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dermatophytoses
Dermatophyte
Infection
hair cutaneoushorny layer nail plate
dermatophytosis
dermatophytids
metabolite of trichophyton
blood circulation;
dermato-allergic reaction out of
focus
etiology
Trichophyton
Microsporum
Epidermophyton
human
infection
animal
dermatophytosis
1Leading
country
dermatophytes in our
dermatophytes
invasion
hair root hair strunk nail plate cutaneous corneum
stratum
tinea barbae
onychomycosis
tinea corporis
tinea of feet and hands
Primary lesions
papule blister
papulovesicle
tinea cruris
treatment
topical treatment :Compound Benzoic Acid liniment tinea corporis
Bid2-4weeks
Compound Resorcinol Liniment (tinea cruris)
Bid2-4weeks
3 miconazole cream
terbinafine cream
Clinical grouping
scale- blister type maceration -erosion
mode hyperkeratotic pattern
hyperkeratotic pattern
maceration -erosion mode
clinical appearance
susceptible population : favus
child or adult.
tinea alba
child.
black dot tinea child or adult.
cutaneous lesion:
sick hair
favus
papule ,pustule ,
scutulum, atrophic scar.
tinea alba
seborrheic dermatitis scale
child and mother patch
black dot tinea seborrheic dermatitis scale
;macula
favus
tinea alba
black dot tinea
Wood light
favus
tinea alba
black dot tinea
direct microscope
Microsporum lanosum
Microsporum
corrosion
fungus culture
course of disease
favus
tinea alba
slow proceeding ;
inability autotherapy ; scar
rapid proceeding ;
adolescent age autotherapy; no scar
slow proceeding
inability autotherapy minority scar
Kerion
Definition: a deep, pustular type of tinea resembling a carbuncle
or kerion is observed on the glabrous skin ,
which is a topical allergic response.
Clinical manifestation: one or several
manifest inflammation abscesses
with overt edge feel fluctuant,
hair become loosening and broken off easily.
Common lingering effects are scar
and nonvolatile alopecia.
Differential diagnosis: dandruff eczema
seborrheic dermatitis
amianth pityriasis
psoriasis alopecia areata.
prevention and
cure of tinea capitis
1.overdose
terbinafine : <20kg 62.5mg qd 2w at
least
20kg 40kg 125mg qd 2w at least
> 40kg 250mg qd 2w at least
fluconazol: 36mg/kg/d, 2w at least
itraconazole: 36mg/kg/d, 2w at least.
Onychomycosis
Definition: it is difined as the infection of the nail
by fungus and represents up to 30 of diagnosed
superficial fungal infections.
wafering
mornid nails after painting 40 carbamide
cream, then getting rid of them.