TINEA CAPITIS

WIWIN ANDANI
( C111 10 346 )
RUWAEDA NASRUDDIN ( C111 11 320 )
Advisor:
dr. DINIE RAMDHANI KUSUMA
Supervisor:
dr. A. M. ADAM, Sp. KK (K), FINSDV
Departement of Dermatovenereology
Medical Faculty Hasanuddin University
Makassr
2015

DEFINITION

Tinea capitis is a superficial dermatophyte

infection of hair and scalp, typically
caused by Trichophyton and Microsporum
species.

EPIDEMIOLOGY
Based on research epidemiologic
trends in pediatric tinea capitis , an
OCCURRENCE
incidence rate ranging from 129.5
in 1998 to 34 in 2007

AGE OF
ONSET

SEX

Mostly between 1-15 years

Girls < boys on <16 y.o and

increase on post menopause
woman
3

ETIOLOGY

Trichophyton Spp
Microsporum Spp

RISK FACTORS

Immunosupression
Recurrent fungal infection
Personal factors (poor hygiene)

PATOGENESIS

DIAGNOSIS

HISTORY TAKING
PHYSICAL EXAMINATION
LABORATORY EXAMINATION
WOODS LIGHT FLOURESCENCE

HISTORY TAKING

Location of lession in first appearance till now ?

There is hair fall ?
There is pruritus?
There is pain ?
There is contact history with person with the same
symptoms ?
There is family history with the same symptoms
There is pet at home?
There is history of drug consumption since the first
symptoms appears ?

CLINICAL FEATURES
Non Inflamation Type or Epidemic (Gray
Patch)

Cont
Inflamation Type (Kerion)

Cont
Black Dot

Cont
Tinea Favosa

LABORATORY EXAMINATION

Microscopy Examination
Culture
Histopatology

MICROSCOPY EXAMINATION

Examination with KOH 10% to see with

specific character of the fungal profile.

C
A. Small-spored ectothrix hair invasion, 30% KOH bright field. The brown pigment delimits the edge of the hair, and the sheath of small
arthroconidia that has formed on the surface of the hair is clearly visible.
B. Endothrix hair invasion, 30% KOH, bright field. The fungus inside the hair has broken up into a mass of large arthroconidia. These are retained
entirely within the hair shaft.
C. Favus hair. The fungus is entirely confined within the hair shaft but does not fragment into arthroconidia. When first immersed in KOH, air is
trapped around the hyphae forming the characteristic, long air spaces.

CULTURE

Saboroud Dextrouse Agar (SDA)

Modified SDA
DTM(Dermatophyte Test Media)

HISTOPATHOLOGY

Histopathology finding with PAS (periodic acid

schiff) and Gracotts Methemanine Silver strains
readily reveal hyphae around and within hair shaft.
The dermis demonstrates a perifollicular mixed cell
infiltrate with lymphocytes, histiocytes, plasma
cells and eosinophils. Markedly inflamatory lesions
such as a kerion demonstrate an acute infiltrate of
PMN leukocytes within the dermis and follicle.

DIFFERENTIAL DIAGNOSIS
DERMATITIS
SEBOROIK

DIFFERENTIAL DIAGNOSIS
ALOPECIA

DIFFERENTIAL DIAGNOSIS
PSORIASIS

DIFFERENTIAL DIAGNOSIS
TRICHOTILOMANIA

TREATMENT