Sei sulla pagina 1di 7

1 10

u n tu k G E J A L A K L IN IS
m is a ln y a m is a n tr o p o filik k h u s u s
be d a ri m a n u s ia c o n to h n y a g la b ro s a a ta u d e rm a to fito s is p a d a
ja m ur ya n g be rs lu m r T in e a
t e m p u n y a i m o r fo lo g i kh a s
T ru b ru m k u lit tid a k b e ra m b u m
t l d a n ke ı a in a n b e rb a ta s
p e n d e rita m e ra s a g a a
m m aca m e flo re s e n s i ku ı it
K L A S IF IK A S ı te g a s te rd iri a ta s m a c a
,

i te s i el b ih a k tif (l b ih je ı
(p o lim o rfi) B a g ia n te p
e as
r ia s i g a m b a ra n in is

T e r d a p a t b e rb a g a i v a i d b i
ta n d a ta n d a p e ra d a n g a n )
d a r p a a a g a n t e n ga h
de a to fito s is h a l in i b e rg
a n tu n g p a d a s p e s ie s
rm
t k l
a m a m e n y e b u tk a n n y a se
s e h in g g a k e p u s a
,
a a n
in o k u lu m ja m u r b a g ia n
pe n y e ba b u k u ra n ,
,

ba ga i a m a r h7 a tu m
e czem y a n g m e n c e rm in ka n
g
im u n p e ja m u
tu b u h y a n g te r k e n a d a n s is te m M o s is
a to
,

d h n d ia g n o s is d a n in is te s id e rm
d e s k rip s i kı
Seı a n ju tn y a u n tu k k e m u a a
rm a to fito s is y a n g b e rv a ńa s i
n adi G a m b a ra n klin is d e
ta ta la k s a n a m a k a d e rm a to fito s is d ib a g m e j
i
a d a s p e s ie s p e n y e b a b
tid a k h a n y a b e rg a n tu n g p
be be ra p a b e n tu k y a itu a d a n ya ju g a pa da
,

tin e a k a p itis d e rm a to lrto s is p a d a k u lit d a n ra m bu t da n s is te m im un p e ia m u n am un


,
t
t B e rg a n u n g p a d a b e ra t
k e p a la k e te rlib a ta n fo lik e l ra m b u
da re a k s i ra d a n g
d a p a t d ilih a t b e rb a g a i
tin e a b a rb e ,
de rm a to fito s is pa da da gu n rin g a n n y a

je n g g o t m a c a m te s i k u lit
b e n tu k b e n tu k klin is
ü n e a k ru ris ,
de rm a to fito s is p a d a d a e ra h g e n ito D ib a w a h in ia k a n d ib a h a s
t s e s u a id e n g a n lo k a lis a s in y a
kru ra ıs e kita r
,
anus ,
b o k o n g d a n ka d a n g ka d a n g
, y a n g s e rin g d ilih a
sam pa ip e n ït b a g ia n ba w a h f th e fo o t
fo o t rin g w o rm o
p e d is (A th le te
'

ħn ea s ,
a ,

tin e a p e d is e t m a nu m de rm a to fito s is p a d a k a k i
k u tu a ir )
,

d a n ta n g a n
t fito s is p a d a ka ki
de fito s is pa da ku k u ja ri T in e a p e d is ia la h d e rm a o ,
ün e a un g u iu m rm a to
a s e la ja ri d a n te la p a k k a ki
,

ta n g a n d a n k a ki te ru ta m a p a d a s e ı
1 T in e a p e d is y a n g te rs e rin g d iı ih a t a d a la h
a b ro s a
tin e a k o rp o ris d e rm a to fito s is p a d a k u lit g ı
ja ri ı
v
,

b e n tu k in te rd ig ita lis Di a n ta ra da n
k 5
p a d a b a g ia n la in y a n g tid a k te rm a s u k b e n tu
廿门日日 d i a ta s
V te rlih a t fis u ray a n g d ilin g k a ri s is ik h a lu s
d a n tip is K e la in a n in i d a p a t m e ı u a s ke

ih d ik e l is tiı
a h ya n g b a w a h ja ri K e la in a in i d a p a t m e ı
n u a s ke
S e la in 6 b e n tu k tin e a m as na
ba w a h ja ri (s u b d ig ita l) d a n ju g a k e s e la ja ri
m em p u n y a ia rū k h u s u s y a itu ,

