Presentasi Tinea Barbae

8/12/2019 Presentasi Tinea Barbae

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TINEA BARBAESUPERVISOR :

dr. ANNI ADRIANI, Sp.KK

ADVISOR :

dr. DIANA MUCHSIN

PRESENTERS :

MOHD SYAIFUL

ILHAM SARIF

KASMALIANA


2/20

DEFINITION

Tinea barbae is ringworm of the beard and

moustache areas.

It seen only in males

It is largely transmitted by contaminated

barbers razors in the past, now more often

contracted by direct exposure to cattle, horses

or dogs


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ETIOLOGY

zoophilic organism

T. mentagrophytes

T. verrucosum

uncommonly M. canis

anthropophilic organism

M. megninii

T. schoenleinii

T. violaceum

Uncommonly T. rubrum


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EPIDEMIOLOGY

Tinea barbae is infrequent around the world.As with other dermatophytoses, tinea barbaeis more common in countries in which

weather is characterized by high temperaturesand humidity.

Tinea barbae is more common among ruralinhabitants, and zoophilic dermatophytesconstitute its primary pathogens.

Usually affected an adult (30-40 y.o)


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PATHOPHYSIOLOGY

T. Mentagrophytes and T. verrucosumattacked the stratum corneum of epidermisand hair follicle

The dermatophyte produced keratinase

enzyme which necessary to invadekeratinins of the epidermis and hair

formed inflamed nodules with multiple

pustules and crust cover the skin surface

follicular pustulation demonstrate brittlehair and easily epilated


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CLINICAL FEATURES

1. Inflammatory type

- Caused by T. mentagrophyte and T. verrucosum

- Analogous to kerion formation in tinea capitis

- The lesions are nodular and boggy with a

crusting seropurulent discharge

- Hair are lusterless, brittle and easily epilated

- Form scarring alopecia


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Inflammatory type


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2. Superficial type

closely resembles bacterial folliculitis

mild diffuse erythema and perifollicular papules

and pustules

Hairs are dull and brittle

More likely T. violaceum endothrix infection than

T. rubrum


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Superficial type


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3. Circinate type

Like tinea circinata of glabarous skin

Active, vesiculopustular border with central

scaling


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Circinate type


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ANAMNESIS

Main complaints : red bumps around mouth,jaw, chin and/ or neck

Other complaints : first appeared flat red

patches, later became bumpy withpustule,exudate and crust that cover the skinsurface. Itchy, hair are brittle and easilyepilated. The patient have fever and malaise.The patient have history of contact withanimals


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PHYSICAL EXAMINATION

Dermatological status

Location : regio facialis , colli

Effloresence : erythematous patches with raised

border, scaly patches with papule, pustule or

crust, follicular pustule, abscess


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DIAGNOSIS

Tinea barbae can be diagnose by mycology

investigation

Wood lamp examination

KOH

Culture

Biopsy -- Histopathology


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DIFFERENTIAL DIAGNOSIS

Sycosis vulgaris

(bacterial folliculitis)Perioral dermatitis


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Pseudofolliculitis barbae Contact Dermatitis


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Acne vulgaris Herpes simplex


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TREATMENT

Systemic

griseofulvin 500-1000 mg/day for 6-12 weeks

terbinafine 250 mg/day for 4 weeks

itraconazole 200 mg/day for 4-6 weeks

fluconazole 150 mg/day fore 6 weeks

Topical

Allylamine

Azole (ketokonazole 2% )


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PROGNOSIS

The successful of treatment depends on the

elimination of the source of infection,

especially contact with infected animals

Treatment of other fungal infection such as

tinea pedis and onychomycosis is essential,

because of a possible autoinoculation.


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Presentasi Tinea Barbae