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JURNAL Update Terapy Mycoses
JURNAL Update Terapy Mycoses
I D E N T I TA S J U R N A L
JUDUL JURNAL : Update On Therapy For
Superficial Mycoses: Review Article Part I
PENULIS : Maria Fernanda Reiz Gavazzoni Dias,
Fred Bernardes-filho, Regina Casz Schechtman,
Maria Victoria Pinto Quaresm-santos, Adriana
Gutstein Da Fonseca Amorim, David Rubem
Azulay
TA H U N T E R B I T : 2 0 1 3
PENERBIT : Anais Brasil Ei Ros De Dermatolog y
2013 ;88(5):764-74
INTRODUCTION
Candidiasis and
Pityriasis Vesicolor :
example of major
superficial mycoses
SUPERFICIAL MYCOSIS
2 category : non-inflammation
and inflammatory infections
NON INFLAMMATORY INFECTIONS
Causing slight inflammation :
PITYRIASIS VERSICOLOR :
•tropical countries
•characterized by black
concretions in scalp hair
WHITE PIEDRA
DERMATOPHYTOSES
Anthropophylic
Zoophilic
Geophilic
Topical
• selenium sulfide (2.5% to 5%) shampoo : 1x/Day
• Ketoconazole shampoo (1 or 2%).twice a week
for 2-4 week
• Topical options include azoles/allylamines
creams and lotions, propylene 50% in water,
nystatin, salicylic acid and a great variety of anti-
dandruff shampoos
Systemic
PIEDRAS
• the general rule is to carry out
trichotomy on affected hair and use
sublimate solution 1/1000 or even
1/2000 in 60% alcohol.
DERMATOPHYTOSES
• TINEA CAPITIS
Griseofulvin is the medication of choice for cases
of tinea capitis caused by types of microsporum
• more effective than terbinafine (recommendation
classification A; evidence force 1b); fluconazole
(recommendation
• classification A; evidence force 1b) and
itraconazole (recommendation classification A,
evidence force 1b).
• TINEA PEDIS / TINEA MANUUM
• topical treatments recommended :
• for non-inflammatory forms: isoconazole,
tioconazole, econazole, ketoconazole and
biconazole
• sulfur tiocarbamates, such as tolnaftate and
tolciclate; ciclopirox
• olamine and terbinafine in 1% cream are used
once or twice a day, during a period of 4-6 weeks
TINEA CORPORIS / CRURIS
TINEA UNGUIUM