ü n e a im b rik a ta : d e rm a to fito s is d e n g a n s u s u n a n y a n g la in O le h k a re n a d a e ra h in i le m b a b ,

h m a k a s e rin g d ilih a t m a s e r a s i A s \ k k lin is


s k u a m a y a n g k o n s e n tris d a n d is e b a b k a n Tn c o

p h y to n c o n c e n tric u m
m a s e ra s i be p a k u lit p u ü h d a n ra p u h
ru

tin e a fa v o s a a ta u fa vus: de rm a to M o s is ya n g B iı
a b a g ia n k u lit y a n g m a ti in i d ib e rs ih k a n ,

b M a m a d is e b a b ka n Tń c h o p h y to n s c h o e n le in i m a ka a ka n te rlih a t k u lit b a ru y a n g p a d a ,

s e c a ra k lin is a n ta ra la in te rb e n tu k s k u tu la d a n um um ny a ju g a te la h d is e ra n g o le h ja m u r
d b t) B e n tu k klin is in i d a p a t b e rla n g s u n g b e p
b e rb a g a is e p e rü tik u s (m ou sy o
ü n e a fa s ia lis tin e a a k s ila ris y a n g ju g a m e nun u jk ta h u n ta h u n d e n g a n m e n im b u lk a n s e d ikit
, ,

k a n d a e ra h ke ı
a in a n ke lu h a n a ta u ta n p a k e ı
u ha n sa m a se k a li
tin e a s irs in a ta ,
a rk u a ta ya n g m e ru p a ka n pe P a da s u a tu k e tik a k e la in a n in id a p a t d is e rta i
nam aan d e s k rip üf m o rfo lo g is in fe k s i s e k u n d e h b a k te ri s e h in g g a te p
r o le

ja d i s e lu litis lim fa n g itis lim fa d e n itis d a n


, , ,

Kee p a t ls tiı
m a h te rs e b u t d a p a t d ia n g g a p ai
a s y a n g d is e rı
d a p a t p u la te úa d i e ris ip e ı ,
s e b a g a i tln e a k o rp o r is S e ıa in itu d ik e n a l is tila h ,
g e ja la r e ja la u m u m
tin e a in ko g n ito y a n g b e ra rtid e rm a to flto s is d
, e n ga n 2 B e n tu k la in ia la h y a n g d is e b u t m o c c a s frT
b e n tu k k lin is tid a k kh a s o le h k a re n a t l h d i
e a o b a ti lo o t P a d a s e lu ru h k a k i d a r i te la p a k te p i ,
d e n g a n s te ro id to p ik a l k u a t ,

s a m p a i p u n g g u n g k a k i te rlih a t k u lit m e

ne b a ld a n be rs is ik e rńe m a b ia s a n y a rin g a n
i
d a n te ru ta m a te rlih a t p a d a b a g ia n te p i te s

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11ı

B e rs ifa t k ro
n ik d a n s e r in
g r e s is te n p a d a ıi
b a t a n D i b a g ia n te
3 B e n tu k g u a ıp r o k s im a s
s u bu n
pe n g o p i te s i d a p a t p u la
B e n tu k in i m u la i d a ń p a n g k a ık u k u b a g ia n
d iıih a t p a p u l d a n k a d a n g k a d a
n g v e s ik e l ku d a n
p r o k s im a l te r u ta m a m e n y e r a n g k u
3 p a d a b e n tu k s u b a k u t te r lih a t
v e s ik e l
m e m b e n tu k g a m b a r a n kı in is y a n g k h a s ,

v e s ik o p u s tu l d a n ka d a n g ka d a n
g b u la m a s ih
y a itu te r lih a t k u k u d i b a g ia n d is ta ı
K e la in a n in i d a p a t m u la i p a d a d k
a e ra h u tu h s e d a n g k a n b a g ia n p ro k s im a ı r u s a
s e la ja r i k e m u d ia n m e ı
,
u a s ke
pu n gg u n g B ia s a n y a p e n d e r ita tin e a u n g u iu m m e m
k a k i a ta u te la p a k k a k i ı s i v e s ik e l b e r l i
p u n y a i d e rm a to fito s is d i te m p a t a n y
u pa a n g
i
c a ra n je rn i h y a n k
g e n ta ıS e te la h p e c a h s u d a h s e m b u h a ta u y a n g b e lu m K u k u k a ki
,

v e s ik e l te rs e b u t m e n in
g g a lk a n s is ik le b ih s e rin g d is e ra n g d a rip a d a k u k u ta n g a n
y a n g b e r b e n tu k lin g k a r a n y a n g d is e b u t
ħn e k Tu ń s (e c z e m a m a rg in a tu m d h o b ie itc h
k o le re t ı n fe k s i s e k u n d e r o le h C a ,
,
b a k te r i
jo c k e y itc h r in gw o rm o f th e g ro in )
d a p a t te ria d i ju g a p a d a b e n tu k in i J a m u r ,

