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Kandidosis Kutis
Kandidosis Kutis
KANDIDOSIS
KUTIS
Nadhirah Ananda Idris | 70700120034
Ahmad Fari Arief Lopa | 70700120038
Pembimbing
: Supervisor :
dr. Alifia Ayu Delima Dr. dr. Sitti Musafirah, Sp.KK, FINS-DV
Etiology yeast
dimorphic fungi which allow for
70-80% of all candida infections,
making it the most common
cause of superficial and systemic
candidiasis
Living as a saprophyte isolated
from the skin, mouth, vaginal
mucous membranes, and feces of
normal people
Candida Albicans
01 changer
Age, pregnancy,
Systemic Disease
Endochrine disease (diabetes, cushing
menstruation
04 syndrome), down syndrome, uremia,
malignancy, imunodeficiency
Mechaninc factors
01 Usia, kehamilan,
Penyakit Sistemik
Penyakit endokrin (DM, sindroma
dan haid
04 cushing), Down syndrome, uremia,
keganasan dan imunodefisiensi
Faktor Mekanik
02 Trauma (luka bakar, aberasi),
oklusi lokal, kelembaban,
maserasi, kegemukan Iatrogenik
05 Penggunaan kateter,
radiasi sinar X, obat-
Faktor Nutrisi obatan (antibiotik,
03 Avitaminosis, defisiensi
zat besi, malnutrisi
glukokortikoid
Clasification and clinical symptoms
1. Localized
Candida Candida
Intertrigo
beefy-red patches Perianal
The lesion is
and plaques with macerated like a wet
satellite papules and type dermatophyte
pustules at the infection. This
periphery, with disease causes
eritematous pruritus ani.
Intertriginous areas,
particularly the
axillae,
inframammary folds,
groyn folds, and
2. 3.
Vulvovaginit
In patients with vulvovaginitis,
Balanitis/Balanopostiti
Risk factor sexual contact
isthick, white, curdlike
a swith a partner suffering
discharge is typical. Pustules vulvovaginitis, diabetes melitis
are seen more frequently in and non-circumcision
balanitis and balanoposthitis Lession erosi, pustules with
than in vulvitis thin walls, found on the glans
Severe symptoms burning penis and coronary glandic
sensation, pain after urination, sulcus
dyspareunia, edema labia
minora and superficial ulcer
around the vaginal
Flour albus yellow
4. Diaper- 3.
Rash
The disorder is triggered by the
Balanitis/Balanopostiti
Risk factor sexual contact
presence of yeast colonization in swith a partner suffering
the gastrointestinal tract. vulvovaginitis, diabetes melitis
Infection may occur due to and non-circumcision
chronic occlusion of the diaper Lession erosi, pustules with
area by wet diapers thin walls, found on the glans
In the diaper area, the classic penis and coronary glandic
presentation is beefy-red sulcus
erythematous plaques with
satellite papules and pustules
Paronychia
Often suffered by people whose work is related to water, this form is the most common
Candida also has been implicated in chronic paronychia, which presents with erythema of
the proximal nailfold area (boilstering) with loss of the cuticle and skin breakdown
(sometimes with associated onycholysis and nail dystrophy)
swelling without festering, thick, hardened and grooved nails, sometimes brownish, not
brittle, still shiny, there is no remaining tissue under the nails such as tinea unguium,
DIAGNOSIS
0 0 0
1 2 Swab
3
KOH “gold standard”
Culture
pseudohyph taken from an Skin
intact pustule
ae and
if possible
Biopsy
budding
yeast
Treatment
Eliminating or avoiding of
Systemic
predisposig factors
Terbinafine is one of the antifungal derivatives belonging to the
allinamine group The triazole group
This drug is a broad spectrum antimycotic drug. Has the same way of
working with the azole group, Imidazole group.
Ketoconazole was introduced in 1971 as the first effective azole class
anti-fungal. However, due to side effects, safety and efficacy of treatment,
-
Gentian violet solution 0,5-1% for mucous membranes, 1-2% skin twice a day
3days
-
Nystatin : Creams, ointmens, emulsions, in oral candidiasis without
complications given 400 thousand to 600 thousand units 4 times a day
-
Amfoterisin B2
-
Miconazole 2% in the form of cream or powder - Clotrimazole 1% in the form of
powder, solution and cream Thioconazole, bufonazole, isoconazole -
Cyclopyroxolamine 1% solution, cream
Differential Diagnosis
The differential diagnosis of approaching oral candidiasis includes lichen planus, herpes infection, erythema multiforme
and pernicious anemia. It is necessary to consider the possibility of mucositis due to chemotherapy, lupus erythematosus,
histoplasmosis and salicylate toxicity.
Localized candidosis by:
a. Erythrasma: lesions in the folds, the lesions are more red, defined, dry, no satellites, examination with positive wood rays.
b. Intertriginous dermatitis
c. Dermatophytosis (tinea)
d. Psoriasise
e. Seborrheic dermatitis
Prognosis
Generally good, depending on the severity of
the predisposing factors
Conclusion
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