Andi Minka

Ruwaida Anis

Identity Patient
Name

: Aseran Kaluntang
Sex
: Male
Date of birth
: 20/11/1942
Religion
: Islam
Marriage status : Married
Address
: Jongaya
Occupation
: Retired Military

Anamnesis
Main complaint : Itching
Further anamnesis: That felt at sole of foot since 1
month ago. The itch felt all the time. At first it started
between the fingers and it spread to the sole of the
foot and to the nails. No burning sensation. No pain
felt. No fever, no history of fever. No medication
applied before. No history of the same disease. Non of
family members have the same complaint. No history
of DM, HF, and HT.

Physical examination
BP: 140/80 mmHg

HR: 78x/mnt
Tem: 36.8C

RR: 18x/mnt
Nutritional status : Good
Lungs: Vesicular, Rh-/-, wh-/Cor : S1/S2 reguler, murmur (-)
Dermatology status:

Location: Plantar pedis dextra et sinistra,

unguinum pedis dextra et snistra, intra digital

pedis dextra et sinistra
Efflorescence: squama, hyperkeratinization, erytheme,
fissura.

Picture of patients foot

TREATMENT
Miconazole cream
Ketoconazole cream
Cetirizine tab 1x 20mg

Salacilic acid 5% + inerson cream

Fusin cream

DIAGNOSIS
TINEA PEDIS

Discussion
Definition
Tinea pedis also known as athletes foot is a fungal
infection of the foot. It causes peeling, redness,
itching, burning, and sometimes blisters and sores.

Epidemiology
Tinea pedis is the most common dermatophytoses.
Tinea pedis prevelance is higher in the people who use

public showers, pool and baths.

ETIOLOGY
TINEA
PEDIS
TINEA RUBRUM

EPIDERMOPHYTON
FLOCCOSUM

TINEA MENTAGROPHYTES

Risk Factor
A hot, humid, tropical environment
Prolonged use of occlusive footwear
Certain activities, such as swimming and

communal bathing, may also increase the risk of

infection
A defect may be present in the immune system,
such as in cell-mediated immunity, that
predisposes some individuals to tinea pedis, but
this is not certain

CLINICAL FINDINGS
There are four subtype of tinea pedis. Sometimes we

found there is combination type in one patient like in

this case.
Interdigital type
Chronic Hyperkeratotic type
Vesico-bullous type
Acute Ulcerative type

DIAGNOSA
Test KOH (Potassium Hydroxide)
In this test, we want to observed if there is any fungus or
not to make a definite diagnosis of this patient.

TREATMENT
Miconazole cream
Cetirizine tab
Ketoconazole cream
Ketoconazole 4x400mg

DIFFERENTIAL DIAGNOSA
Dermatitis

 Candidiasis