Tuesday, February 12th, 2019

Case Report
TINEA CORPORIS
By :

Dermatology & Veneorology Department Makmun Nawil LS, S.Ked

Mardi Waluyo General Hospital Blitar (21704101070)
Medical Faculty University Of Islam Malang
Supervisor :
2019
dr. Irma Tarida L, Sp.KK
  Name : Mrs. SS
Patient  Age : 41 Years Old
Identity  Sex : Female
 Adress : Srengat, Blitar District
 Marriage Status : Married
 Examination Date : January 21th, 2019
Chief Complaint Reddish patches on both calves

History
Of Present Illness The patient complained of red
patches on his calves since 1 month
ago. Initially the patch appears on one
left calf and itches, so the patient
scratches it. The last 3 weeks the
spots multiplied and spread in right
calf.
History  No history of the same complaints before
of Past Illnesses  No history of other systemic diseases
 No history of allergic reaction towards food or drugs

Family History • No history of the same disease

Medication
 Get an ointment from a local health center
History

Physical • General Condition :

Examination Good Condition
• Consciousness :
Compos Mentis, GCS 456
Dermatology
Status
The lesion was multiple
erythematous macules
with regular active borders
and central healing

Right Calf Left Calf

Working
Diagnosis Tinea Corporis

Differential • Seborrhoic dermatitis

Diagnosis • Psoriasis Vulgaris
• Pityriasis Rosea
 R/ Ketoconazole 200 mg R/ interbi Cream
Planning S 2 d ue
Cetirizine 10 mg
Treatment Mfla. pulv. dtd. in caps
S 2 dd 1 in Caps

Planning After 1 week of examination, the

patient was told to come back for
Monitoring control
Planning  To avoid sharing pants
Lifestyle  To wear loose fitting pants
for Patient
 To keep the skin dry

A direct potassium hydroxide (KOH)

Workup mount revealed thin hyphae
Follow Up
After a week from therapy
 Theory
Discussion Case History

 Reddish patches on both  Tinea Corporis refers to all

calves the dermatophyte infection
of the trunk, legs, arms and
neck
Clinical Presentation

• The lesion was multiple • An annular plaque with the

erythematous macules border is usually active and
with regular active borders erythematous elevated shape
and central healing • The center of lesion is paler
 Case
 A direct potassium hydroxide
Discussion (KOH) mount revealed thin hyphae
Workup Theory
 KOH examination of skin scraping
revealing septate, branching hyphae

Diagnosis
 Tinea Corporis refers to all the dermatophyte
infection of the trunk, legs, arms and neck
 The causative agent is Microsporum,
Tricophyton and Epidermophyton
 The diagnosis was made on history, physical
examination and direct KOH mount
Discussion Case Topical Treatment Theory

R/ interbi Cream Allylamine Family 1x/day for 1-2

weeks, or
S 2 dd ue
Azole Family (ketoconazole,
For 2 weeks iconazole) 2x/day for 4-6 weeks
 Case Systemic Treatment Theor
Discussion y

R/ Ketoconazole 200 mg Is given if the lesion is chronic,

Cetirizine 10 mg extensive lesions, or as
indicated
Mfla. pulv. dtd. in caps
Drug of choice : terbinafine 250
S 2 dd 1 in Caps mg 1x/day for 2 weeks,or
1. Itraconazole 100 mg
2x/day for 2 weeks
2. Ketoconazole 200 mg/day
Conclusion  Tinea Corporis refers to all the dermatophyte infection of
the trunk, legs, arms and neck
 The causative agent is Microsporum, Tricophyton and
Epidermophyton
 The diagnosis was made on history, physical examination
and direct KOH mount
 Clinical cure of tinea corporis infection usually can be
achieved using topical and systemic antifungal agents.
 Literature
1. Alok KS, Rahul M. Management of Tinea Corporis, Tinea Cruris, And Tinea
Pedis: A Comprehensive Review. Indian Dermatol Online J. 2016; 7(2): 77–86.
2. Jack LL. Tinea Corporis. Medscape (Online) 2018 [Cited 2019 January 29th]
Available from : URL : https://emedicine.medscape.com/article/1091473-
overview
3. Sandra W, Hardyanto S, Hanny N, Yulianto L, Agnes SS, Danang T et al.
Panduan Praktik Klinis Bagi Dokter Spesialis Kulit dan Kelamin di Indonesia.
Jakarta : Perdoski .2017.

Thank You
Very Much