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
