SCABIES

Rininurdiana Dian Rosyidawati Hardianty Maulidina Fajrin Dwi Syaputra Muh. Adam Asmal Mustafa Nur Fajri Ramadhan Muh. Jusuf Pikoli A. Indri Bungawali Musdalifah Budiwahyunisa Bahari

 Name
Gender Age Marital

status Religion Occupation Register no Admission

: : : : : : : :

Mr. I Male 34 years old Single Moeslim Laborer 63 96 56 December 2013

 Anamnesis
Chief

complaint whole body Further Anamnesis

: Autoanamnesis : Itching felt on the

:

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.

 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

 General

condition : good Consiousness : compos mentis (E4M6V5) Vital sign

BP : 100/70 mmHg HR : 82 x/minute RR : 22 x/minute Temp : 36,7 C

 Location
Effluoresence Location Effluoresence

: regio generalized : papules erythematous, smooth scale : regio plantar manus dextra et sinistra : erosion, madidans excoriation, crusta

SCABIES

 Cetrizine

1 x 10 mg (Anti-histamine) Methylprednisolone 2 x 8 mg (Corticosteroid) Betamethasone 15 gr(Corticosteroid) Every Morning Fuson 10 gr Afternoon Erytromicin 3 x 500 mg

Mr 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. Its 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 itchs complaint. Patient denied about his drugs and food allergic history.

 Dermatology

status
: regio generalized : papules erythematous, smooth scale : regio plantar manus dextra et sinistra : erosion, madidans excoriation, crusta

Location Effluoresence

Location
Effluoresence

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.

Case Anamnesis :

References Anamnesis :
Cardinal sign : 1. Pruritus nocturna 2. Attack a group of people 3. Found tunnel on examination 4. Found mite on examination (Scabies diagnosed if positive 2 of 4 cardinal sign)

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

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

Case Lab examination

References Lab examination Skin smear Taking mite using needle Tunnel curetage Ink burrow test

Case Therapy Cetrizine 1 x 10 mg Methylprednisolone 2 x 8 mg Betamethasone 15 gr Fuson 10 gr Erytromicin 3 x 500 mg

References Therapy Sulfur presipitatum 4-20% Benzil Benzoas 2025% Gamma Benzena Heksaklorida (lindane) 1% Krotamiton 10% Permethrin 5%

 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.