLOGY STATUS Location : regio generalized Effluoresence : papules

erythematous, smooth scale

Location : regio plantar manus dextra et sinistra

Effluoresence : erosion, madidans excoriation, crusta

DIAGNOSIS

SCABIES

THERAPY Cetrizine 1 x 10 mg (Anti-histamine) Methylprednisolone 2 x 8 mg

(Corticosteroid) Betamethasone 15 gr(Corticosteroid) Fuson 10 gr Erytromicin 3 x 500 mg

Every Morning- Afternoon

RESUMEMr I, male, 34 yers old come with chief complaint itching on the whole body since ± 4 months ago. Itch more frequently feel at night. It starts with red spots at thigh region and spread to abdomen region, back region, hand and foot region. Patient also complaint about wound at both hand since 1 week ago. It’s because by scrap. His family have a same complaint. There is no past illness. This patient ever consumed drugs like amoxicilin, dexamethasone, and CTM after the itch’s complaint. Patient denied about his drugs and food allergic history.

Dermatology statusLocation : regio generalized Effluoresence : papules erythematous,

smooth scaleLocation : regio plantar manus

dextra et sinistraEffluoresence : erosion, madidans

excoriation, crusta

The diagnose for this patient is Scabies and the

treatment are Cetrizine 1 x 10 mg,

Methylprednisolone 2 x 8 mg, Betamethasone

15 gr + Fuson 10 gr (morning-afternoon), and

Erytromicin 3 x 500 mg.

DISCUSSIONCase Anamnesis : Itching on the whole body

since ± 4 months ago Feel itchy more frequently

at night It starts with red spots at

thigh region and spread to abdomen region, back region, hand and foot region

Wound at both hand since 1 week ago, because the patient scrapping the lesion

References Anamnesis :Cardinal sign :1. Pruritus nocturna2. Attack a group of

people3. Found tunnel on

examination4. Found mite on

examination(Scabies diagnosed if

positive 2 of 4 cardinal sign)

Case Location : regio

generalized, regio plantar manus dextra et sinistra

Effluoresence : papules erythematous, smooth scale, erosion, madidans excoriation, crusta

References Location :

Interdigital of hand, outside of elbow, outside fold of armpit, areola mammae, external genital, thigh region

Efflorescence : papule, pustule, erosion, excoriation

CaseLab examination

ReferencesLab examination Skin smear Taking mite

using needle Tunnel curetage Ink burrow test

Case Therapy Cetrizine 1 x 10

mg Methylprednisolon

e 2 x 8 mg Betamethasone 15

gr Fuson 10 gr Erytromicin 3 x

500 mg

References Therapy Sulfur presipitatum

4-20% Benzil Benzoas 20-

25% Gamma Benzena

Heksaklorida (lindane) 1%

Krotamiton 10% Permethrin 5%

PROGNOSIS With attention to the selection and use

of drugs and ways of treatment requirements and eliminate predisposing factors (hygiene), then the disease can be eradicated and that gives good prognosis.