Lesi Autoimun

Question 1

EO= ekstrimitas
* papula keunguan
* permukaan bersisik (deskuamasi)
* gatal

IO = Lesi putih retikuler (Wickham Striae) di mukosa non keratin (bukal) bilateral

Dx? Tx?

Answer 1

OLP

Oral Lichen Planus

Tx = Rujuk Sp. PM (R/ Kortikosteroid Sistemik)

Question 2

5 Tipe OLP

Answer 2

1. Retikuler
2. Erosif/Ulseratif
3. Plaque-Like
4. Papular
5. Atrofik/eritematus

1. Retikuler (tidak sakit)
2. Erosif (ada erosi/ulser, sakit)
3. Plaque-Like (retikuler dg peninggian)
4. Papular (papula putih multiple)
5. Atrofik/eritematus (reikuler + kemerahan tanpa ulser)

Question 3

EO = Mallar/ Butterfly Rash
IO = ulser multiple
ANA (+)

Dx? Tx?

Answer 3

SLE

Systemic Lupus Erythematus

Hipersensitif Tipe 3
Tx = Rujuk Sp. PM/ Konsultan Alergi Imunologi

Question 4

EO = Tidak melibatkan mata
IO =
* Bula kendor (Tear Drop Sign)
* Nikolsky (+)
* Atap tipis

Dx? Tx?

Answer 4

PV

Phempigus Vulgaris

Tx Rujuk Sp. PM = Biopsi Eksisi
HPA =
kerusakan desmoglen 1 dan 3 di stratum spinosum

Question 5

EO = melibatkan mata
IO =
* Bula tegang
* Nikolsky (+)
* Atap tebal

Dx? Tx?

Answer 5

MMP

Mucous Membrane Phempigoid

Tx Rujuk Sp. PM = Biopsi Eksisi
HPA =
kerusakan hemidesmosom antara spinosum dan basalis

Question 6

• Bula tegang
• Nikolsky (+)
• Atap tebal
• bula yang terbentuk lambat
• Gingivitis deskuamatif

Dx?

Answer 6

BP

Bulous Pemphigoid

HPA =
pemisahan epitel dari jaringan ikat di
basement membrane dan terdapat infiltrat inflamasi kaya eosinofil