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TINEA CAPITISWIWIN ANDANI ( C111 10 346 )
RUWAEDA NASRUDDIN ( C111 11 320 )Advisor:
dr. DINIE RAMDHANI USUMA
S!"#rvisor:
dr. A. M. ADAM$ S". ()$ %INSD&
D#"'r##* o+ D#r'ov#*#r#o,o-
M#di/', %'/!, H's'*!ddi* U*iv#rsi
M''ssr
201
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DEFINITION
Tinea capitis is a superfcial dermatophyteinection o hair and scalp, typically
caused by Trichophyton and Microsporumspecies.
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EPIDEMI5
3
CCURRENCE
Based on research epidemioloictrends in pediatric tinea capitis , anincidence rate ranin rom !"#.$in !##% to 3& in "''(
AE %NSET
)ostly bet*een !+!$ years
SEirls - boys on -! y.o andincrease on post menopause*oman
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ETI5
&
Tri/7o"7o* S""
Mi/ros"or! S""
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RIS %ACTRS
$
I!*os!"r#ssio*
R#/!rr#* +!*-', i*+#/io*
P#rso*', +'/ors ("oor 7-i#*#)
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PATENESIS
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DIANSIS
HISTR5 TAIN
PH5SICA EAMINATIN
A8RATR5 EAMINATIN
WD9S IHT %URESCENCE
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HISTR5 TAIN
/ocation o lession in frst appearance till no* 0
There is hair all 0
There is pruritus0 There is pain 0
There is contact history *ith person *ith the samesymptoms 0
There is amily history *ith the same symptoms
There is pet at home0
There is history o dru consumption since the frstsymptoms appears 0
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CINICA %EATURES
No* I*''io* T"# or E"id#i/ (r'P'/7)
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Co*;
I*''io* T"# (#rio*)
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1ont2
8,'/ Do
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1ont2
Ti*#' %'vos'
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A8RATR5 EAMINATIN
)icroscopy Eamination
1ulture
4istopatoloy
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MICRSCP5 EAMINATIN
Eamination *ith 5O4 !'6 to see *ithspecifc character o the unal profle.
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A. Small-spored ectothrix hair invasion, 30% KOH bright field. he bro!n pigment delimits the edge of the hair, and the sheath of small
arthroconidia that has formed on the s"rface of the hair is clearl# visible.
$. ndothrix hair invasion, 30% KOH, bright field. he f"ng"s inside the hair has bro&en "p into a mass of large arthroconidia. hese are retained
entirel# !ithin the hair shaft.'. (av"s hair. he f"ng"s is entirel# confined !ithin the hair shaft b"t does not fragment into arthroconidia. )hen first immersed in KOH, air is
trapped aro"nd the h#phae forming the characteristic, long air spaces.
A
C
8
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CUTURE
7aboroud Detrouse 8ar 97D8:
)odifed 7D8 DT)9Dermatophyte Test Media:
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HISTPATH5
4istopatholoy fndin *ith ;87 (periodic acid
schif)and Gracotts Methemanine Silverstrainsreadily reamatory lesions
such as a =erion demonstrate an acute infltrate o;)N leu=ocytes *ithin the dermis and ollicle.
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DI%%ERENTIA DIANSIS
DE?)8TITI77EBO?OI5
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8/O;E1I8
DI%%ERENTIA DIANSIS
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;7O?I87I7
DI%%ERENTIA DIANSIS
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T?I14OTI/O)8NI8
DI%%ERENTIA DIANSIS
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TREATMENT