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    Tinea Capitis

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    Aimie Farhanah Binti Zakaria
    This document discusses the diagnosis and treatment of tinea capitis, commonly known as ringworm of the scalp. It is caused by dermatophyte fungi that attack the hair shafts and follicles. The condition is most common in children ages 3-14. Symptoms can include gray patches, black dots, and inflamed kerions on the scalp. Diagnosis involves clinical examination, microscopic examination of samples, and Wood's lamp examination. Treatment involves topical antifungal medications like ketoconazole shampoo or oral antifungals like griseofulvin. With proper treatment, prognosis is usually good, but complications can include scarring alopecia.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Tinea Capitis

    Uploaded by

    Aimie Farhanah Binti Zakaria
    32 views29 pages
    This document discusses the diagnosis and treatment of tinea capitis, commonly known as ringworm of the scalp. It is caused by dermatophyte fungi that attack the hair shafts and follicles. The condition is most common in children ages 3-14. Symptoms can include gray patches, black dots, and inflamed kerions on the scalp. Diagnosis involves clinical examination, microscopic examination of samples, and Wood's lamp examination. Treatment involves topical antifungal medications like ketoconazole shampoo or oral antifungals like griseofulvin. With proper treatment, prognosis is usually good, but complications can include scarring alopecia.

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    Tinea Capitis

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    This document discusses the diagnosis and treatment of tinea capitis, commonly known as ringworm of the scalp. It is caused by dermatophyte fungi that attack the hair shafts and follicles. The condition is most common in children ages 3-14. Symptoms can include gray patches, black dots, and inflamed kerions on the scalp. Diagnosis involves clinical examination, microscopic examination of samples, and Wood's lamp examination. Treatment involves topical antifungal medications like ketoconazole shampoo or oral antifungals like griseofulvin. With proper treatment, prognosis is usually good, but complications can include scarring alopecia.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views29 pages

    Tinea Capitis

    Uploaded by

    Aimie Farhanah Binti Zakaria
    This document discusses the diagnosis and treatment of tinea capitis, commonly known as ringworm of the scalp. It is caused by dermatophyte fungi that attack the hair shafts and follicles. The condition is most common in children ages 3-14. Symptoms can include gray patches, black dots, and inflamed kerions on the scalp. Diagnosis involves clinical examination, microscopic examination of samples, and Wood's lamp examination. Treatment involves topical antifungal medications like ketoconazole shampoo or oral antifungals like griseofulvin. With proper treatment, prognosis is usually good, but complications can include scarring alopecia.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 29

    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.


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