DERMATOPHYTOSIS = TINEA, RING-WORM

DERMATOPHYTOSIS = TINEA, RING-WORM

Definitions:

Dermatophytosis is a dermatophyte fungal infection (Mikrosporum species, Trichophyton, and Epidermophyton) in tissues that contain keratin (stratum corneum of the skin, hair, and nails)

Transmission

• Anthropofilik

• Zoofilik

• Geofilik

   - Mikrosporum: hair, skin

   - Trichophyton: hair, skin, nails

   - Epidermophyton: skin, nails

Predisposing Dermatophytosis factors

1. Poor sanitation hygiene

2. The tropics

3. The factors that cause maceration on the folding area:

    - Overweight

    - Clothing tight

4. Patients with severe pain

5. Have certain diseases:

6. Diabetes mellitus

7. Neurodermatitis

Clinical Symptoms

Tinea capitis, Tinea Favosa, Tinea corporis, Tinea ImbriKata, Tinea cruris, Tinea unguium, Tinea barbae, Tinea manuum, and Tinea Pedis

Tinea Capitis

1. Infection Ektotrik

    a. "Gray patch"

    b. Kerion

2. Infection Endotrik

    - "Black Dot"

Tinea corporis

Dermatophyte infections of the skin smooth

Tinea Imbrikata

Tinea corporis due to Trichophyton form concentricum and limited presence in certain areas

Tinea Cruris

Germatofit infection in between the thighs, perineum, and perianal area as well as acute or chronic itch

Tinea Unguium

• Invasion of dermatophytes in nail plate

• There are two forms:

   a. Leukonikhia mikotika

       = "Superficial white onychomycosis"

   b. Invasions / subungual dermatophytosis

Tinea Barbae

• dermatophyte infections in the beard area of ​​the face and neck, is limited to adult males

• There are two forms:

   a. Superficial form

   b. Severe forms of folliculitis

Tinea Manuum

Dermatophyte infections in interdigitalis area, palmar surface, and dorsum manuus

Tinea Pedis

• dermatophyte infection of the foot, between the fingers, and soles of the feet

• There are four forms:

a. Chronic intertriginous

b. "Moccasin foot"

c. Vesicular form

d. Form of acute ulcerative

Laboratory

1. KOH: hyphae, arthroconidia

2. Culture: SDA + Sikloheksimid

               (Mycobiotic ® / Mycosel ®)

3. Wood's lamp: Tinea capitis

Management of Dermatophytosis

A. Wet compresses → + antibiotics

B. Topical medications:

    1. Whitfield ointment (AAV I)

    2. Ointment 2-4 / 3-10

    3. Mix undesilenik

    4. Tolsiklat / Tolnaftat cream

    5. Siklopiroks olamine cream

    6. Haloprogen cream

    7. Imidazole cream

    8. Allilamin cream

    9. Amorolfine

C. Oral medications:

    1. Griseofulvin

    2. Ketoconazole

    3. Itraconazole

    4. Terbinafin