Beruflich Dokumente
Kultur Dokumente
Alopecia
Nama DM:
Indana Zulfa
Dokter Pembimbing:
Dr. Sofwan S. Rahman, Sp.
KK
Definisi
Effluvium/deffluvium adalah terminologi
untuk kerontokan rambut, sedangkan
alopecia adalah kondisi yang disebabkan oleh
effluvium tersebut.
Klasifikasi
Effluvium/Deffluviu Alopecia
m
Non
Sikatriks
Diffuse GLobal Sikatriks
Primer
Sekunder
Alopecia Sikatrikal
Primer
Sekunder
Bakteri, jamur, virus, dermatosis, inf. Triponema
Pallidum
Trauma
Tekanan
Tarikan
Alopecia sikatriks pada Chronic
Cutaneous (Discoid) Lupus
Erythematosus (CCLE)
Scarring alopecia of scalp: pseudopelade of
Brocq caused by lichen planus
The scalp is smooth, shiny, devoid of hair and hair follicles in many areas;
some of the remaining follicles are inflamed with perifollicular erythema and
scale. Several hairs are seen emerging from a single site within the area of
alopecia (arrows).
Folliculitis Decalvans
Dissecting Folliculitis
Folliculitis Keloidalis
Bercak soliter
Bercak Multiple
Alopecia Totalis/Universalis
AA Solitary Lesion
A sharply outlined portion of the scalp with complete alopecia without scaling,
erythema, atrophy, or scarring. Empty follicles can still be seen on the involved
scalp. The short, broken-off hair shafts (so-called exclamation point hair) appear as
very short stubs emerging from the bald scalp.
AA Multiple Lesion
This patient has lost all scalp hair (alopecia totalis), eyebrows,
eyelashes, beard, and all body hair (alopecia universalis), and
has dystrophic ("hammered brass") nails.
Klasifikasi Menurut
Ikeda
Tipe I (bentuk yang sering)
Bercak bulat, tanpa riwayat keluarga atau riwayat atopi dan kelainan
endokrin. 83% dari seluruh kasus dan prognosis umumnya baik.
Pemeriksaan Histopatologik
inflamasi peribulbus pada folikel anagen.
Akar rambut menyempit, keratinisasi korteks
tidak sempurna
Tatalaksana
Immunomodulator
Alopecia Androgenetik
Pemeriksaan Penunjang
Mikroskopik dan laboratorium
Tatalaksana
Medikamentosa (finasteride, minoksidil)
non medikamentosa (rambut palsu, transplantasi scalp)
Telogen Effluvium
Etiologi
Hormonal, nutrisi, obat, bahan kimia, penyakit
kulit dan sistemik
Pemeriksaan Penunjang
hair pull, hair pluck, mikroskopik
Tatalaksana
sesuaikan faktor penyebab
Klasifikasi
(Headington)
Klasifikasi (Headington):
Immediate anagen release
Pemeriksaan Penunjang
Pada uji cabut rambut banyak terlihat rambut anagen
Tatalaksana
hentikan penyebab, beri obat untuk merangsang
pertumbuhan rambut
Anagen Effluvium
Drug Induced Alopecia
Drugs
Ace Inhibitors: Enalapril Beta blocker: metoprolol,
propanolol
Anticoagulants Birth control agents: oral
contraceptive
Antimitotik agents: Colchicine Drugs used in treatment of
bipolar disorders: Lithium
Antineoplastic agents Ergot derivatives (used in
treatment of prolactinemia):
bromocriptine
Antiparkinson agents: levodopa H2 blockers: cimetidine
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2009.
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