LAPORAN KASUS : PENYAKIT FURUNKEL PADA PASIEN LUPUS ERITEMATOSUS SISTEMIK

Authors

  • Rena Roy Fakultas Kedokteran, Universitas Lampung
  • Agung Ikhssani Fakultas Kedokteran, Universitas Lampung

DOI:

https://doi.org/10.31004/jkt.v2i1.1557

Keywords:

furunkel, lupus

Abstract

Furunkel adalah bentuk folikulitis yang dalam dan nekrosis dengan keterlibatan jaringan subkutan. Beberapa furunkel dapat bergabung membentuk karbunkel. Staphylococcus aureus (S. aureus) adalah agen penyebab. Faktor predisposisi adalah obesitas, diabetes, duduk lama, celana ketat yang mengganggu, atau imunodefisiensi. Pasien adalah penderita Lupus eritematosus sistemik (SLE) yang merupakan salah satu faktor predisposisi terjadinya penyakit ini. Lupus eritematosus sistemik (SLE) adalah penyakit inflamasi kronis multisistem, dengan karakteristik autoimun dan etiologi yang tidak diketahui, terkait dengan faktor genetik, lingkungan, dan hormonal. Penyakit ini terutama menyerang wanita selama usia subur dan cenderung lebih umum dan lebih parah pada individu kulit hitam dan Asia. Pengobatan berupa pemberian antibiotic pasien yaitu dapat berupa Sefalosporin generasi pertama, amoksisilin / klavulanat, atau klindamisin yang efektif melawan S. aureus dapat digunakan. Edukasi tentang menjelaskan mengenai penyakitnya meliputi penyebab, faktor risiko, pencegahan, dan pengobatan yang akan diberikan. Memberikan edukasi pasien pentingnya kepatuhan pengobatan sesuai anjuran dokter. Menjaga higiene personal dengan mandi teratur dan rajin mengganti pakaian. Menghindari menggaruk-garuk lesi. Memberi edukasi agar pasien melakukan kontrol untuk evaluasi hasil pengobatan

References

Artzi, O., Sinai, M., Solomon, M., Schwartz, E., 2015. Recurrent furunculosis in returning travelers: Newly defined entity. J. Travel Med. https://doi.org/10.1111/jtm.12151

Danza, A., Ruiz-Irastorza, G., 2013. Infection risk in systemic lupus erythematosus patients: susceptibility factors and preventive strategies. Lupus. https://doi.org/10.1177/0961203313493032

Esposito, S., Bosis, S., Semino, M., Rigante, D., 2014. Infections and systemic lupus erythematosus. Eur. J. Clin. Microbiol. Infect. Dis. https://doi.org/10.1007/s10096-014-2098-7

Finzel, S., Schaffer, S., Rizzi, M., Voll, R.E., 2018. Pathogenesis of systemic lupus erythematosus. Z. Rheumatol. https://doi.org/10.1007/s00393-018-0541-3

Ioannides, D., Lazaridou, E., 2015. Furuncles and carbuncles, in: European Handbook of Dermatological Treatments, Third Edition. https://doi.org/10.1007/978-3-662-45139-7_32

Jung, J.Y., Yoon, D., Choi, Y., Kim, H.A., Suh, C.H., 2019. Associated clinical factors for serious infections in patients with systemic lupus erythematosus. Sci. Rep. https://doi.org/10.1038/s41598-019-46039-5

Kwak, Y.G., Choi, Seong Ho, Kim, T., Park, S.Y., Seo, S.H., Kim, M.B., Choi, Sang Ho, 2017. Clinical guidelines for the antibiotic treatment for community-acquired skin and soft tissue infection. Infect. Chemother. https://doi.org/10.3947/ic.2017.49.4.301

Larru, B., Gerber, J.S., 2014. Cutaneous Bacterial Infections Caused by Staphylococcus aureus and Streptococcus pyogenes in Infants and Children. Pediatr. Clin. North Am. https://doi.org/10.1016/j.pcl.2013.12.004

Lisnevskaia, L., Murphy, G., Isenberg, D., 2014. Systemic lupus erythematosus, in: The Lancet. https://doi.org/10.1016/S0140-6736(14)60128-8

Marks, J.G., Miller, J.J., 2019. Localized Erythema, in: Lookingbill and Marks’ Principles of Dermatology. https://doi.org/10.1016/b978-0-323-43040-1.00015-4

Nowicka, D., Grywalska, E., 2019. Staphylococcus aureus and Host Immunity in Recurrent Furunculosis. Dermatology 235, 295–305. https://doi.org/10.1159/000499184

Ramsay, I.D., Török, M.E., 2017. Skin and soft tissue infections. Med. U. K. https://doi.org/10.1016/j.mpmed.2017.08.008

Slominski, A.T., Zmijewski, M.A., 2017. Glucocorticoids Inhibit Wound Healing: Novel Mechanism of Action. J. Invest. Dermatol. https://doi.org/10.1016/j.jid.2017.01.024

Tan, E.M., Cohen, A.S., Fries, J.F., Masi, A.T., Mcshane, D.J., Rothfield, N.F., Schaller, J.G., Talal, N., Winchester, R.J., 1982. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. https://doi.org/10.1002/art.1780251101

Weckerle, C.E., Niewold, T.B., 2011. The unexplained female predominance of systemic lupus erythematosus: Clues from genetic and cytokine studies. Clin. Rev. Allergy Immunol. https://doi.org/10.1007/s12016-009-8192-4

Downloads

Published

2021-03-31

How to Cite

Roy, R., & Ikhssani, A. (2021). LAPORAN KASUS : PENYAKIT FURUNKEL PADA PASIEN LUPUS ERITEMATOSUS SISTEMIK. Jurnal Kesehatan Tambusai, 2(1), 40–46. https://doi.org/10.31004/jkt.v2i1.1557

Issue

Vol. 2 No. 1 (2021): Maret 2021

Section

Articles

License

Copyright (c) 2021 Agung Ikhssani

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).