SUPERFICIAL MYCOSES

SUPERFICIAL MYCOSES
Dermatophytosis Pityriasis versicolor Keratomycosis Ti ea i!ra "lac# pie$ra %hite pie$ra

DERMATOPHYTOSIS (=Tinea = Ringworm)

I

&ectio o& the s#i ' hair or ails ca(se$ )y a !ro(p o& #erati ophilic &( !i' calle$ $ermatophytes

* * *

Microspor(m Epi$ermophyto Trichophyto

+air' s#i S#i ' ail +air' s#i ' ail

DERMATOPHYTES
Di!est

#erati )y their #erati ases Resista t to cyclohe,imi$e Classi&ie$ i to three !ro(ps $epe $i ! o their (s(al ha)itat

DERMATOPHYTES
A-TROPOP+ILIC /EOP+ILIC

Trichophyto r()r(m...

0OOP+ILIC

Microspor(m !ypse(m... Microspor(m ca is1 cats a $ $o!s Microspor(m a (m1 s2i e Trichophyto verr(cos(m1 horse a $

DERMATOPHYTOSIS Pathogene i an! Imm"nit#

Co

tact a $ tra(ma Moist(re Cro2$e$ livi ! co $itio s Cell(lar imm( o$e&icie cy 4chro ic i &.5 Re6i &ectio is possi)le 4)(t' lar!er i oc(l(m is ee$e$' the co(rse is shorter 5

DERMATOPHYTOSIS C$ini%a$ C$a i&i%ation

I

&ectio is ame$ accor$i ! to the a atomic locatio i volve$1 a. Ti ea )ar)ae e. Ti ea pe$is 4Athlete7s &oot5 ). Ti ea corporis &. Ti ea ma ((m c. Ti ea capitis !. Ti ea ( !(i(m $. Ti ea cr(ris 48oc# itch5

DERMATOPHYTOSIS C$ini%a$ mani&e tation

S#i

1 Circ(lar' $ry' erythemato(s' scaly' itchy lesio s +air1 Typical lesio s'9#erio 9' scarri !' :alopecia9 -ail1 Thic#e e$' $e&orme$' &ria)le' $iscolore$ ails' s()( !(al $e)ris acc(m(latio Fav(s 4Ti ea &avosa5

DERMATOPHYTOSIS Tran mi ion

Close

h(ma co tact Shari ! clothes' com)s' )r(shes' to2els' )e$sheets... 4I $irect5 A imal6to6h(ma co tact 40oophilic5

DERMATOPHYTOSIS Diagno i
I. Cli ical Appeara ce %oo$ lamp 4U;' <=> m5 II. La) A. Direct microscopic e,ami atio 4?@6A>B KO+5 Ectothri,Ce $othri,C&avic hair

DERMATOPHYTOSIS Diagno i
". C(lt(re Myco)iotic a!ar Sa)o(ra($ $e,trose a!ar

DERMATOPHYTES I!enti&i%ation
A. Colo y characteristics ". Microscopic morpholo!y

Macroco i$i(m Microco i$i(m Microspor(m6666 &(si&orm6666666666666664D5 Epi$ermophyto clavate66666666666666666465 Trichophyto 66 64&e25cyli $ricalC 666 664D5 clavateC&(si&orm si !le' i cl(sters

DERMATOPHYTES I!enti&i%ation
C. Physiolo!ical tests
I

vitro hair per&oratio test Special ami o aci$ a $ vitami reE(ireme ts Urea hy$rolysis /ro2th o "CP6mil# soli$s6!l(cose me$i(m /ro2th o polishe$ rice !rai s Temperat(re tolera ce a $ e ha ceme t

DERMATOPHYTOSIS Treatment
Topical

Mico aFole' clotrimaFole' eco aFole' ter)i a&i e... Oral /riseo&(lvi Ketaco aFole Itraco aFole Ter)i a&i e

PITYRIASIS 'ERSICOLOR
S(per&icial

chro ic i &ectio o& Strat(m cor e(m Etio1 MalasseFia &(r&(r 4Pityrospor(m or)ic(lare5 4Lipophilic yeast5 Cli ical &i $i !s1 +yperpi!me te$ or $epi!me te$ mac(lae o chest' )ac#' arms' a)$ome

PITYRIASIS 'ERSICOLOR
Systemic

i &ectio 4pare teral lipi$ sol(tio 5 Micr.1 Short hyphae' yeast cells C(lt(re1 Yeast 4s(ppl.1 olive oil5 Treatm.1 Topical sele i(m s(l&i$e Oral #etaco aFole Oral itraco aFole

(ERATOMYCOSIS (=M#%oti% )eratiti )

Posttra(matic

cor eal i &. Etio1 Saprophytic &( !i 4Asper!ill(s' F(sari(m' Alter aria' Ca $i$a5' +istoplasma caps(lat(m Cli ical &i $i !s1 Cor eal (lcer

C posts(r!ical

(ERATOMYCOSIS
Micr.1

Treatm.1

+yphae i cor eal scrapi !s

S(r!ery 4#eratoplasty5 Topical pimarici -ystati Amphoterici "

TI*EA *I+RA
S(per&icial

chro ic i &ectio o& Strat(m cor e(m Etio1 +ortae 4E,ophiala5 2er ec#ii 4pi!me te$5 FreE(e t i tropical areas Cli ical &i $i !s1 "ro2 ish mac(lae o palms' &i !ers' &ace

TI*EA *I+RA
Micr.1Septate

hyphae a $ yeast cells 4)ro2 i color5 C(lt(re1 "lac# colo ies

Treatm.1

Topical salicylic aci$' ti ct(re o& io$i e

,LAC( PIEDRA
F(

!al i &ectio o& the scalp hair Etio1 Pie$raia hortae FreE(e t i tropical areas Cli ical &i $i !s1 Discrete' har$' $ar# )ro2 to )lac# o$(les o the hair

,LAC( PIEDRA
Micr.

Septate pi!me te$ hyphae' a $ asciG ( icell(lar a $ &(si&orm ascospores 2ith polar &ilame t4s5 C(lt(re1 "ro2 to )lac# colo ies Treatm.1 Topical salicylic aci$' aFol cremes

-HITE PIEDRA
F(

!al i &ectio o& &acial' a,illary or !e ital hair Etio1 Trichosporo 4yeast5 FreE(e t i tropical a $ temperate Fo es

-HITE PIEDRA
Cli

ical &i $i !s1 So&t' 2hite to yello2ish o$(les loosely attache$ to the hair I tert2i e$ septate hyphae' )lasto6 a $ arthroco i$ia So&t' creamy colo ies Shavi !' aFoles

Micr.1

C(lt(re1

Treatm.1