Tinea Baji

8/17/2019 Tinea Baji

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FUNGAL INFECTION


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• Group of organisms that include yeast andmolds which are usually not pathogenic

• Grow best in unsanitary conditions withwarmth, moisture and darkness

• Infections generally occur in keratinizedtissue found in hair, nails and stratumcorneum

• Dermatophytes (Ringworm fungi) – Cause of most skin, nail and hair fungal

infections


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– is a dermatophytosis of the scalp and associated

hair

– it may be caused by any pathogenic

dermatophyte from the genera richophyton

and !icrosporum e"epting # concentricum

inea capitis


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$%lack dot& tinea capitis caused by richophyton tonsurans


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inea capitis caused by!icrosporum audouinii

inea capitis $gray patch& type#' large, round hyperkeratotic

plaue of alopecia due to

breaking off of hair shafts close

to the surface#


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erion* red, oozing, hairless

plaue

+ermanent scarring alopecia post kerion

erion* heaily crusted, hairless plaue


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• Refers to all dermatophytoses of glabrous skin e"cept

the palms, soles, and groin

•

he classic presentation is an annular lesion w- scaleacross the entire erythematous border#

• he border is often esicular and adances

centrifugally#

•

he center of the lesion is usually scaly but maye"hibit clearing

• .esions may be serpiginous and annular $ring/worm&/

like)

inea corporis


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inea corporis* large gyrate plaue withadancing border, typical $ringworm/like&

configuration

inea imbricata* concentric ring ofscale caused by # concentricum


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'nnular tinea corporis on the thigh# 0otemultiple, confluent annular lesions w- a

scaly and partially esicular border# his

type of lesion is usually seen w- zoophilic

dermatophytic infection

+olycyclic pattern of tinea corporisresembling psoriasis


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• 1sually appears as multiple erythematous

papuloesicles w- a well/marginated, raised border

• +ruritus is common, as is pain w- maceration or

secondary infection

inea Cruris

inea cruris# 2caling erythematous

plaue w- sharp margins in the

inguinal and pubic region


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• inea pedis may present as any of the four forms, or a

combination thereof • Chronic intertriginous type (Interdigital type)

• Chronic hyperkeratotic type

• 3esiculo/bullous type

• 'cute ulceratie type

inea +edis and inea !anus


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inea pedis, interdigital# he area

is macerated and has opaue

white scales and some erosions

inea pedis# 2uperficial white scales in a

moccasin/type distribution#0ote

archiform pattern of the scales,

which is characteristic


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$wo feet/one hand& presentation

of richophyton rubruminea pedis, bullous type# Ruptured

esicles, bullae, erythema, and

erosion on the plantar aspect of the

great toe


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• 'ny infection of the nail caused by dermatophyte

fungi, nondermatophyte fungi, or yeast• 4 clinical types*

• Distal subungual onychomycosis

• +ro"imal subungual onychomycosis

• 5hite superficial onychomycosis• Candidal onychomycosis

6nychomycosis


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'# Distal subungual onychomycosis occuring

simultaneously with superficial white

onychomycosis

%# white superficial onychomycosis


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Candidiasis

• Dierse group of infections caused by Candida

albicans or by other members of the genus Candida• hese organisms typically infect the skin, nails,

mucous membranes, and gastrointestinat tract, but

they also may cause systemic disease


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+seudomembranous candidiasis orthrush# 0ote the characteristic white

patches on the palate

Candida perleche w- erythema and

fissuring at the corners of the mouth


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0ote the superficial erosion and moist areawith ulceration which are surrounded by

erythematous papules# hese satellite

lesions are typically associated w- chronic

which are found outside the larger

affected areas

7yperplastic candidiasis of the tongue


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Red, partially eroded plaues on

the ula surrounded by a delicate

collar in an infant# 6utside the

main lesions are few pustular

satellite lesions

Candida in potassium hydro"ide

preparation showing pseudohyphae

and yeast forms


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6ral candidiasis

• 1ncomplicated* 0ystatin suspension (488#888/988#888unit 4"-d) or

• In recurrent cases, oral azoles are proen to be more

effectie

Candidal intertrigo• opical antifungals including nystatin and topical

imidazole cream• !iconazole powder can be use to dry moist intertriginous

areas

Candidal paronychia• Chronic paronychia due to Candida is resistant to therapy• opical imidazole in solution form is the ideal t"•

6ral ketokonazole may be used

Treatment


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• Caused by +ityrosporum orbiculare, preiously called

!alassezia furfur• 2harply defined, yellowish/brown macules w- tiny

scales• 67 prep* spaghetti and meatball/like hyphae and

spores

+ityriasis ersicolor


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inea ersicolor infant inea ersicolor, upper chest in teenager

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Tinea Baji