TINEA CORPORIS

Abdullah Azmy (0807101010142)

Annisa Waqo (0807101010011)
Supervisor:
dr. Mimi Maulida, Sp.KK

INTRODUCTION
Dermatophytosis/
Tinea (Ringworm)

Attact keratincontaining tissues

ex: stratum
corneum, nails,
and hair

Tinea corporis

On bodies, legs and

arms region

INTRODUCTION

TINEA CORPORIS

E. floccosum
M. canis
T. mentagrophytes

Tinea corporis
T. rubrum

TINEA CORPORIS
Clinical Findings:

Annular and polycyclic lesion

Single or multiple plaques
Scaling and erythema especially at the edges
The lesions enlarge slowly, with central healing, leaving a
ring pattern serpiginous (ringworm-like)
The border is often vesicular and advances centrifugally

TINEA CORPORIS

TINEA CORPORIS

CASE REPORT
Identity of patient
Name
: Ms. AW
Sex
: Female
Registration number : 97-81-30
Age
: 51 years old
Weigth
: 83 kg
Address
: Blang Bintang, Banda Aceh
Phone number
: 081264038893
Examination date
: November 26th 2013

CASE REPORT
History

The Chief Complain:

Rash on the chest and leg since 6 months ago.

Additional Complain:
Itchiness.

History of present illness:

Patient came to the hospital complaining the appearance of
rash on her chest, buttock and rigth leg since six months ago.
At first, patient found rash as small as coin on her right armpit
accompanied by itchiness. After a few days, rash became more
wider and spread to her right chest, left chest, right buttock
and rigth leg. Itchiness is felt more increasing on heat
environment temperature, when sweating and scratched.

CASE REPORT

History of previous illness:

Patient never had the same complaint before. Patient denied
got diabetic and history of atopy. She has hypertension with
the highest systolic blood pressure about 190 mmHg, but she
has not take medication or checked the blood pressure
regularly. She had gotten low back pain on two years ago.

History of Family disease:

The first child complained of the same disease. Her father has
been suffering from Diabetes Mellitus.

CASE REPORT

History of Treatment:
Patient used skin ointment (patient forgot the
name of medicine), but it has not work.
Amlodipine tablet 10 mg as her antihypertension
drug has not been consumed regularly.

History of Social Habits:

Taking a bath and changing clothes twice a day,
Exchanging towel to with other members of
family

CASE REPORT
Physical Examination
Picture

Dermatological status
On thoracic dextra region of superior lateralA,B,
thoracic sinistra region of lateralC, gluteal
dextra regionD and cruris dextra region of
anteriorE, found erythematous plaque, papules
and scales on the edge of lesion, well defined,
irregular edge, plaque size, there are central
healings,

multiple

lesion,

disseminated

arrangement, polycyclicA,C and iris formA

configuration and generalized distribution.

CASE REPORT
Planning Diagnosis
KOH examination, fungal culture, and skin biopsy.

Differential Diagnosis
1. Tinea corporis
2. Psoriasis vulgaris
3. Seborrheic dermatitis
4. Candidiasis
5. Erythrasma
Diagnosis
Tinea corporis

CASE REPORT
Management
Systemic Medication:
Ketoconazole 1 x 200 mg tablet

Topical Medication:
Miconazole cream 2%

Education
1. Wearing loose clothing and absorb sweat
2. Drying off after shower and sweating
3. Do not exchange towel to with other
4. Keeping body hygiene
5. Taking medicine regularly
6. Consuming nutritious foods

CASE REPORT
Prognosis
Quo ad vitam
: dubia ad bonam
Quo ad functionam : dubia ad bonam
Quo ad sanactionam
: dubia ad bonam

DISCUSSION
Patient diagnosed

DISCUSSION
T. rubrum

mounded white
center with
maroon
periphery
few tear-shaped
microconidia and
rare pencilshaped
macroconidia

T. mentagrophytes

white to creamy
with a cottony and
mounded surface
clustered round
microconidia, rare
cigar-shaped
macroconidia,
occasional spiral
hyphae and hair
perforation
positive

E. floccosum

flat feathery
colonies with a
central fold and
yellow to dull graygreen pigment
no microconidia,
numerous thin and
thick-walled, clubshaped
macroconidia

DISCUSSION
Ketoconazole is an antifungal systemic broad
spectrum imidazole group and is fungistatic.
Mechanism of action of ketoconazole:
1. Inhibiting the biosynthesis of ergosterol
2. Inhibiting the enzyme cytochrome P-450
In this case, patient was treated
ketoconazole 200 mg tablet per day

THANK YOU