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TINEA CAPITIS fix.pptx

Feb 23, 2018

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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