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    Dr. Ago Harlim - Mikosis

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    Brian Pasa Nababan
    The document discusses various types of fungal infections that can affect the skin and hair. It describes superficial and deep fungal infections, as well as specific conditions like dermatophytosis, candidiasis, aspergillosis, and malassezia furfur. It provides details on diagnostic tests, treatment options using antifungal medications or other therapies, and prevention of recurrent fungal infections.

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    Dr. Ago Harlim - Mikosis

    Uploaded by

    Brian Pasa Nababan
    245 views50 pages
    The document discusses various types of fungal infections that can affect the skin and hair. It describes superficial and deep fungal infections, as well as specific conditions like dermatophytosis, candidiasis, aspergillosis, and malassezia furfur. It provides details on diagnostic tests, treatment options using antifungal medications or other therapies, and prevention of recurrent fungal infections.

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    03. Dr. Ago Harlim - Mikosis

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    The document discusses various types of fungal infections that can affect the skin and hair. It describes superficial and deep fungal infections, as well as specific conditions like dermatophytosis, candidiasis, aspergillosis, and malassezia furfur. It provides details on diagnostic tests, treatment options using antifungal medications or other therapies, and prevention of recurrent fungal infections.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    245 views50 pages

    Dr. Ago Harlim - Mikosis

    Uploaded by

    Brian Pasa Nababan
    The document discusses various types of fungal infections that can affect the skin and hair. It describes superficial and deep fungal infections, as well as specific conditions like dermatophytosis, candidiasis, aspergillosis, and malassezia furfur. It provides details on diagnostic tests, treatment options using antifungal medications or other therapies, and prevention of recurrent fungal infections.

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    Dr Ago Harlim, MARS, SpKK

    Mikosis superfisialis Mikosis profunda

    Aktinomikosis Nokardiosis Antinomikosis misetoma Blastomikosis Parakoksidiodomikos is Lodomikosis Koksidiodomikosis Histoplamosis , africa

    Kritokokosis Kandidosis Geotrikosis Aspergilosis Fikomikosis Sporotrikosis Maduromikosis Rhinosporidiosis Kromoblastomikosis

    Dermatofitosis Nondermatoftosis : Pitiriasis vesikolor Piedra putih/hitam Otomikosis Keratomikosis Tinea nigra palmaris

    Penyakit yang mengenai jaringan mengandung zat tanduk spt str korneum, kuku, rambu E/ dermatofitosis

    17 spesies Microsporum, 21 spesies Trichophyton, 2 spesies Epidermophyton

    Simon dan gohan (1954) Deramatomikosis, trikomikosis, onikomikosis. Letak tubuh : Tinea kapitis Tinea barbe Tinea kruris, Tinea pedis et manum Tinea korporis Tinea fasialis, aksilaris

    Tinea Tinea Tinea Tinea

    imbrikata : konsentris favosa sisirnata grabosa : tidak berambut

    Gatal Kelainan batas tegas, polimorfi, tepi lesi lebih aktif. Eczema marginatum

    3 bentuk: Interdigitalis : tu jari 4, 5. Sisik halus, maserasi Ada bakteri dermatofitosis kompleks. Bau busuk, sulfur krn M sendentarius Moccasin foot/ papuloskuamosa hiperkertotik Subakut

    Tinea manum ?

    Kandidosis interdigitalis, maserasi dan pengelupasannya lebih banyak DKA Skabies Dermatitis atopik Dishidrosis, bisanya simetris tu palmar dan lateral

    1. Grey patch ring worm M.audoinii dan M. Ferrugineum

    Papul melebar bercak bersisik, rambut jd abu abu tdk mengkilat dan mudah patah Wood +

    2. Bentuk radang/ kerion

    M. canis, M. gypseum, T. mentagrophytes, T. violaceum

    Gk/ demam, gatal , sakit PF/ Pembengkakan spt sarang lebah, pustular folikulitis. Merah. Bekas jaringan parut : alopecia.

    3. Black dot

    T. tonsuran, T. Violaseum
    Endotrik, rambut patah tepat muara folikel. Bintik hitam

    4. Favus T.schoenleinii Krusta berbentuk mangkuk merah kekuningan berkembang menjadi kuning kecoklatan (skutula). Krusta diangkat dasar cekung, merah basah mousy odor

    Lampu wood KOH 10;20 % Antrospora dalam rambut dan pada yg eksotrik diluar rambut. Ambil juga pada skuama kulit kepala Kultur

    Griseovulvin . Mikroside 15-25 mg/ kg BB, ultra 10-15mg/kg BB. 6-8mg hg 4 bln makanan berlemak Ketokonasol 3,3-6,6mg /kg BB, 3-6m Itrakonasol 3-5mg/kgBB Flukonasol Terbinafin. 62,5-250mg/hari atau 36mg/kgBB selama6 mg

    Shampoo Tipe kerion (kortikosteroid ), 0,5 mg/kg BB Pencegahan Potong rambut, sisir , topi dan keluarga Dd/ karbunkel, trikotilomania, lupus

    Subungual distal Leukonikia trikofita Subungual proksimal

    Terapi Pulse terapi.

    Dermatofitosis Nondermatoftosis : Pitiriasis vesikolor Piedra putih/hitam Otomikosis Keratomikosis Tinea nigra palmaris

    Panu

    Malassesia furfur, atau lainnya Gk/ bercak makula

    hipopigmentasi/hiperpigmentasi batas tegas , tertutup skuama halus diatasnya, atau pada folikularnya. Asam dekarboksilat yg diproduksi , inhibitor enzim tirosinase berefek sitotoksik pada melanosit

    Dd/ dematitis seboroik, tinea corporis, PRG Pemeriksaan: wood , KOH: hipa pendek spora bulat berkelompok Terapi Ketokonazol, selsun, tiosufat natrikus 25%, sulfur 4-20% Terapi tambahan Keseimbangan hospes dgn ragi sbg flora normal, lingkungan lembab M.furfur ke btk miselial yang patogen. Genetik

    E/ Cladosporium werneckii, mansoni Makula tengguli hitam, kadang bersisik Hiperhidrosis Pemeriksaan: KOH, kultur Terapi

    Gk/ nodul sepanjang rambut oleh Piedraia hortai (black), trichosporon beigelii ( putih) KOH Anyaman hifa terlihat mengelilingi rambutsebagai selubung Terapi : Potong rambut, Obat jamur lokal spt lar sublimat 1/2000. dll Sistemik

    Terima kasih

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