te rd a p a t p a d a b a g ia n a ta p v e s ik e l U n tu k T in e a k ru ris a d a la h d e r m a to fito s is p a d a
k ita r a n u s
m e ne m u ka n nya ,
se b a ik n y a d ia m b il a ta p lip a t p a h a d a e ra h p e r in e u m d a n s e ,

t a ta u m e
ves ik e l a ta u b u la u n tu k d ip e r ik s a s e c a ra
K e la in a n in i d a p a t b e rs ifa t a k u
n a k it
se d ia gs u n g a
a n la n ta u u n tu k d ib ia k n a hu n b a h k a n d a p a t m e ru p a k a n p e y
,

u m u r h id u p L e s
i ku ı it
T in e a p e d is b a n y a k te r lih a t p a d a o ra n g y a n g b e r la n g s u n g s e
h g e n ito ru k ra ı
g da ı a m k e h id u p a n s e h a r i h a r i b a n y a k d a p a t te rb a ta s p a d a d a e r a
ya n
s a ja a ta u m e lu a s k e
d a e r a h s e k ita r a n u s ,

b e rs e p a tu te r tu tu p d is e r ta i p e ra w a ta n ka ki
d a e ra h g ı u te u s d a n p e r u t
b a g ia n b a w a h
y a n g b u r u k d a n p a ra p e k e rja d e n g a n ka ki
a ta u b a g ia n tu b u h y a n g
la in
ya n g se ı
a lu a ta u s e r in g ba sa h P e n d e rita
K e la in a n k u ı it y a n g ta m p a k p a d a s e ı a
b ia s a ya o n ra n g de w a sa
t i b e r b a ta s te g a s P e r a
T in e a m a n u m a d a la h de rm a to fito s is p a h a m e ru p a k a n e s
d a r ip a d a
d a n g a n p a d a te p i le b ih n y a ta
k b e n tu k h ip e r
p a d a ta n g a n K lin is ta m p a d a e ra h te n g a h n y a E flo re s e n s i te rd iri
k e ra to s is d a n p e n e b a la n lip a t S e m u a b e n tu k y a n g p rim e r
a ta s ca m m a ca m
m a
b e n tu k k e la in a n d i k a k i d a p a t te r ia d i p u la y a k it in i
o rf ) B ila
da n se ku n de r (p o lim pe n

p a d a ta n g a n m e n ja d i m e n a h u n d a p a t b e r u p a b e rc a k
b T in e a u n g u iu m (d e r m a to ic
phyß o n ycho m y E ro s i d a n
h ita m d is e r ta i s e d ik it s is ik
c o s is r in gw o rm o f th e na )

k e lu a rn a c a ira n b ia s a n y a a k ib a t g a ru k a n
,
y
d a la h k e la in a n ku ku a h s a tu b e n tu k
T in e a un g u iu m a T in e a k r u r is m e ru p a ka n s a ı
a to fita
o le h ja m u r d e r m ih
r in g d il a t d i n do
ı n e s ia
y a n g d is e b a b k a n k lin is y a g
n se
k kı in is
T e rd a p a t b e b e ra p a b e n tu s irs in a ta tin
d T in e a k o rp o ris (tin e a ,
e a
ıis
1 B e n tu k s u b u n g u a l d is ta gı a b ro sa n d e F le c h te
S c h e re ,
ku ra p h e rp e
,
s
i te p i d is ta l a ta u
,

B e n tu k in i m u la i d a r s ir c in e tric h o p h y tiq u e )
in i m e n ja la r k e
d is to la te ra l k u k u p ro s e s T in e a k o rp o ris m e ru p a k a n d e rm a to fito s is p a d a
w a h k u k u te r
b e n tu k s is a
p ro k s im a l d a n d i b a k u lit tu b u h tid a k b e ra m b u t (g la b ro u s s k in )
a u p ro s e s
b e rja la n
k u k u y a n g ra p u h K a ı 1 K e la in a n y a n g d ilih a t d a ı a m k lin ik m e ru p a
l
k u b a g ia n d is ta
te ru s m a k a p e r m u k a a n k u ka n te s i b u ı
a t a ta u lo j g
n o n b e rb a ta s te g a s
,
ku ku
te rlih a t h a n y a
,

