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ENGLISH FINAL TEST

DERMATOPHYTOSIS
FATKHAN BAITUL RIDWAN
30101306944
SGD 1
SCENARIO
35 year old man comes to hospital with
symptoms of red patches at his right foot that
itchy and with escalated border. These
symptoms has been felt for 24 days. He feels
more itchy when he sweating and wearing
shoes. He noticed that these red spot were
spread onto his right instep 2 days ago. From
the physical examination, it can be seen there
are polysiclic erythematous lessions with
papules and vesicles on its active border while
at the core of the lessions it can be found
central healing phenomenon
STEP 1

Polysiclic erythematous lessions


- Skin lesions or lesions that become one that
initially separated from each other by
scratching the lesions become one
Central healing
- The pattern of rounded, central calm, active
edge
- The process of healing that originated from
the middle
STEP 2
1. Why there is polysiclic lessions, with papul
and vesikel on its active?
2. What are the risk factor of fungal infection
3. What is the diagnose from the scenario
4. What are the differential diangnosis of this
case?
5. How do the etiological factor of this case?
STEP 3
1. Why there is polysiclic lessions, with
papul and vesikel on its active ?

- Active edge because there are active fungal


elements in the destruction of healthy skin
but the body is in the form of inflammatory
defense, because the lesions are widespread
on the active edge of the widened and
become one: polycyclic
2. What are the risk factor of fungal
infection?
- Due to lack of hygiene
- Decreased endurance
- The presence of other diseases in the skin
- Environment carrier mushrooms
- Temperature
- humidity
3. What is the diagnose from the scenario ?
- Includes disease dermatophytosis
- Tinea pedis: because it occurs in the legs
4. What are the differential
diangnosis of this case?
What are the differential diangnosis of this
case?
Erythromatosus papulus squamosa
Psoriasis
Dermatitis seboroic
Pthyriasis rosea gibert
5. How do the etiological factor of
this case?
Divided into 3 genera: mikrosporon (hair
and kult), Tricophyton (hair, skin, nails),
Epidermophyton (skin, nails).
Growing up in a layer of dead skin / keratin,
have the ability to utilize keratin as a
nutrient source
Prof. Dr. Dr. Adhi Juanda. 2010. Ilmu
Penyakit Kulit dan Kelamin edisi keenam.
Jakarta: fakultas kedokteran universitas
Indonesia
conclusion
Dermatophytosis is skin disease which
caused by fungi, affected inflammation on
skin
Characteristic of dermatophytosis :
- vesikel
- papul
- squamous
- central healing
THANK YOU

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