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    Diunggah oleh

    Tasya Felicia Macellin
    14 tayangan5 halaman
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    Diunggah oleh

    Tasya Felicia Macellin
    jurnal kulit

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    eae lee til 3 & : “Sypompma and incuslena serge alt lac 1s orea fede Pethophystology Predisposing factors Fela skin may be Inforted eather by dices Incculsslon of 9 et- reaoperyis fungus from an crocenal Source (op. 7. meneng ropes from an Infected! pet mouse} oe there may be scecnitary spread from prestisting texca ef another beady slip. Thee sce patios Is Westy so occur with 7. rutrum as well 25 with 7; concenuricum Indeeddons, ‘Causative organisms: Trckoplyioe meanpopigyes aoc T ratrurs prodominaie, bar T. OMENS, if UM! and M, canis are also common causes worldwide. 7. aomensricm frequonily sprosas a eho tace in cases tinea imbricara and, as with tinea coepocis, 28 dorraain- ays mas be consideret pononkay capa we prostuctng has rendition. Wresiling-ssscclated T. tensa: injections are sto reoontod. Clintcal features History ‘Toe prime reason for separating ines facie from ts eeepars Inv this accounts to craw anondion to dis roquccky af mislag- ovis 2 facial ringworm (1, The cinscal seatures vary consid bly, hut complaces of liching, buming and macorbaiiorafsc sun, fsxpenure am cemanoe. The fas erwlocad symp is a freon source dlapnesticerre (2, Merewillofsenbe a hescsy of Epo suum to scams, Presomtation Exyibcora [s usual, bat scaling Bs pecacce In bess than ews ecamS, Asus! proportion of patiores to show annacar or SGrrinaie lesions, aed induration with a ratsd margin is presente In about ball (Pgure 2226). Senple papular leslons, and in some Cains Copy Rae pairs af rythm, aise oem A SOW Vos fies er pustules may be found, bus thes are rary conapscunus ‘The applaricn nf topical sierckds may be expected xo molly tho ‘appearance sill furcher, and in the auhors’ experience shis com Ronen Is as frequarn among patores wih ta facial as i Ls ky these with trea crus, Differential diagnasts Bocaann of gta Sonsluviey, Hho Wroquera abeonce of scaling ar the somewta: nondescript appesrantr, dls condiion my be oe fused wih csc lupus orythoratpeus (DLE) [1] ana polyno [PEGE liphe crupeon. Moesorse, twa faccl porulsting wath DLE NE boon diseribedt [3] Bowened solar kersienes, pocelma,lmpeil, Fann, soermoir orau [f] and benige IyMphacy.e Anil sie musi alba be consieerce. Beducisece tc blopay the fare odes Figure 2.36 Tras ces by eeytn eteem so tho problem, bus lf she poselbity of inca fact ls romombored, caf examination anc scrapings when from she skin surface, coven if this Is nor cbvlously scaly, sooebd enable-a diapnosts Remade. Gener cramination ef fe skin, parieulnmy ie scalp, should nce be forgoeson. If topical steroids have been apple, a cesmamon of the therapy may be followed 2 few day's mer by a a mncrease In scaling aoe by appearances much mare-resdily dlagncsatie Management In bocallzod casos, of prompely dlagonsed, topical therapy scems fo Wore Wal, #EpoCHly Wi Kun Aaie oF one oF np aMEnaSE, Where delay has cccurme before the diag bsctablishes, 2 cspocally when siceec tncrapy hax mode! wo concn ber pale or lrmccenzete & porerally preforms! Mrs cases will ear bn Bor & weeks, certainly in vencks, but longstanding Infecsions may cecastonamy neod Inner paciods of ena mom Infection central Pos and laboratory animais amy require wrsatmon a calmuna- don. Tels cunamary to plve shoet-seem eral anilfangal iaimeent, bur die authors ave sean erinimal isons spond wall ts topical imkdazates, Definition and nomancistura ‘Tihs is tnfoesion of sho foo tors wih a dermmasoptnye fungus, ‘The yerm aihove's toot Ie weed by soma #0 Imply any form of too clef iicetripa. In shls accoura we thercfome prosce the terms sinea, pois or Foon cingwoms, buch clearhy clus Infections caused Py backers, Caufiar and nontenmeuephje moulds Tinea pedis 7: a Figs, 10-7A.and 8, Tinea facie wowing eryPemstous sealer lesions With central cheng in Loy Be Obeede feontact rather shan via franiten such as wrestling mate Must of the lesions we ae gas, turk, head and neck, com=sponding to ares al sich Contet fren Nave ere repeated Tomer tsthe comnoned ielaie, Vioewuanole tlle tdve and sefe for prisnsty prevention as well as reammend of tinea gladiatoruim, {e) Tinea Incognito Use Ler, mea incognita, wes est used hiylvesand Marks, which rfers to dermatophyte infection wherein clinical sppeartnce was modified by pine application of topical cotticosteraids. the use of these steroids apparently ame- Uorates symptomsandsignetherehy offerclinical improve- ment during inital phase of treatment. However, conse- query typical appearance is modited duet disturbance dormatisis, psoriasis eszeera, erythiems rvigrans and her ale patch of pityelasis rosea. (f) Tinea Faciei ‘vis iseler maton bbearleel regis Gove of ate thai ecuenee on ge. It is the enast exumenonly: el irene bs ile in cle types he ftophytosis. The pationts usually peesent with history ot photosensitivity and are likely 10 he treated with tapical ‘recs wih wrung fingnersis ef urienaney ee hence It frequently takes form of tinea incognita. Topical soniangal dots ane fess elitist i Hes, eur Figures 10.74 and B show erythematous annular plagues with central clearing tia patient of tinea facie, sa FIGURE 188-2 Hicscoic extn of sk scrapings ca) every sept, arcing hype TABLE 182-2 Characteristics of the Most Corman Dermaton bytes wove SiMe inmate auepos amaneenciiRe WU AE macinocytes, penetration through and between cells, and the development of hast responce Orsaste Enidermophyten fccosum Mons ‘Cavow MonPHouaer lt fatnary colori tha canta fold and yelow tn cll gay. pig ment elu to brown ers ge ert. lt ard white ra gray wt ty ‘spaced rca! groves. Tanto selon eros ploment Salmon pi ‘ment on POA. No grow on pokstet Flat wit te gt yom, exersly Fay, with clos spaced cal ‘grooves Yalow i orangereversepig- ‘meri ello on POA. Grom en ol ‘shed nee. ‘lt ard grnuar wi ent but pg- ment, no ravers pgrent caascane APEaRANCE No micreconia, merous thin and thio -waledci-

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