Professional Documents
Culture Documents
Tinea capitis
is a dermatophytosis of the scalp and associated
hair
it may be caused by any pathogenic
dermatophyte from the genera Trichophyton
and Microsporum exepting T. concentricum
Tinea corporis
Refers to all dermatophytoses of glabrous skin except
the palms, soles, and groin
The classic presentation is an annular lesion w/ scale
across the entire erythematous border.
The border is often vesicular and advances
centrifugally.
The center of the lesion is usually scaly but may
exhibit clearing
Lesions may be serpiginous and annular ring-wormlike)
Tinea Cruris
Usually appears as multiple erythematous
papulovesicles w/ a well-marginated, raised border
Pruritus is common, as is pain w/ maceration or
secondary infection
Onychomycosis
Any infection of the nail caused by dermatophyte
fungi, nondermatophyte fungi, or yeast
4 clinical types:
Distal subungual onychomycosis
Proximal subungual onychomycosis
White superficial onychomycosis
Candidal onychomycosis
Candidiasis
Diverse group of infections caused by Candida
albicans or by other members of the genus Candida
These organisms typically infect the skin, nails,
mucous membranes, and gastrointestinat tract, but
they also may cause systemic disease
Pseudomembranous candidiasis or
thrush. Note the characteristic white
patches on the palate
Treatment
Oral candidiasis
Uncomplicated: Nystatin suspension (400.000-600.000
unit 4x/d) or
In recurrent cases, oral azoles are proven to be more
effective
Candidal intertrigo
Topical antifungals including nystatin and topical
imidazole cream
Miconazole powder can be use to dry moist intertriginous
areas
Candidal paronychia
Chronic paronychia due to Candida is resistant to therapy
Topical imidazole in solution form is the ideal tx
Oral ketokonazole may be used
Pityriasis versicolor
Caused by Pityrosporum orbiculare, previously called
Malassezia furfur
Sharply defined, yellowish-brown macules w/ tiny
scales
KOH prep: spaghetti and meatball-like hyphae and
spores