Scribd Logo
Upload

Welcome to Scribd!

  • 75 views

    Tinea Corporis Bolognia

    Uploaded by

    Hardiyanti Herman
    Tinea corporis is a fungal infection of the skin caused by dermatophytes, most commonly Trichophyton rubrum. It presents as annular lesions that spread outward from the point of infection. While it can occur anywhere on the body, tinea corporis is most common on exposed skin in tropical regions. Risk factors include personal or family history of ringworm, exposure to infected animals or soil, occupations involving gym/locker rooms, and immunosuppression. Differential diagnoses include various types of dermatitis, psoriasis, bacterial infections, and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Tinea Corporis Bolognia

    Uploaded by

    Hardiyanti Herman
    75 views4 pages
    Tinea corporis is a fungal infection of the skin caused by dermatophytes, most commonly Trichophyton rubrum. It presents as annular lesions that spread outward from the point of infection. While it can occur anywhere on the body, tinea corporis is most common on exposed skin in tropical regions. Risk factors include personal or family history of ringworm, exposure to infected animals or soil, occupations involving gym/locker rooms, and immunosuppression. Differential diagnoses include various types of dermatitis, psoriasis, bacterial infections, and others.

    Original Description:

    kulit

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Tinea corporis is a fungal infection of the skin caused by dermatophytes, most commonly Trichophyton rubrum. It presents as annular lesions that spread outward from the point of infection. While it can occur anywhere on the body, tinea corporis is most common on exposed skin in tropical regions. Risk factors include personal or family history of ringworm, exposure to infected animals or soil, occupations involving gym/locker rooms, and immunosuppression. Differential diagnoses include various types of dermatitis, psoriasis, bacterial infections, and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    75 views4 pages

    Tinea Corporis Bolognia

    Uploaded by

    Hardiyanti Herman
    Tinea corporis is a fungal infection of the skin caused by dermatophytes, most commonly Trichophyton rubrum. It presents as annular lesions that spread outward from the point of infection. While it can occur anywhere on the body, tinea corporis is most common on exposed skin in tropical regions. Risk factors include personal or family history of ringworm, exposure to infected animals or soil, occupations involving gym/locker rooms, and immunosuppression. Differential diagnoses include various types of dermatitis, psoriasis, bacterial infections, and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4

    Tinea corporis

    Tinea corporis is a dermatophyte infection of the skin of the trunk and extremities excluding the
    hair, nails, palms, soles and groin. The infection is generally restricted to the stratum corneum
    and most commonly occurs on exposed skin, but it can develop on any part of the body. While
    tinea corporis is seen worldwide, it is most common in tropical regions. Any dermatophyte can
    potentially cause tinea corporis, but T. rubrum is the most common pathogen worldwide,
    followed by T. mentagrophytes (Table 76.7).

    Table 76.7 -- Common dermatophytes that cause tinea corporis.
    COMMON DERMATOPHYTES THAT CAUSE TINEA CORPORIS
    Dermatophyte Clinical features
    Anthropophilic
    Trichophyton rubrum Commonly harbored by hair follicles; may produce concentric rings;
    can recur; causative organism in Majocchi's granuloma and most
    common cause of tinea corporis
    T. tonsurans Commonly seen in adults who care for children with tinea capitis
    caused by this organism
    Epidermophyton
    floccosum
    Generally restricted to groin, feet; responsible for eczema marginatum
    T. concentricum Responsible for tinea imbricata; infections typically chronic
    T. mentagrophytes var.
    interdigitale
    Causes interdigital tinea pedis, tinea cruris and onychomycosis
    Zoophilic
    T. mentagrophytes var.
    mentagrophytes
    May be associated with dermatophytid reaction; causes inflammatory
    tinea pedis and tinea barbae; associated with exposure to small
    mammals
    Microsporum canis Associated with pet exposure (cat or dog)
    T. verrucosum May mimic bacterial furunculosis; associated with exposure to cattle
    Geophilic
    M. gypseum Frequently associated with outdoor/occupational exposure; lesions
    may be inflammatory or bullous

    Tinea corporis can result from human-to-human, animal-to-human or soil-to-human spread (see
    Table 76.6). Domestic animals are an important factor in the transmission of organisms causing
    tinea corporis, specifically the zoophilic species. Another important risk factor in acquiring tinea
    corporis is having a personal history of, or close contact with, tinea capitis or tinea pedis. Other
    factors that may predispose an individual to tinea corporis include occupational or recreational
    exposure (e.g. military housing, gymnasiums, locker rooms, outdoor occupations, wrestling),
    contact with contaminated clothing and furniture, and immunosuppression
    [13]
    .
    There are various clinical presentations of tinea corporis, and they can mimic other dermatologic
    conditions (Table 76.8). As with most dermatophyte infections, the extent of inflammation
    depends on the causative pathogen and the immune response of the host. Also, because hair
    follicles serve as reservoirs for infection, areas of the body with more hair follicles may display a
    more pronounced inflammatory response.