a ka n h a n c u r d a n y a n g te rd iri a ta s e ń te m a s ku a m a ka d a n g
,
,

ra p u h y a n g m e n y e ru p a i
ka p u r
ka d a n g d e n g a n p u l d i te p i
v e s ik e l d a n pa
a ta u le k o n ik ia e b ih te n a n g
D a e ra h te n g a h n y a b ia s a n y a ı
2 L e u k o n ik ia tr ik o fita
k ru s ta
m ik o tik a K a d a n g k a d a n g te rlih a t e ro s i d a n
i i m e ru p a k ib a t g a ru k a n Lesıesi p a d a um um n ya
K e la in k u k u p a d a b e n tu k n
an
a

n d i p e rm u
ka a n m e ru p a k a n b e
k te rp is a h s a tu
rc a k be rc a
ka n ı e u k o n ik ia a ta u k e p u tih a
ib u k tik a n a in K e la in a n k u ıit d a p a t p u la
k u k u y a n g d a p a t d ik e ro k u n tu k d d e n g a n ya n g ı
a in a n in i
d ih u te rıih a t s e b a g a i ıe s iı e s i d e n g a n p in g g ir
a d a n y a e le m e n ja m u r K e ı
ï ï ta g ro b e b e ra p a te s i k u ı it
b u n g k a n d e n g a n T ń c h o p h y to n m e y a n g p o lis ik lik k a re n a ,

B e n tu k d e n g a n ta n d a
p h y te s s e b a g a i p e n y e b a b n y a y a n g m e n ja d i s a tu

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1 12

ra da n g ya n 1 n y a ta ı
g le b iı e b ih s e r in g d ilih a t ba s a h R a m b u t ke m u d ia n tid a k b e r k il
at
pa da a n a k a n a k d a r ip a d a o ra n g d e w a s a la g i d a n a k h irn y a te r ı
e pa s B iıa tid a k
di
k a re n a u m u m n ya m e re ka m e n d a p a l in fe k s i o b a ti p e n y a k it in i m e ıu a s ke se ı
u ru h
ba ru p e r ta m a k a li k e p a la da n m e n in g g a lk a n pa danru t
b o ta k B e r la in a n de n ga n tin e a k o r p o r i
s
2 P a d a tin e a k o rp o r is y a n g r n e n a ıu n ta n d a o ı
e h
ya n g d is e b a b ka n ja m u r ı a in fa v u s
ra da n g a k u t b ia s a n y a tid a k te r lit7 a t la g i
tid a k m e bu h
p a d a u s ia a k iı b a tik
n ye m
K e la in a n in i d a p a t te rja d i p a d a tia p b a g ia n
B ia s a n y a rc iu m d a p a t te
b a u tik u s (m o u s
tu b u h d a b e rs a m a s a m a d e n g a n ke ı a in a n y
n
o d o r ) p a d a p a ra p e n d e rita fa v u s K a d a n
h a l in i d is e b u t tin e g
pa da se la p a h a D a ta m a
k a d a n g p e n y a k it in i d a p a t m e n y e ru p a i
COl»Ons e t c ru ńs a ta u se b a lik n y a tin e a
d e rm a titis s e b o ro ik a T in e a fa v o s a p a d a
c ru n s e t c o lp o n s B e n tu k m e n a hu n ya n g
ku ı it d a p a t d ilih a t s e b a g a i k e ı a in a n k u ı
it
d is e b a b ka n o le h T ń c h o p h y io n ru b ru m
u lo e s ik e l d a n p a pu ı o s ku a m o s a
p p
a v
b ia s a n ya d ilih a t b e rs a m a sa m a de n ga n
d is e rta i k e la in a n k u ı it b e r b e n tu k c a w a n
tin e a u n g u iu m
g kh a s ya n g ke nm u m e n ja d id ia
ya n ,

3 B e n tu k k h a s tin e a k o rp o ris y a n g d is e b a b ja r in g a n p a ru t Fav u s p a d a k u k u tid a k


ka n o \e h T ric h o p h y to n c o n c e n tric u m d \s e b u \ d a p a t d ib e d a k a n d e n g a n tin e a u n g u iu m
ün e a im b rik a ta P e n y a k it in i te rd a p a t d i b e p p a d a u m u m n ya , y a n g d is e b a b k a n o le h
de r m a to fita la in T ig a
b a g a id a e r a h te r te n tu d iIn d o n e s ia ,
m is a ln y a s p e s ie s ya n g
K a lim a n ta n S u la w e s i P a p u a K ,
e p u la u a n s p e s ie s de r m a to fita d a p a t m e n y e b a b ka n
,

