dermatomycosis-ari
TRANSCRIPT
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OLEH : NI PUTU WIRANTARI
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Penyakit kulit yang disebabkan oleh jamur
Dibagi menjadi 3 : profunda, superfisial, intermediate
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Negara tropis dengan udara panas dan kelembaban tinggi >>
Di Indonesia angka insiden yang tepat masih belum ada
Di Denpasar, penyakit ini menempati urutan kedua setelah dermatitis
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Profunda - misetoma- sporotrikosis- kromomikosis- zigomikosis
Intermediate- sistemik superfisial- kandidosis-candida
Superfisial- dermatofitosis (tinea, ring worm, dermatofita)- non dermatofitosis (pytiriasis versikolor, piedra, trikomikosis aksilaris, tinea nigra palmaris)
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Penyakit kulit oleh karena jamur yang menyerang organ-organ dibawah kulit misalnya tr. Intestinal, tr. Resp, tr. Urogenital, kardiovaskular, SSP, otot, tulang.
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Penyakit pada jaringan yang mengandung zat tanduk, spt str korneum pd epidermis, rambut dan kuku, yg disebabkan oleh golongan jamur dermatofita
Etiologi:- Microsporum- Trichophyton- Epidermophyton
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Bentuk umum:- Tinea Kapitis- Tinea Kruris- Tinea Korporis- Tinea Unguinum- Tinea Pedis et manum
Arti khusus:- Tinea Imbrikata- Tinea Favus- Tinea fasialis, tinea aksilaris- Tinea sirsinata, arkuata- Tinea Inkognito
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EPIDEMIOLOGI- anak-anak (3-14th) >>- dewasa <<
ETIOLOGI- Trichophyton- Microsporum canis- Trichophyton tonsuran
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GAMBARAN KLINISa. Grey Patch Ringwornb. Kerionc. Black Dot Ringworn
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Grey Patch Ringworn- anak-anak>>- et/ : M. audouinii, M. Canis- papul merah yang kecil di sekitar rambut papul melebar bercak pucat & bersisik (seborrheic form)
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- gatal, warna rambut menjadi abu-abu , tidak berkilat lagi, mudah patah- alopecia wheat field grey patch - lampu wood : fluoresensi hijau kekuning-kuningan.- occiput >>
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Kerion- reaksi peradangan yang berat pada tinea kapitis akibat reaksi hipersensitivitas yang berlebihan terhadap infeksi- et/ : M. Canis, M. gypseum kerion >>
Trichophyton tonsurans kerion <
Trichopyton violaceum kerion <<
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- spektrum inflamasi : pustular folikulitis - kerion - kemerahan, eksudatif, tertutup krusta abses pus- pembengkakan (menyerupai sarang lebah) - kerusakan folikel rambut rontok alopecia permanen - gatal, nyeri, limpadenopati, demam
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Black Dot Ringworn- et/ : T. tonsurans, T. violaceum- rambut patah tepat pada muara folikel,
yang tertinggal ujung rambut yang penuh spora - ujung rambut dalam folikel rambut black dot
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Differential Diagnosis- alopesia areata- dermatitis seboroik- impetigo pada kepala
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EPIDEMIOLOGI- transmisi : pisau cukur yang terkontamnasi, paparan langsung dari hewan (kuda, anjing)
ETIOLOGI- T. mentagrophytes- T. verrucosum- T. megninii- T. schoenleinii- T. violaceum
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GAMBARAN KLINISa. Inflammatoryb. Superficialc. Circinate
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Inflammatory type- et/ : T. mentagrophytes, T. verrucosum- lesi berbentuk nodul disertai dengan krusta yang seropurulen- rambut pada daerah inflamasi rapuh- perifolicullar pustule bersatu sinus tract & abcess-like collection pus scarring alopecia
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Superficial Type- et/ : T. violaceum, T. rubrum- mirip dengan folikulitis- diffuse eritema, perifollicular papula dan pustula
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Circinate Type- tepi yang aktif (vesiculopustular) dengan central healing
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Differential Diagnosis- bacterial follicullitis- perioal dermatitis- candidal follicullitis
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EPIDEMIOLOGI- transmisi langsung manusia/hewan yang terinfeksi
ETIOLOGI- T. rubrum- T. mentagrophytes- M. canis- T. tonsurans
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GAMBARAN KLINIS- gatal (makin hebat saat bekeringat)- eritema berbatas tegas (annular/polisiklik), bagian tepi yang lebih aktif- di daerah sentral seperti menyembuh, sedangan yang di tepi meluas ke perifer- lokasi: badan, tungkai dan lengan, ttp tidak termasuk lipat paha, tangan dan kaki
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Differential Diagnosis- pitiriasis rosea- MH tipe T- dermatitis kontak
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Infeksi jamur dermatofita di daerah tangan (palmar & sela-sela antar jari)
Gambaran klinis :a. Intertriginosab. Vesikuler Akut
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Intertriginosa- manifestasi berupa maserasi dan erosi pada celah jari.- lesi meluas ke kuku dan jari
Vesikuler Akut- vesikel dan bula (agak dalam dibawah kulit dan sangat gatal)
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Differential Diagnosis- hiperhidrosis- kandidosis- sifilis II- akrodermatitis kontinua
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Klinis : makula eritema berbatas tegas, tepi meninggi dan aktif dan terdapat penyebuhan di bagian tengah
Pemeriksaan KOH 10-20% : ditemukan hifa dan spora
Pemeriksaan lampu woodBiakan pada agar Sabouraud
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Pengobatan Topikal- Kombinansi asam salisilat (3-6%) dan asam benzoat (6-12%) dalam bentuk salep (salep Whitfield)- Kombinasi asam salisilat dan sulfur presipitatum dalam bentuk salep - Derivat azol : mikonazol 2%, klorimasol 1% dll
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Pengobatan Sistemik- Griseofulvin 500 mg/hari dewasa
10-25 mg/kg bb/hari anak Lama pemberian : - Tinea kapitis : 2-3 bulan - Tinea korporis : 3-4 minggu (bila lesi
luas/topikal tidak ada perbaikan)- Antibiotik : infeksi sekunder