Dermatofitosis

Safira Widhita Putrie 1115214

Perceptor : dr. Feilicia Henrica,
SpKK

Definisi
Penyakit pada jaringan yang
mengandung tanduk, misal
strat.korneum pada epidermis,
rambut, kuku, yang disebabkan
golongan jamur dermatofita
Sinonim : Tinea / Ringworm / Kurap /
Teigne / Herper Sirsinata

Epidemiologi
20-25% populasi dunia
5M:1F

Etiologi
Dermatofita
Sifat mencerna keratin
Kelas : fungi imperfecti
Genus : Microsporum , Trichophyton,
Epidermophyton

Kolam renang
Udara sekitar
Baju , sisir, topi, kaus
kaki, handuk

Patogenesis
Penularan : antropofilik, zoofilik dan
geofilik
Perlekatan pada
keratinosit
(ADHERENCE)
Penetrasi melewati dan
diantara sel (INVASION)
Pembentukan respon
penjamu (HOST
RESPONSE)

Perlekatan pada keratinosit

( Adherence )
Adherence of arthroconidia, asexual spores formed
by fragmentation of hyphae, to the surface of
keratinized tissues
produksi keratolitik
aktivitas proteolitik dan lipolitik

Penetrasi melewati dan diantara sel

(Invasi)
Spora masuk dan tumbuh lebih cepat
dari proses deskuamasi
Sekresi proteinase, lipase,
ceramidase (membantu penetrasi
dan nutrisi untuk jamur)
Mannan menghambat proliferasi
keratinosit dan respon imun sellular

Respon Penjamu (Host

Response)
Nonspecific mechanisms
fungistatic fatty acids
increased epidermal proliferation
secretion of inflammatory mediators to
cell mediated-immunity

Cell-mediated immunity
specific delayed type hypersensitivity

Klasifikasi

Tinea Kapitis
Tinea Barbe
Tinea Cruris
Tinea Pedis et
Manum
Tinea Unguium
Tinea Korporis

Tinea Imbrikata
Tinea Favosa
Tinea Facialis ,
axillaris
Tinea Sirsinata,
arkuata
Tinea Incognito

Tinea Kapitis / Ringworm of the

scalp

Pembengkakan
honey Comb
Sebukan sel radang
M. canis dan M. gypseum

patchy perifollicular erythem

yellowred follicular papule
yellow concave crust (scutulum)
around a single dry hair
Scarring alopecia

Tinea Barbe

Superficial Type. Caused by anthropophiles such

as T. violaceum, this form of tinea barbae is less
inflammatory
Papul
Pustul
Mild erythema

Inflammatory Type. Usually

caused by T.
interdigitale(zoophilic strains)
or T. verrucosum,.

Tinea Corporis tinea sirsinata/ kurap/ herpes

sircine trichophytique/ scherende flechte
Etiologi :
Epidermophyton floccosum
T. interdigitale (anthropophilic and zoophilic strains)
M. canis
T. tonsurans

Penularan :
Pakaian
Skin to skin contact
Animal human

Tinea Cruris / eczema marginatum/

dhobie itch/ jockey itch/ ringworm of
the groin
Predilesi : groin,
genitalia,
pubic area, and
perineal and perianal
skin
Etiologi :
T. Rubrum and E.
Floccosum
T. interdigitale and T.
verrucosum

Tinea Pedis / Atheletes foot/

ringworm of the foot/ kutu air
10% dermatofitosis di dunia
pemandian, kolam renang,
shower
Etiologi :
T. rubrum (most common)
T. Interdigitale
E. floccosum.

Tinea Unguium/
Onychomycosis

Risk factors :
nail trauma,
immunosuppression, DM , and peripheral vascular
insufficiency

Pemeriksaan Penunjang
KOH
Wood lamp
Kultur (SDA)

Penatalaksanaan

Cek SGOT / SGPT Hepatotoksik

Adjuvant Therapy Tinea

Capitis

Selenium sulfide (1% and2.5%) *

Zinc pyrithione (1% and 2%)
Povidone iodine (2.5%)
Ketoconazole (2%) *
Adjunctive use of these shampoos is
recommended 24 times weekly for 24
weeks.
* 3x / week for all household reduce
transmission

Pencegahan
Hindari garukan
Hygene
Mandi min 2x/ hari
Mengganti pakaian jika basah/ lembab
Baju yg menyerap keringat dan jangan
ketat
Hindari memakai pakaian / handuk /
sisir/ topi bersama

Terima Kasih