A da K i da S i Te ĺa v u y a T ric h o p h y to n sc h o e n le in i
ru n e ,
n u la w e s g a h T in e a
n s ,
,

im b ń k a ta m u la i d e n g a n b e n tu k p a p u l b e r T ric h o p h y to n v io la c e u m ,
d a n M ic ro s p o ru m

gw s e u m B e t r in g a n b e n tu k k lin is y a n g
w a m a c o k la t y a n g p e rıa h a n la h a n m e n ja d i ra

n g p a d a s p e s ie s
tid a k b e rg a n tu
b e s a r S tra tu m k o m e u m b a g ia n te n g a h in i ta m pa k ,

ja m u r p e n y e ab b a k a n te ta p i le b ih b a n y a k
te rle p a s d a rid a s a m y a d a n m e le b a r P ro s e s ,

in i s e te la h b e b e r a p a w a k tu m u la i la g i d a ri d ip e n g a r u h i o le h tin g k a t k e b e rs ih a n
u m u r d a n k e ta h a n a n p e n d e r ita s e n d ir i
b a g ia n te n g a s e h in g g a te rb e n tu k lin g k a ra n
,
,

lin g k a ra n s ku a m a y a n g k o n s e n tris B ila e T in e a k a p itis (r in g w o rm o f th e sca p)


ı
de ga n
n ja ri ta n g a n k ita m e ra b a d a ri T in k a p itis a d ä la h k e la in a n p a d a k u lit
e a
h lu a k a n te
g a h ke
b a g a n te
i n a ra r, a ra s a
d a n ra m b u t k e p a la y a n g d is e b a b k a n o ı e h
je ı
a s s ku a m a ya n g m e n g h a d a p k e d a ta m
s p e s ie s d e rm a to fita K e la in a n in id a p a t d ita n d a i
L in g k a ra n lin g k a ra n s ku a m a k o n s e n tris
de n ga n
de n g a n te s i b e rs is ik k e m e ra h m e ra h a n a ı o ,

b ila m e r 归d i b e s a r d a p a t b e rte m
,
u

s e h in g g a
p e s ia d a n k a a n g a a n g e rja
d k d t d i ga m b a r a n
lin k a r a n lin g k a ra n d i s e b e la h n y a
,

g k lin is y a n g le b ih b e ra t y a n g d is e b u t k e h o n
be k p in g g ir y a n g p o lis ikı
n tu
ik P a d a ,

m e m ih a t s e b a g a i
k a p itis d a p a t d iı
D i k lin ik tin e a
u la a n in fe k s i p e n d e rita
d a p a t m e ra s a
pe rm
3 b e n tu k y a n g je a s y a itu
ı
a ta l a k a n te ta p i k e a n
l i a n ya n g
,

sa n g at g ,
1 G r a y p a tc h ń n g w o rm m e ru p a k a n tin e a
hu n tid a k m e n im b u lk a n u ha
ke ı npa d a
m ena k a p itis y a n g b ia s a n y a d is e b a b k a n o ıeh
e n a hu n te s i k u lit
p e n d e rita P a d a k a s u s rrı ,

ge nus M ic r o s p o r u m d a n k
s e r in g d ite m u a n
i i
k a d a n g k a d a n g d a p a t m e n y e ru p a i ik t o s s
pa da ana y a k it m u la i d e n g a n
k a na k Pe n
K u iit k e p a la p e n d e rita d a p a t te rs e ra n g ,
m bu t
k p a p u ı m e ra h k e c iı d i s e k ita r ra
a k a n te ta p i ra m b u t b ia s a n y a tid a d a n m e m b e n tu k
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4 B e n tu k la in k o rp o ris y a n g d is e rta i
ün e a b e rc a k y a n g m e n ja d i p u c a t d a n b e rs s
,

l
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tid a k b e rk lla t la g i R a m b u t m u a p
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h
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1 13

G y p a tc h y a n g d ilih a t d i d a ta m k lin ik tid a k


ïe
P a da o g ik u n tu k m e n
ik o ı
pe m e rik s a a n m
m e nu n u j k k a n b a ta s b a ta s d a e ra h s a k it d a p a tk a n ja m u r d ip e r lu k a n b a h a n k lin is ya n g ,

