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BEDSIDE

TEACHING

Tinea Corporis et Cruris

Patient Identity
2

Name : Tn. R
Genre : Male
Age : 1-7-1987 ( 27 years old)
Address : Konawe
Occupation : wiraswasta
Marital status : not married
Religion : Islam
Medical record : 681447
Addmission date : 24-09-2014

Anamnesis
3

Main complain
: Black spot
Anamnesis Terpimpin : since 20 days
ago before admitted to RSWS. Originally
appeared in the form of black spot on
the thigh area then spread to the the
under of stomach and all of body. The
black spot is getting widening became
black patches.

The patien is complained of itching and


burn is felt intens in a long day at the
black spot.
History of fever is denied, history of
contact with a dermatology patient is
denied, history of biting an insect are
denied.

this patient consuled from neurology


with diagnose :
Tinea corporis et tinea cruris
Ischemic stroke
Compleks seizure
Diabetes melitus type 2

And get treatment :


IVFD NaCl 0,9%
Fenitoin 2 amp on NaCl piggy bag
0,9%/12Hours/drips during 6 minute
Diazepam 1 amp if get seizure
KSR tab 2X1
Citicolin 250mg/12hours/iv

Anamnesis Cont..
7

History of treatment : (-)


History of family
: there is no history
of the same disease in the family denied
History os skin disease denied

Current status
8

Conciousness :

GCS : E4M6V5
Compos Mentis

Nutritional Value :

Body Weight : 51kg


Height : 160cm
BMI : 19.9 kgm-2 (adequate)

Vital Sign :

Blood Pressure : 130/90


Pulse : 84 x/m
Respiration Rate: 20 x/m
Temperature : 37.4C

Physical Examination
9

Anemic (-), icterus (-), cyanoses (-)


Cor/ Pulmonal
: Normal
Abdomen : Normal, peristaltic
(+) N
Extremities
: Edema (-)
Lymph nodes
: Enlargement (-)

Dermatologic status
10

Location

: inguinal regio, suprapubic


regio
Efflorescency : macula
hiperpigmentation,
coars scale
Location : Gluteus regio
Effloresensi : erotion, eritem

Before Treatment
11

After Treatment
12

Laboratorium
13

1.
2.
3.
4.
5.
6.

RBC
HCT
PLT
Hb
WBC
NEUT

: 4,091x 10/mm3
: 36,7%
: 388x 10/uL
: 12,7 g/dl
: 12,6 x 10 /mm3
: 9,76 H

Diagnose
14

Tinea corporis et cruris

Treatment :
Miconazole cream 20 gr + AAV1

15

Tinea Corporis
et Cruris

Tinea korporis & tinea kruris


16

T.Korporis
I

ETIOLOGY
17

Sign and symptom


Glabrosas skin :
- usually with rising edge; centre
central healing
- Spesific type:
T. imbricata
T. favosa (cup)
T. circinata (oval at the back)
T. facialis (circle at the face)

18

19

Differential
Diagnose

20

DIAGNOSIS
History Taking

TREATMENT

21

Systemic :
Griseofulvin :
- Curling efect Cell wall
~ 10-15 mg/kgbb/hr
~ Adult 500-1000 dosis tunggal
Ketokonazole : 1x200 mg/3 weak
Itrakonazole : 1x100 mg/2 weak
Terbinafin : 1x250 mg/2 weak

Topikal :
(destruction of wall cell offended
yeast respon)
Principle :
Acute + damp compress
Sub acute antifungi cream
Hiperkeratosis keratolitik

22

Topical drugs
Tolsiklat 1% lotion, cream
Haloprogin
Imidazole group mikonazole
cream, clotrimazol 1%,
ketokonazole, sertakonazole
Allilamin
butenafine
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groupterbinafine,

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THANK YOU