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Aklan Polytechnic College

College of Nursing
Kalibo, Aklan
Report in Micro/Para
By: Clint B. Llamera
BSN Class 2019

Dermatophytosis
(also called as tinea) is a superficial fungal
infections is normally classified according to
location on the body.
Dermatophytosis is unique for two reasons:
Firstly, no existing tissue is invaded. The
keratinised stratum corneum is simply colonized.
They utilize the keratin on the skin as their
source of nutrition.

Causes
Dermatophytosis can exist by transmission
directly through contact with infected
wounds or indirectly through contact with
affected articles like as shoes, towels or
shower stalls.
Another factor exist is the combination of
little hot weather and tight clothing, which
develops fungus production.

An allergic & inflammatory response generally results


from the fungus and its metabolic product presence on
the skin.
The severity of the condition will be dependent on the
kind
of
dermatophyte
that
occupy
the
skin.
Dermatophytosis infections result from
different fungi and are very infectious .

number

of

Direct contact or indirect contact with the wound will


result in the wound being passed from person to person.

Clinical Classifications According


to Site and Pathopysiology
Tinea capitis (Scalp)
Tinea capitis is caused by fungi of species of
generaTrichophytonandMicrosporum.
Tinea capitis is the most common pediatric
dermatophyte infection worldwide.
Causative agents of tinea capitis include
keratinophilic fungi termed dermatophytes.

These molds usually are present in


nonliving cornified layers of skin and its
appendages and sometimes are capable of
invading the outermost layer of skin,
stratum corneum, or other keratinized skin
appendages derived from epidermis, such
as hair and nails.

Tinea pedis (Feet)


Using
enzymes
called
keratinases,
dermatophyte fungi invade the superficial
keratin of the skin, and the infection remains
limited to this layer.
Dermatophyte cell walls also contain mannans,
which can inhibit the body's immune response
that may reduce keratinocyte proliferation,
resulting in a decreased rate of sloughing and a
chronic state of infection.

Tinea unguium or Onychomycosis (Nail)


The fungus spreads from plantar skin and
invades the nail bed.
Inflammation occurring in these areas of the
nail apparatus causes the typical physical
signs
of
distal
lateral
subungual
onychomycosis

Tinea Barbae (Beard Area)


Tinea barbae is caused by the keratinophilic
fungi (dermatophytes) that are responsible
for most superficial fungal skin infections.
They infect the stratum corneum of the
epidermis, hair, and nails.
The mechanism that causes tinea barbae is
similar to that oftinea capitis.

Tinea cruris (Groin)


The etiologic agents in tinea cruris produce
keratinases, which allow invasion of the
cornified cell layer of the epidermis.
The host immune response may prevent deeper
invasion.
Risk factors for initial tinea cruris infection or
reinfection include wearing tight-fitting or wet
clothing or undergarments.

Symptoms

Depending on the condition, itchiness may


be absent, or quite severe.

May be subtle or dramatic hair loss. it may


be symmetric, or not. This is generally seen
on the back & neck but can also occur on
other parts of the body.

Crusting and scaling on the body may be


severe, and thick crusts may occur on the face,
ears, and nail beds.

Blackheads may be seen in some condition and


may resemble chin acne.

Hyperpigmentation and redness may also


appear.

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