Tinea Capitis

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Diagnosis and Treatment of

Tinea Capitis

By:
Aimie Farhanah Binti Zakaria C111 11 834
Siti Fatimah Binti Othman C111 11 881
Ahmad Yani Sukarso C111 11 152
Advisor:
dr. Rani
Supervisor:
dr. Asnawi Madjid, Sp.KK

Definition
Dermatophyte scalp, eyebrows,
& eyelashes
Attack hair shafts and follicles
= Ringworm of the scalp.

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,2Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Epidemiology
>> Children (3-14 years of age)

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,3Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Etiology

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Pathogenesis

Reference: William D. James, T.G.B., Dirk M. Elston, Andrews' Diseases of the Skin Clinical Dermatology, W. Daniel, Editor 2010,
Saunders Elsevier: United Kingdom. p. 287-290

Pathogenesis

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Clinical Features
1. Gray patch
2. Black dot
3. Kerion

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,7Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

1. Gray Patch
Erythematous,
scaling, welldemarcated patch
spreads
centrifugally

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,8Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

2. Black dot
Asymptomatic,
erythematous, scaling
patch on the scalp
enlarges.
Overlying scale and
"black dots" follicular
openings

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,9Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

3. Kerion
Inflammatory type
Painful, boggy mass
hair lose and broken
off.
Kerion scarring and
permanent alopecia

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,10
Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Diagnosis
Clinical features
Microscopic examination
Woods Lamp examination

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Woods Lamp Examination

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Laboratory Test

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Culture

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Microscopic Morphology Features

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Microscopic Morphology Features

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Microscopic Morphology Features

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Microscopic Morphology Features

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Microscopic Morphology Features

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

DIFFERENTIAL DIAGNOSIS
1. SEBORRHOIC DERMATITIS

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

DIFFERENTIAL DIAGNOSIS
2. PSORIASIS

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

DIFFERENTIAL DIAGNOSIS
3. ALOPECIA AREATA

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

TREATMENT
MEDICAMENTOUS
TOPICAL
SYSTEMIC

NON-MEDICAMENTOUS

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

MEDICAMENTOUS
TOPICAL TREATMENT
Povidone-iodine shampoo
Ketoconazole 2% shampoo
Selenium-sulphide 1%

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Systemic treatment
Anti mitotic :
Griseofulvin (1st line therapy)
Terbinafine
Azole drugs: ketoconazole, itraconazole,
fluconazole

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

NON-MEDICAMENTOUS
EDUCATIONAL
SCREENING
ERADICATION OF POTENTIAL
SOURCE

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

COMPLICATION
Severe hair loss.
Scarring alopecia bald areas
Psychological impact

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA,27
Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

PROGNOSIS
Bonam: under proper treatment

Reference: Schieke SM, Garg A. Superficial Fungal Infection. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K,
editors. Fitzpatricks Dermatology in General Medicine. 8 ed. New York: Mc Graw Hill; 2012. p. 2277-2286, 2293-2295.

Wassalamualaikum wr. wb.


and
Thank You

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