LECTURE BLOCK 2.

AGNES SRI SISWATI

DERMATO-VENEREOLOGY DEPARTMENT
FACULTY OF MEDICINE
UNIVERSITAS GADJAH MADA/ SARDJITO HOSPITAL
YOGYAKARTA

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DERMATOMYCOSIS AND
EPIZOONOSIS

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Objectives :
Comprehend the epidemiology,
clinical manifestation, diagnosis
and management of fungal and
parasitic infection diseases in
dermatology

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 DERMATOMYCOSIS
/FUNGAL INFECTION
CLASIFICATION:
•SUPERFICIAL MYCOSIS
•SUB CUTAN/DEEP MYCOSIS
•SISTEMIC MYCOSIS

SUPERFICIAL MYCOSIS
Dermatophyta
Non Dermatophyta 4
Block 2.3
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Block 2.3

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 Candidiasis
RISK FACTORS:

HIV infection
debilitation
diabetes mellitus
broad spectrum antibiotic therapy
topical or parenteral corticosteroid
Parenteral hyperalimentation

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 TINEA CRURIS

CANDIDIASIS

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 MANAGEMENT
See block 2.3

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 EPIZOONOSIS
CLASSIFICATION
1. Completed inflammation:
a. Amoebiasis of the skin
b. Insect bites

2. Incomplete inflammation:
•a. scabies
•b. larva migrans (creeping Eruption)
•c. pediculosis

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 Insect bites

Caused : insect toxin

Symptoms and Signs :
• erythema with central necrosis
• papule and punctum
• nodus/urtika with punctum
• vesicula  bulla

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TOXIC IRITANT DERMATITIS
ec insect poison

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 SCABIES
• Caused: Sarcoptes Scabiei
• Transmitted by skin to skin contact
or sexually, indirect contact

RISK FACTORS
- Rural
- Crowd area
- Poor personal hygiene and sanitation

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Sarcoptes Scabiei

2 – 3 days

3 – 5 days
3 – 4 days

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Predilection:
Adult: hands, wrist, elbows,
anterior axillary fold, abdomen, buttocks,
areolas of female breasts, genital.
Infant : head, neck, palm and sole

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 SCABIES
Sign and Symptom :
• Itching especially during night
• Sign : papule, pustule, excoriation,
hyper pigmentation
• cunniculus (burrow)
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Papule
erythematous in
predilection area

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burrow

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 THERAPY
CAUSATIVE THERAPY
PERMETHRIN
GAMEKSAN
BENZYL BENZOAT
2-4 OINT (SULFUR)
IVERMECTIN ORAL (NOT AVAILABLE)

SYMPTOMATIC THERAPY
ANTIHISTAMIN

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 Cutaneus Larva migrans
( creeping’s eruption)

Aetiology: larva Ankylostoma braziliensis

Characteristic sign :
A serpiginous, linear,raised, tunnel-like
erythematous lesions, outlining the path of
migration of the larva.

Skin Symptom: Local pruritus (Itchy)

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 MANAGEMENT:

• Anti parasite :
•Anti helmint such as albendazole,
tiabendazole

• Cryo surgery
•CO2 Snow
•Nitrogen liquid

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