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Crystallina
NURUL FATEN IZZATI NORHARIZAM
NOVI ANDRIAWATI
C11111842
C11111263
Patients Identity
Name
: Sisilia Jeliman
Gender
: Female
Age
: 21 years old
Marital Status
: Married
Address
: Jl. Andi Tonro
Admission Date : 27 Oktober 2014
History Taking
Chief complaint : red and small vesicles all over
the body and itchy
Happened 1 week ago, started with itch and small red
spots on the face and the neck. By times, it became
small vesicles and started contain pus and spread all
over the body especially at the trunk ,upper and lower
extremities. She had a history of sectio operation 2
months ago.
Fever (-) before lesion appear.
Physical Examination
Sclera: Icterus (-)
Conjunctiva: anemia (-)
Lips: cyanosis (-)
Heart/lung: Normal
Abdomen: raised, moving with respiration,
peristaltic (+)
Extremity: Edema (-)
Lymph node: No enlargement.
Current Status
General status
Compos mentis
Mild Sickness
Adequate nutrition
Poor Hygiene
Vital sign
Dermato-venerology Status
Location
: Regio Generalisata
Efflorescence : Erythemic papule,
miliaria,
hiperpigmentation,
pustule,
erosion
Recommended examination
Not stated
Resume
A 21 years old woman came to the hospital with
complain of red and small vesicles all over the body and
itchy. It happened 1 week ago started with itch and small
red spots on the face and the neck. By times, it became
small vesicles and started contain pus and spread all over
the body especially at the trunk, upper and lower
extremities. She had a history of sectio operation 2
months ago. She had a history of excessive sweating and
frequently use thick clothes. No medication history.
Diagnosis
D/ Miliaria Crystalina
Treatment
1. Salycyl talc 2% + menthol 1% (all over the
body)
2. Bethamethason + gentamicin cream 1 tube
3. MBS lotion (menthol 0,5% , Boric acid 8%,
Zinc oxide 10%, Spiritus ad. 10%, talc
venetum, aquadest 100 ml)
PICTURES (27-10-2014)
MILIARIA
Disorder of the eccrine sweat glands that often occurs
in condition of increase heat and humidity caused by
blockage of the sweat ducts which results in the
leakge of eccrine sweat into the epidermis or dermis.
Miliaria Crystallina
Miliaria crystallina consists of superficial,
subcorneal, noninflammatory vesicles that
easily
rupture when rubbed with a finger
Epidemiology
Miliaria is most common in tropical
environments
Under chronic and extreme tropical conditions
adults susceptible to miliaria apparently
increases to from 70 to 90%, well over the
40% level of moderately hot conditions
Etiology
Prolonged exposure to a hot, humid
environment, such as exist in the
tropics and in certain occupation,
favors the production of miliaria
Pathogenesis
MILIARIA
CRYSTALLINA
MILIARIA
RUBRA
MILIARIA
PROFUNDA
Diagnosis
Based on clinical manifestation
There are no other cutaneous or laboratory
procedures of diagnostic value
Differential diagnosis
Erythema Toxicum
neonatorum
Folliculitis
Candidiasis
Treatment
TOPICAL drug
Patients Education
Wear a thin clothes and can absorb sweat
efficiently (cotton)
Protect from sunlight
Avoid physical activity on sunny day
Good ventilation
Prognosis
Miliaria will not remit spontaneously unless a
cool, nonsweating environment is provided
In a hot environment with continued extended
periods of sweating, the miliaria will become
increasingly extensive, eventually involving
enough glands to compromise the temperaturregulating mechanism and lead to a heat stress
syndrome.
THANK YOU