Tinea Capitis

 

Tinea Capitis

Anggot Angg ota a Kel elom ompo pok k: Suci Su ci Mel Melin inda da M. M. Brig Br igit itha ha Ra Rahm hmad addi dini ni NR NRP P St. Har Hardia diant nty y Ay Ayu u Re Resky sky A. Juliana Ramdani

 

Dermatophytes •

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Dermatophytes are represented by approximately 40 species divide among the 3 genera   Trichophyton,Microsporum,and Epidermophyton Dermatophytes are classified further according to their ability to attach to,invade and use keratin as a source of nutrition underlies the pathogenesis of superficial fung fun gal in inffec ecti tion on.. K, Sewon. A, Masayuki. B, Anna L. 2019. Fitzpatrick's Dermatology. 9th ed. Toronto Toronto : McGraw Hill Education

Bleiker, T. Charles, R. Creamer, D. 2016. Rook's Textbook of Dermatology. 9th ed. UK : Wiley Blackwell.

Bleiker, T. Charles, R. Creamer, D. 2016. Rook s Textbook of Dermatology. 9th ed. UK : Wiley Blackwell.  

De Defin finiti ition on of tin tinea ea ca capit pitis is •

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Synonyms and inclosions: Ringworm of the scalp ,tinea tonsurans Tinea capitis is a superficial fungal.This is ringworm of the scal sc alp p.De Desscr crib ibe es a dema mattop oph hyt ytes es infection of hair and scalp tand ypic aMicrosporum lly caused by  Trichophyton species,with the exception of    Trichophyton concentricum. K, Sewon. A, Masayuki. B, Anna L. 2019. Fitzpatrick's Dermatology. 9th ed. Toronto Toronto : McGraw Hill Education

Bleiker, T. Charles, R. Creamer, D. 2016. Rook s Textbook of Dermatology. 9th ed. UK : Wiley Blackwell.  

Epidemiology •

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The principal feature of tinea capitis inrecent years has been the rise of   M.canis as the dominant organism in infections in some parts of eur uro ope Spread of  T.tonsu  T.tonsuran ranss in urban communities in the USA and western Europe,particularly the UK and in some other european countries. Predominantly an infection of children between the ages of 3 and 14 years Veronica. 2016. Tinea kapitis tipe gray patch yang diduga disebabkan oleh Microsporum dan Trichophyton Trichophyton..

 

Epidemiology •

Predominantly an infection of children, parti par ticu cular larly ly wi with th T.tonsurans infections.

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S m suacnhha asir sthyo w aadu plrtesdin ileAcID tioSn. for Aofr fri iceans/pCeacriiebsbe bea hai pe dul IDS RSUP Prof.Dr.R.D.Kandou Manado januarydecember 2012 6 case tinea capitis(9,23%) from 65 cases of de derrmatophyt yto osi siss. RSUP Sanglah Denpasar,2007-2010 (0,21%) 514 years

Salazar, E. Zigall, DA. Vega, D. 2018. Tinea kapitis : Unusual Chronic Presentation in A Elderly Women.  

Etiology • • • •

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Hygiene Immune status of the host Stan St anda darrd of li livi ving ng Climate Genetic Gene tic con constit stitutio ution n

Causative org Causative organism anisms: s: Inflam In flamma matio tion n: •

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Non-inflam Non-i nflammati mation on :  –

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  M.audouinii  ,M.canis,M.f  ,M.canis,M.ferrugineum, errugineum,T T.tonsurans

Black dot :  –

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  M.audouinii  ,M.canis,M.gyp  ,M.canis,M.gypseum,M.nanum seum,M.nanum

  T.tonsurans ,  ,T T.v .violaceum iolaceum

Favus:  –

  M.gypseum ,  ,T T.schonleinii, .schonleinii,T T.v .violaceum iolaceum

Modish, MM. Assiri, MMI. Althui, AMY. 2017. A Study of Tinea in Children  

Differential Diagnosis Alopecia ar areata

Discrete patches of hair loss with no epidermal changes; total loss of hair or fine miniature hair growth; exclamation point hairs hairs;; no crusting; crusting; no no inflammation; possible nail pitting.

Atopic dermatitis

Personal h hiistory or family history of atopy; less often annular; lymphadenop lymphadenopath ath uncommon; alopecia less common.

Ely, John W, W, Sandra Rosenfeld, Mary Seabury. 2014. Diagnosis and Management of Tinea Infections. University of Iowa Carver College of Medicine. p. 704

 

Patogenesis

 

DIAGNOSIS •

Anamnesis

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Physical Examination

 

History Taking in Dermatologic Diagnosis

Chief Complaint and History of the Present Illness

 

History Taking in Dermatologic Diagnosis

 

Physical al Examination in Dermatologic Diagnosis Physic

 

CLINICAL FINDINGS •

Noninflam Nonin flammat matory ory Type

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“Black “Blac k Dot” Dot ”

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Inflammatory Type

 

Investigation •

KOH

 

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Culture Saboraud Dextrose Agar (SDA)

 

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Culture Saboraud Dextrose Agar (SDA)

 

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Culture Saboraud Dextrose Agar (SDA)

 

Lamp of Dermatophyte Wood Lamp •

  M.audouinii and M.ferrugineum

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  T.schoenleinii 

 

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Biopsy of skin scalp

 

Differential Diagnosis Bacterial scalp abscess

Alopecia less likely, hair pluck is painful

Psoriasis

Gray or silver scale; nail pitting; 70% of effected children have family history of psoriasis; involvement of other sites.

Ely, John W, W, Sandra Rosenfeld, Mary Seabury. 2014. Diagnosis and Management of Tinea Infections. University of Iowa Carver

College of Medicine. p. 704  

Differential Diagnosis Seborrheic de d ermatitis

Alopecia un u ncommon; lymphadenopathy uncommon; greasy scale; typical distribution involv involving ing nasolabial nasolabial folds, hairline, eyebrows, eyebrows, postauric postauricular ular folds, chest

Trichotilomania

No scale, commonly involves eyelashes and eyebrows; eyebrows; hairs of varying lengh lenghts ts

Ely, John W, W, Sandra Rosenfeld, Mary Seabury. 2014. Diagnosis and Management of Tinea Infections. University of Iowa Carver

College of Medicine. p. 704  

Prognosis Recurrence is uncommon when adequate amounts of   griseofulvin, fluconazole, or terbinafine have been taken, alth al thou oug gh exp xpos osur ure e to in inffec ectted pe perrso sons ns,, as asym ympt ptom oma ati ticc car arri rier ers, s, or contaminated fomites will increase the relapse rate. Without medication, there is spontaneous clearing at about age 15 years, exp xpec ectt wit ith h T. ton onssur uran ans, s, wh whiich of oftten pe perrsi sissts in intto ad adul ultt li liffe.

James, William D et all. 2018. Andrew’s Disease of The Skin Clinical Atlas. Philadelphia : Elsevier.

 

Conclusion

James, William D et all. 2018. Andrew’s Disease of The Skin Clinical Atlas. Philadelphia : Elsevier.