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n de n ga n d a p a t b e ru p a k e ro k a n k u lit ra m b u t d a n k u k u ,

la m p u W o o d d a p a t d ilih a t fl
u o re s e n s i B a ha n u n tu k pe o g ik d ia m b il d a n
ik o ı m e rik s a a n m
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p a d a ra m b u t d ik u m p u lk a n s e b a g a i b e r ik u t: te r le b ih d a h u lu
y g
a n s a kit m e la m p a u i b a ta s b a t
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W o o d in i b a n y a k m e m b a n tu d i 1 K u lit tid a k b e ra m b u t (g la b ro u s s k in )
a g n o s is
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Ł K u lit b e ra m bu t
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p e m b e n g k a k a n y a n g m e n y e ru p a i s a ra n g te rs e e

le b a h d e n g a n s e b u k a n s e l ra d a n k u lit pe m e r ik s a a n de n ga n la m pu W oo d
g ya n g
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p a d a t d i s e k ita rn y a B ila e n e ba b n a p y y
n se

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ru m c a n is dan M ic ro
te rk e n a in fe k s i d e n g a n k e m u n g k in a n a d a n y a
g yp s e p e m b e n tu k a n
u m , k e rio n in i
le b ih s e r in g d ilih a t a g a k k u r a n g b iı flu o re s e n s i p a d a k a s u s k a s u s tin e a k a p itis
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p e n y e b a b n y a T ric h o p h y to n to n s u ra n s
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J a rin g a n p a ru t y a n g m e n o n jo l k a d a n g ba w a h k u k u d ia m b il p u la
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d n T ric h o p h y
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,

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y a n g d is e b a b k a n b a h a n d i a ta s g e ı as a ı as k e m u d ia n d ita m ba h
k i a ta h te p a l
R a m b u t y a n g te rk e n a in fe s p ,

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,

ra m b u t in i m e m
,

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k a d a n g m a s u k ke
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it
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A G NO Sı
P E N U N JA N G D ı w a m a p a d a s e d ia a n K O H m is a ı n y a tin ta P a rk e r ,

m ik o lo g ik u n tu k m e m b a n tu su p e rc h ro om b lu e b la c k
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d i t p m e ńk s a a n P a da se d ia a n k u lit d a n k u k u y a n g te rlih a t
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ń a a s e

b ia k a n P e m e rik s a a n a d a la h h ifa s e b a 9 a i d u a g a ris s e ja ja r te rb a g i o le h


ıa n g s u n g s e d ia a n b a s a h d a n , ,

i t a to lo g ik p e r ka t d a n b e rc a b a n g m a u p u n s p o ra b e rd e re t
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ı se
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c o b a a n b in a ta n g d a n im u n o o g
,
ı i (a rtro s p o ra )p a d a k e la in a n k u lit la m a

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1 14

d io b a ti P a d a se d ia a n ra m b u t y a n g d ilih a t a d a la h p s o r ia s is ya g ku ku p u n d
n g m e n y e ra n
a pa t
s p o ra k e c il (m ik ro s p o ra ) a ta u b e s a r (m a k ro s p o ra ) b e r a k h ir d e n g a n k e la in a n y a
n g sam a L e ku k
an
S p o ra d a p a t te rs u s u n d i lu a r ra m b u t (e k to trik s )a ta u le k u k a n p a d a k u k u (n a il p its ) y a n g te rlih
a t pa d
d id a ı a m ra m b u t (e n d o trik s ) K a d a n a
g ka d a n g d a p a t p s o r ia s is tid a k d id a p a ti p a d a tin e a u n g u iu m
te rlih a t ju g a h ifa p a d a s e d ia a n ra m b u t Les
te s i p s o r ia s is p a d a b a g ia n la in b a d a n d a
pa t m e
P e m e rik s a a n d e n g a n p e m b ia k a n d ip e r lu k a n n o lo n g m e m b e d a k a n n y a d e n g a n tin e a
un ui
g um
u n u k m e n y o k o n g p e m e rik s a a n la n s u n
t g g s e d ia a n B a n y a k p e n y a k it k u ı it y a n g m e n y e ra n
g b a g ia n
ba s a h da n u n tu k m e n e n tu ka n s pe s ie s ja m ur d o rs a l ja ri ja ri ta n g a n d a n k a k i d a p a t m e n
ye ba L
Pe m e rik s a a n in i d ila k u k a n de n ga n m e na na m ka n k a n k e la in a n y a n g b e ra k h ir d e n g a n d is tro fi k
u ku
ba ha k lin is p a d a m e d ia b u a ta n Y a n g d ia n
n m is a ln y a :
gg a p p a ro n ik ia d e rm a titis a k ro d e rm
a titis
p a lin g b a ik p a d a w a k tu in i a d a la h m e d iu m a g a r p e rs ta n s
d e k s tro s a S a b o u ra u d P a d a a g a r S a b o u ra u d d a a t T id a k la h b e g itu ka u n tu k
p su r m e n e n tu k
an
d ita m b a h k a n a n tib io tik s a ja (k lo ra m fe n ik o l a ta u
) d ia g n o s is tin e a k o rp o ris p a d a u m um n ya na m un
d ita m b a h p u la klo rh e k s im id K e d u a z a t te rs e b u t
a d a be be ra p a p e n y a k it k u ı
it y a n g d a p a t m e ric u h
d ip e rlu k a n u n tu k m e n g h in d a rk a n k o n ta m in i as ka n d ia g n o s is itu ,
is a ln y a d e rm a titis s e b o ro ika
m
b a k te ń a l m a u pu n ja m u r k o n ta in
,
m a n
p s o ria s is d a n , p itir ia s is ro s e a K e la in a n k u lit p a d a
d e rm a titis s e b o ro ik a s e la ind a p a t m e n y e ru p a itin e a
A G N O S IS B A N D IN G
D ı k o rp o r is b ia s a n y a d a p a t te rlih a t p a d a te m p a t
,

