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Tutorial Klinik: Tinea Capitis
Tutorial Klinik: Tinea Capitis
TINEA CAPITIS
DEFINISI
hair loss.
EPIDEMIOLOGI
• Wood Light
bewarna kuning
• Pada jamur
penyebab Favus bisa
bewarna biru
• Dermoscopy
• broken hairs, dystrophic hairs,
corkscrew hairs, comma hairs,
and black dots
HISTOPATOLOGI
• (arthroconidia or hyphae) within or surrounding hair shafts
• Perifollicular mononuclear infiltrate in the dermis
• Multinucleated giant cells in the dermis
TREATMENT
• Griseofulvin
• Adult: 0.5-1 g daily in single or divided doses. Treatment duration: 2-8 wk (hair and
skin infections); up to 6 mth (fingernail infections); ≥12 mth (toenail infections).
Child: 10 mg/kg daily in divided doses.
• Ketoconazole (Hepatotoxic)
• Adult: 200 mg once daily; may increase to 400 mg once daily if clinical response is
insufficient. Continue treatment until symptoms have cleared and cultures have
become negative.
Child: ≥2 yr 3.3-6.6 mg/kg once daily. Treatment duration: 1-2 wk for candidiasis; at
least 4 wk in recalcitrant dermatophyte infections and up to 6 mth for other systemic
mycoses.
• Antifungal shampoo by all household members for two to four weeks.
Person with tinea capitis should avoid sharing hair care tools and headwear
PROGNOSIS
• The prognosis of tinea capitis is excellent, with complete clearance
occurring in most patients after a course of treatment.
• Complete hair regrowth occurs in most children with hair loss
• Pasien An. RS (7 th) Berat 25 KG