1 / 23

Dermatotherapy: Science and Practice for Skin Diseases Treatment

Dermatotherapy encompasses medicamentous therapy, skin surgery, radiation, and psychotherapy for comprehensive treatment of skin diseases. Learn about topical therapy principles, medication types, and the choice of vehiculum based on disease stage and distribution.

millieh
Download Presentation

Dermatotherapy: Science and Practice for Skin Diseases Treatment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DERMATOTHERAPY DR. Endang Sutedja, dr. SpKK(K)

  2. DERMATOTHERAPY Science concerning theraphy of skin diseases

  3. TYPE OF THERAPY Medicamentous : topical, systemic Skin surgery: scalpei surgery,electrosurgery, chemical surgery, cryosurgery 3. Radiation: radiotherapy, UV light, laser 4. Psycotherapy

  4. MEDICATION Nature Treat the patiet holystic Attention for physiology, pathology, biochemical, anatomy Medical material Attention pharmacy & pharmacology of drugs

  5. MEDIKAMENTOUS THERAPY 6.Causal therapy 7. Simplest drug 8. Individualization 9. Economical

  6. Principles of Topical Therapy 1. Choice of vehiculum depend on : a. Stage of the diseases b. Distribution & localisation c. Effect 2. More acute  low concentration 3. Explain  usage & cleansing 4. Avoid sensitizer 5. Restrict unstable drugs

  7. Topical therapy: type of Vehiculum 1. V.monophasic : a. powder b. solution c. ointment 2. V. biphasic : powder + solution powder + ointment solution + ointment 3. V. triphasic : powder + solution + paste

  8. Powder Lotion Paste Cold paste Solution Oint. Cream W/O O/W

  9. POWDER * Inert, used`of physical effect A. Effect : cover adhesion slipping power absorption cooling power B. Indication : dry lesion superficial lesion acute vesicobulous C. contraindication : dermatoses  wet & eksudative D. usage : with sponge, sprinkle

  10. SOLUTION * If the soluble agent  water : solution alcohol : tinctura A. effect : 1. cleansing 2. drying 3. protective 4. cooling 5. warming 6. epitelialisation 7. anti prurytic

  11. SOLUTION B. Indication : wet and acute dermatoses, acute dermatitis C. Contraindication : dry lesion D. Usage : bathing open dressing close dressing

  12. OINTMENT • ≈ fat, fat like material with butter consistency, oil • Fat : natural fat : adeps lanae mineral fat : vaseline • A. Effect : 1. Covering 2. Protective 3. Slipping 4. Penetrative 5. Warming

  13. OINTMENT • B. Indication : dry or chronic dermatoses • C. Contraindication: wet lesion, hairy area, fold • D. Usage : spread with finger, spatula • E. Cleansing: 1 x / day with cotton moist with oil

  14. LIQUID POWDER • ≈ powder + solution (+ suspending agent) • More adhesive than powder • Usage < 40% body surface • A. effect : 1. drying 2. Anti pruritic

  15. LIQUID POWDER • B. Indication : wide and generalisata dermatoses • C. Contraindication : - productive dermatoses - hairy area - dry dermatoses • D. Usage: shake and spread • E. Cleansing : 1 x / day, bathing,wash with water

  16. CREAM • ≈ fat + water (+ emulgator) • Cream O/W (oil/ointment in water) • Cream W/O (water in oil/ointment) • A. Effect : 1. Protektive 2. Drying

  17. CREAM • B. Indication : subacute dermatoses wide dermatoses for hairy area : O/W dry lesion : W/O • C. Contraindication : productive and wet dermatoses • D. Usage : like ointment

  18. CREAM W / O O / W WATER IN OIL OIL IN WATER OIL >> WATER >> LESION MORE DRY MORE WET SUBACUTE

  19. PASTE AND COLD PASTE • Paste: mixed of ointment + powder • Cold paste: ointment + powder + solution • 1. Effect : 1. Protective 2. drying • 2. Indication: subacute dermatoses non productive

  20. PASTE AND COLD PASTE • C. Contraindication: productive dermatoses, hairy area • D. Usage: spread with spatula, then close with gauze (gauze changed 1 x 1-2 day) • E. Cleasing: bath or with cotton moist with oil

  21. CHOICE OF DRUG ACCORDING : CLINICAL APPEARANCE / LESION / STAGE CHRONIC DRY ACUTE WET SUBACUTE dressing Oint. Cream O/W Cream W/O c

  22. Tabel. VEHICULUM CHOICE ACCORDING DISTRIBUTION / LOCALISATION

  23. EFFECTS OF DRUG 1. Protective : powder, paste, cold paste, cream 2. Absorption : powder, liquid powder 3. Drying : solution, liquid powder 4. Good penetration : ointment, cream, tinctura 5. Moisturizing (dry skin) : ointment, cream W/O 6. Cleansing : solution 7. Cooling : solution, liquid powder 8. Protection from UV : powder (Ti02) 9. Warming : close dressing

More Related