T in e
p e d is e t m a n u m
a h a ru s d ib e d a k a n te m p a t p r e d ile k s i m is a ln y a d i k u ıit k e p a la (s c a Ąp) ,

d e n g a n d e rm a titis y a n g b ia s a n a b a ta s n a tid k lip a ta n lip a ta n k u lit m is a ln y a b e la k a n g te lin a


y y a , g
je ta s b a g ia n te p i tid a k le b ih a k tif d a rip a d a b a g ia n d a e ra h n a s o la b ia l d a n s e b a g a in y a
te n g a h A d a n y a v e s ik e l v e s ik e l s te r il a d a P s o ria s is d a p a t d ik e n a ld a r ik e la in a n k u iit a d a
p ja r i p
ja ri k a k i d a n ta n g a n (p o m fo lik s ) d a p a t m e ru p a k a n te m p a t p re d ile k s i y a itu d a e ra h e k s te n s o n m is a ln y a
re a k s i id y a itu a k ib a t s e te m p a t h a s il r e a k s i
,
tu tu t ,
s ik u da p u n g g u n g K u lit k e p a la b e ra m b u t
n

h ip e rs e n s itiv ita s te r h a d a p tig e n y a n g b e ra d a d i


a n ju g a se ń n g te rk e n a p a d a p e n y a k it in i A d a n a
y
lo k a s i la in E fe k s a m p in g o b a t to p ik a l ju g a d a p a t
le k u k a n ıe ku ka n p a d a k u ku d a p a t p u ı a m e n o lo n g

m e m b e ri g a m b a u n tu k k a n d ia g n o s is P itiria s is ro s e a a n
m e n e n tu
p a y a n g m e n y e ru p a i
ra n s e ru y g ,

e k s im a ta u d e r m a titis s e h in g g a p e r lu d ip ik ir k a n d is trib u s i k e la in a n k u litn y a s im e tr is d a n te rb a ta s


,

a da ya
n d e rm a titis k o n ta k P a d a h ip e r h id ro s is p a d a tu b u h d a n b a g ia n p ro k s im a l a n g g o ta b a d a n
,

te rï ih a t k u lit m e n g e lu p a s a ta u m a s e ra s i K a la u s u k a r d ib e d a k a n d e n g a n tin e a k o rp o ris ta n a


