Aulia Rahmatun Nufus

Raihanun Nisa Dinur

Sri Rizki

Supervisor :
Nanda Earlia








3%-4% of tinea corporis is tinea facialis
Tinea
corporis
Tinea
facialis
Identity of patient
Name : Mr. R
Sex : Male
Age : 56 years old
Weigth : 62 kg
Job : Selling vegetables
Address : Tungkop, Aceh Besar
Phone number : 085277466610
Registration number : 87-06-35
Examination date : December 31
th
2013

History
The Chief Complain:
Rash followed by itching on the face, upper back, palmars and plantars
since two month ago.

History of present illness:
The patient came to the hospital complaint the appearance of rash followed by
itching on the face, upper back, palmars and plantars since two month ago. At first,
the patient found red spots that felt very itchy on the upper back area, the rash was
getting wider and spreaded to the face, palmars and plantars area. Then, about one
month ago the appearance of rash following itching on the upper back was
disappeared. Itching is felt everytime not induced with environment temperature,
but itching is increasing at the time of using pads and when the groin area is moist.

History of previous illness:
The patient had the same complaint before since two month ago.
Patient were also informed having a history of diabetic since
twelve year ago.

History of Family disease:
None of his family had this kind of disease.

History of Treatment:
Since the patient have complaint he was getting treatment from a
doctor and take medication with diagnosis seborrhoic dermatitis
on Descember, 3
th
2013 and tinea manum on September, 13
th

2013 but not healed.
On facial and palmars dextra and
sinistra region, found erithematous
patch and hypopigmentation with
circumpscripta boundary , irreguler
and polycyclic edges. There are
papules and scales on edge of
lesions, multiple lesions, plaque
size, cental healings, disseminated
arrangement and generalized
distribution
Microscopic Examination of skin scrapins with
10% potassium hydroxide (KOH) showed long
septate and branching hyphae
1. Tinea facialis
2. Seborrheic dermatitis
3. Cutaneus candidiasis
4. Granulloma anulare
5. Morbus Hansen

Diagnosis
Tinea facialis
Systemic Medication:
1. Ketokenazole 200 mg tab once daily for 2 to
3 weeks

Topical Medication :
1. Ketokenazole salp once daily at night for 2
to 4 weeks
2. Myconazole cream once daily in the
morning for 2 to 4 weeks.

1.Taking medicine regularly
2. Do not scratch the rash to prevent the secondary infection
3. Change chlotes when the body is sweating
4. Wearing loose clothing and materials that easily absorb
sweat
5. Dry off after a shower and sweating

Quo ad vitam : dubia ad bonam
Quo ad functionam : dubia ad bonam
Quo ad sanactionam : dubia ad bonam
Fungal
infection
Superficial
Subcutaneus
Systemik
Dermatophytosis/
Tinea (Ringworm)
Atacchments
keratin and use as
source of nutriens
to colonize
Stratum corneum
of epidermis,
hair,nails and
horny tissues or
animal
Nonhairy, glabrous
skin
Tinea
Facialis

Dermathopytes
Genera
Geophilic
Epidermophyton:
skin,nail
Trichophyton: skin, nail,
hair
Microsporum: skin, hair
Habitat and
pettern of
infection
Anthropophilic
Zoophilic
Skin Disease Location of lesions Clinical Features Fungi Most
Frequently
Responsible
Tinea corporis
(ringworm)
Nonhairy, smooth
skin.
Circular patches with advancing
red, vesiculated border and central
scaling. Pruritic.
T. rubrum,
E.floccosum
Tinea pedis
(athlete`s foot)
Interdigitalis spaces
on feet of persons
wearing shoes.
Acute: itching, red vesicular.
Chroni: itching, scaling, fissures
T. rubrum, T.
mentagrophytes,
E.floccosum
Tinea cruris
(jork itch)
Groin. Eritematous scaling lesion in
intertridiginous area. Pruritic.
T. rubrum, T.
mentagrophytes,
E.floccosum
Tinea capitis Scalp hair.
Endothrix: fungus
inside hair shaft.
Ectothrix: fungus
on surface of hair.
Circular bald patches with short
hair stubs or broken hair within
hair follicles. Kerion rare.
Microsporum-infected hairs
fluoresce.
T.
mentagrophytes,
M.canis
Skin Disease Location of lesions Clinical Features Fungi Most
Frequently
Responsible
Tinea barbae Beard hair. Edematous, erythematous lesion. T.mentagrophyt
es
Tinea
Unguium
(onycho-
mycosis)
Nail. Nails thickened or crumbling
distally;discolored;lusterless.
Usually associated with tinea
pedis.
T. rubrum, T.
mentagrophytes
, E.floccosum
Dermatophytid
(id reaction)
Usually sides and
flexor aspects
fingers. Palm.
Anysite on body.
Pruritic vesicular to bullous
lesions. Most commonly
associated with tinea pedis.
No fungi
present in
lesion. May
become
secondarily
infected with
bacteria.
Allyfamines
Imidazoles
Tolnaffate
Butenafine
Ciclopirox
Topical
treatment
Adults:
Fluconazol 150 mg/week
Itraconazole 100 mg/day
Terbinafin 250 mg/day
Griseovulvin 500 mg/day
Children:
Griseovulvin 10-20 mg/kg/day
Itraconazole 5 mg/kg/day
Terbinafrin 3-6 mg/kg/day
Systemic
treatment