IDIOPATHIC TORTOISE ACUTE SYNDROME (Sindrom Tuturuga)

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(artikel ini di dedikasikan untuk salah satu teman dekat kami yang sepertinya menderita penyakit seperti ini) 


We are so lucky to finally made this because people with these syndrome needs help from others. Enjoy!!! 


 IDIOPATHIC TORTOISE ACUTE SYNDROME (Sindrom Tuturuga)

Etiology: Idiopathic, Autosomal dominan (allegedly)

Epidemiology:
1/1 million people.
Most common in young adult woman with wealth exceeds $2 million (per bank account)

Diagnosis:
Andrew & Raja’s Score (ITAS SCORE):
1 motoric and/or 1 vocal (Motoric: tortoise sign, Vocal: high pitch moaning sign) + minimum 3 (three) of these symptoms:

  • Obsessive compulsive-like syndrome (90% cases)
  • Reaction formation personality (80% cases)
  • Speedophobia (50% cases)
  • Depressive episode for 48 hours or more (70% cases)
  • Hiperlibido for 12 hours or more (95% cases – major criteria)


IDIOPATHIC TORTOISE ACUTE DISEASE (ITAD)

Diagnosis:  
ITAS SCORE (must have major criteria) + 1 or more physical symptoms: 
1. Allergic rhinitis
Grade:  I. mild, no external complains.
             II. moderate, including dust hallucination.
             III. severe, must be covered by 3 layers mask.

2. Eritema marginatum
Grade:  I. 15-25% body surface, focusedly on face area.
             II. 25-50% body surface, red tomatoes sign.
             III. >50% body surface, crazy tuturuga dermatitis paving appearance.

Management:

Pharmacology:
  • Steroid 1-2mg/kgBM increase dose twice per 12 hour till physical symptoms disappeared.
  • Antihistamine (Cetirizine tab is highly recommended)
  • Mood controller (Lithium carbonat 500mg 3x1 with/or Fluoxetine 20mg 1x1)
Non Pharmacology:
  • Bed rest
  • CBT (optional)
  • Sexual intercourse 2x1 (definitive) 

P.S.
SILAHKAN KOMEN DIBAWAH KALO MASIH ADA YANG KURANG YA. HAHAHAHAH
JUST FOR FUN. 
DISANTAIKAN SAJA, JANGAN TERLALU SERIUS!!! 

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