p
h a n y a te rlih a t v e s ik e l v e s ik e l b ia s a n y a te r le ta k h e r a ld p a tc h y a n g d a p a t m e m b e d a k a n k i
t in i
, p y
e n a
s a n g a t d a ta m d a n te rb a ta s p a d a te la p a k k a k i d a n d e n g a n tin e a k o rp o ń s P e m e rik s a a n la b
o ra to ńu m
ta n g a n K e la in a n tid a k m e lu a s sa m pa i d i s e la y a n g d a p a t m e m a s tik a n d ia g n o s is n y a T in e a
s e la ja ri k o rp o ris k a d a n g k a d a n s u k a r d ib d
g e a ka n d e n g a n
Pe d e rm a titis s e b o ro ik a d
n y a k it la in ya n g ha ru s m e n da pa t pa a s e ı a p a h a Lesıesi
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p e rh a tia n a da ıa h ka n d id o s is (e r o s io in te r d ig ita ı
is p re d ı
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bı m e n e n tu k a n d ia n o s is
a s k »m is e tik a ),
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d is k a d a n g k a d a n g a g a k s u lit In fe k s i
murni P s o ń a s is p a d a s e la
pe p a h a d a p a t m e n y e ru p a i
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p p o r a s s b ia s a n y a le bih
ıa in ju g a s e r in m e ra h s k u a m a ı e b ih b a n y a k d a n la m e ı
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,
a r A d a n ya
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p a n d a p a t m e m b a n tu
b ija k s a n a d ip e rlu k a n u n tu k m e n e n tu k a n d ia n o s is K a n d id o s is a d a d a e ra h
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ta n g a n d a n k a k i L e i ita
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a
d a p a t m e ru p a k a n
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peturuk D a ta m h a ıin i u m u m Pe n h a n d ia g n o s is p a d a e n d e rita p e n d e rita
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n y a a k a n te rd a a t
p ta n d a ta n d a la in s ifilis T i d ia b e te s m e litu s k a n d id o s is m e ru a k a n e n ya kil
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g s e a
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s e r in g b e r lo k a lis a s id lis e la p a h a E fı o re s e n s iy a n g

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1 15

s a m a y a iltu e r ite m a da n s ku a m a
pa da s e lu r u h ke t le b ih
,
a m a n a n e fik a s i da n m a n fa a ka re n a
te s i m e n Jp a ka n ta n d a ta n da kha s p e n y a k it pe n gg u n a a n n ya ya n g m e m e rlu ka n w a k tu s in g ka t
in i p e m e ıik s a a n de n ga n ı
a m pu W
,

o o d da pa t n a m u n se m e n a j k ta h u n 2007 te r b in a fin ju g a
m e n o lo n g de n ga n a da n ya flu o r e s e n s i m e ra h d ir e k o m e n da s i u n tu k p e n g o b a ta n tin e a k a p itis
Lc o ra l re d)
pa da a n a k be ru s ia d ia ta s 4 ta h u n k h u s u s n y a
T in e a b a rb e k a d a n g ka d a
g s u k a r d ib e d a k a n n
ya n g d is e b a b k a n o le h T to n s u r a n s
d e n g a n s ik o s is b a r b e y a n g d is e b a b k a n o le h
D o s is p e n g o b a ta n g ris e o fu lv in b e rb e d a b e d a
p io k o k u s P e m e r ik s a a n s e d ia a n ı a ngsu n
g da pa t S fu lv in d a ta m b e n tu k lin e
e c a ra u m u m g r is e o
m e m b e d a k a n k e d u a p e n y a k it in i
,

p a r tie /e d a p a t d ib e r ik a n d e n g a n d o s is 0 5 1 g
B e rb a g a i k e la in a n p a d a k u lit k e p a la b ,

e ra m b u t u n tu k o ra n g d e w a s a d a n 0 2 5 0 5 g u n tu k a n a k
h a ru s d ib e d a k a n d e n g a n tin e a k a itis
, ,

p p a da a n a k s e h a r i a ta u 1 0 2 5 m g /k g b e ra t b a d a n
u m u m n y a p e m e r ik s a a n d e n g a n la m
pu W o o d pa d a D ib e r ik a n 1 2 k a li se h a ri la m a pe n g o b a ta n
k a s u s k a s u s te r te n tu d a n p e m e rik s a a n l
,

a n gs u n g b e rg a n tu n g p a d a lo k a s i p e n y a k it , pe n ye b a b
b a h a n k lin is d a p a t m e n e n tu k a n d ia n o s i
g s p ada ke a d a a n im u n ita s p e n d e r ita
p e n y a k it d a n
a lo p e s ia a re a ta r a m b u t d i b a g ia n
p in g g ir k e la in a n S e te ı
a h se m b u h k lin is p e n go b a ta n d ila n ju tk a n
m u la m u la m u d a h d ic a b u t d a r i fo lik e l
a k a n te ta i h in g g a 2 in g g u U n tu k p a t w a k tu
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s u k a r d ib e d a k a n d e n g a n k a rb u n k e l w a la u p u n ,
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g
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,

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,
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a o pea n y g ,

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le b ih le b e d a ka ya de n ga n ya n g b a ik Pe m b e ria n b a t te bu t u n tu k
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a p u tı e h p e n y a k itja m u r

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P u n s is te m ik u n tu k b e r b a g a i tip e d e r m a to fito s is s e h a r i d a ta m k a p s u ı
S e ja la n d e n g a n p e n e tra s i d e rm a to fita k e d a ta m ilp e m b e ria n iı
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