    Table 76.8 -- Differential diagnoses of dermatophyte infections.
    DIFFERENTIAL DIAGNOSES OF DERMATOPHYTE INFECTIONS
    Tinea corporis Tinea cruris Tinea faciei Tinea capitis Tinea pedis



    Dermatitis



    Nummula
    r eczema



    Atopic



    Stasis



    Contact



    Seborrhei
    c
    (petaloid)


    Pityriasis
    versicolor


    Pityriasis
    rosea


    Parapsoria
    sis


    Erythema
    annulare
    centrifugu
    m


    Cutaneous
    candidiasis



    Intertrigo



    Seborrheic
    dermatitis



    Psoriasis



    Erythrasma


    Contact
    dermatitis


    Lichen simplex
    chronicus


    Parapsoriasis/m
    ycosis
    fungoides


    HaileyHailey
    disease


    Langerhans cell
    histiocytosis



    Dermatitis



    Seborrhei
    c



    Perioral



    Contact


    Acne
    rosacea


    Lupus
    erythemat
    osus


    Acne
    vulgaris


    Annular
    psoriasis
    (children)


    Seborrheic
    dermatitis


    Alopecia
    areata


    Trichotillo
    mania



    Psoriasis



    If pustules:



    Pyoderma



    Folliculitis



    If scarring:



    Lichen
    planus



    Discoid
    lupus
    erythematos
    us


    Folliculitis
    decalvans


    Dermati
    tis



    Dyshidr
    otic



    Contact


    Psoriasi
    s



    Vulgaris



    Pustular


    Juvenile
    plantar
    dermato
    sis


    Seconda
    ry
    syphilis


    If
    interdigi
    tal:


    Erythras
    ma
    DIFFERENTIAL DIAGNOSES OF DERMATOPHYTE INFECTIONS
    Tinea corporis Tinea cruris Tinea faciei Tinea capitis Tinea pedis


    Annular
    psoriasis


    Subacute
    lupus
    erythemat
    osus


    Granulom
    a annulare



    Impetigo





    Central
    centrifugal
    cicatricial
    alopecia




    Bacteria
    l
    infectio
    n, e.g.
    GNR
    GNR, Gram-negative rods.

    The typical incubation period is 1 to 3 weeks. Infection spreads centrifugally from the point of
    skin invasion, with central clearing of the fungus, typically resulting in annular lesions of varying
    sizes (Fig. 76.4A). However, lesions may assume other shapes (e.g. arcuate, circinate, oval) (Fig.
    76.4B). Most are scaly, although scale may be lessened or absent if topical corticosteroids have
    been used (tinea incognito). Pustules within the active border is a finding suggestive of tinea

    Fig. 76.4 Tinea corporis. A Annular lesion on the arm with active scaly border. B Widespread involvement of the back with
    scalloped inferior border. C Pustules within multiple figurate lesions on the upper arm.


    Clinical variants of tinea corporis include tinea profunda, Majocchi's granuloma and tinea
    imbricata. Tinea profunda results from an excessive inflammatory response to a dermatophyte
    (analogous to a kerion on the scalp). It may have a granulomatous or verrucous appearance and
    be mistaken for cutaneous tuberculosis, a dimorphic fungal infection or squamous cell
    carcinoma. Majocchi's granuloma, caused by T. rubrum, is characterized by perifollicular
    pustules or granulomas (Fig. 76.5). This variant, commonly seen in women who have tinea pedis
    or onychomycosis (caused by T. rubrum) and who also shave their legs, occurs when infected
    hairs penetrate the wall of the follicle. The lesions may be extensive and possibly vegetating, and
    also occur in the setting of immunosuppression.


    Fig. 76.5 Majocchi's granuloma. Perifollicular inflammation and pustules on the buttocks due to Trichophyton rubrum.

    You might also like