Medika - Jurnal Kedokteran Indonesia - Studi Kasus
Edisi No 01 Vol XLI - 2015 -
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Diabetic Mastopathy (DMP) adalah bentuk mastitis limfositik dan fibroinflamasi stroma payudara yang tidak lazim, dihubungkan dengan DM (diabetes melitus) tipe 1 maupun 2 dalam jangka lama.1-10 Hubungan antara penyakit fibrous payudara dengan DM pertama kali dilaporkan oleh Soler & Khadori pada 1984. Mereka mendapatkan 12 penderita DM tipe I jangka panjang dengan banyak komplikasi (multipel), teraba massa di payudara, yang akhirnya disebut sebagai DMP, yaitu kombinasi pertumbuhan berlebihan jaringan ikat dengan infiltrat limfositik perivaskular. Gambaran histologi sama dengan gambaran pada penyakit otoimmun.1,3,8
PICA adalah kata yang berasal dari bahasa latin untuk magpie, burung yang dikenal pemakan segala sesuatu tanpa pandang bulu.1 PICA merupakan gangguan makan yang menetap dalam mengonsumsi benda-benda tidak bernutrisi seperti kotoran, pasir, kapur, batu, cat, kerikil, rambut, timah, sarung tangan, plastik, es, kuku, kayu, jarum, dan benang.
Bayi (inisial RM) usia 10 bulan, tanggal 16 Agustus 2014 datang ke rumah sakit, kemudian dilakukan alloanamnesis dengan ibu pasien. Pasien datang dibawa oleh ibunya dengan keluhan muncul kelainan kulit berupa lepuh, koreng, dan kulit terkelupas di daerah punggung. Keluhan tidak disertai demam. Riwayat menggaruk badan disangkal. Keluhan sudah dirasakan sejak 1 minggu sebelum datang ke rumah sakit. Satu minggu sebelum datang ke rumah sakit, pasien pergi keluar kota.