LANG BEN

LANG BEN
PITYRIASIS VERSICOLOR

Bnh nm ngoi da

Tc nhn gy bnh: Pityrosporum orbiculaire (

Malassesia furfur, Pityrosporum ovale)

P. orbiculaire l sinh vt c hi lang ben

khng ly m do s tng sinh bt thng ca
thm nm thng tr da.
 LANG BEN

Yu t thun li:

Tit cht b nhn nhiu

Tng m t b mt da.

Dng corticoid lu ngy

Dch t:

Hay gp la tui 15-17 (dy th)

Trn 50 tui t b bnh hn do gim tit b

nhn
 LANG BEN
LM SNG
Sang thng da:
Dt: NHIU MU- trng, hng, vng nht, nu, en
Hnh trn, bu dc hay lin kt thnh m,
B ngon ngoo
Gii hn ST r
B mt c vy cm mn
Du hiu dm bo
V tr: ch yu pha trn thn ngi (mt, c, ngc,
lng), c khi i v cng chn
Nga khi ra nng hay m hi.
 LANG BEN

LM SNG

Di nh sng n Wood, dt pht hunh

quang xanh l cy v nhng dt khng
thy c bng mt thng s l ra

Bnh dai dng , d ti pht.

Cn lm sng: co vy, nh KOH, soi knh hin vi: t bo ht
men trn xp thnh cm xen k vi nhng on si t nm
ngn, thng, cong thnh hnh Y,Z, V,S cho hnh nh tht trn
nui.
 LANG BEN

Chn on:
Ch yu LS
Soi ti tm nm: hnh nh tht trn nui
iu tr:
Tm: x phng, Nizoral shampoo
Thuc thoa v thuc ung khng nm:
Ketoconazol (Nizoral), Itraconazole
 PH LC
Bng 1: Thuc bi iu tr nm cn:
H thuc Tn bit dc Tc dng iu tr
Dermatophyte Nm men Ca Lang Ben
Imidazoles Clotrimazole + + +
Econazole + + +
Ketoconazole + + +
Miconazole + + +
Oxiconazole + + +
Sulconazole + + +
Tioconazole + + +
Isoconazole + + +
Fenticonazole + + +
Allylamines Naftifine + + +
Terbinafine + + +
 PH LC
Bng 1: Thuc bi iu tr nm cn:

Polyenes Nystatin - + -
Naphthionates Tolnaftate + - -
Ciclopiroxolamine + + +

Thuc khc BSI + - +

ASA + - +
Castellanie + + -
Withfield + - -
Selenium sulfide - - +
Griseofulvine + - -
 PH LC
Bng 2: Thuc ung iu tr nm cn

H thuc Tn khoa hc Tc dng iu tr

Dermatophyte Nm men Lang Ben

Imidazoles Miconazole + + +
Ketoconazole + + +

Triazole Fluconazole + + +
Itraconazole + + +

Allylamines Terbinafine + + -

Polyenes Nystatine - + -

Thuc khc Griseofulvine + - -

Amphotericin B - + -
XIN CM N!