Clinical and Cure Profile of Tinea Capitis Patients

Farah Ayu Noviannisa, L. Astari, Lindawati Alimsardjono
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Abstract

Background: Tinea capitis (TC) is a superficial mycoses infection of hair follicles and hair shaft caused by dermatophytes of the genus Trichophyton and Microsporum. Tinea capitis can cause hair loss and scales with varying degrees of inflammatory response. The incidence varies depending on geographical location and factors that affect the incidence rate. It is important to know the incidence also the clinical and cure profile of tinea capitis to provide benefits in the prevention, diagnosis, and treatment. Purpose: To evaluate the clinical and cure profile of TC patients at the Dermatology and Venereology Outpatient Clinic of Dr. Soetomo General Academic Hospital Surabaya from January 2019 to January 2020. Methods: A retrospective descriptive study based on medical records with a total sampling technique. Result: Of the 10 TC patients, who were the research subjects, TC predominantly affected males and at 5–11 years age group. The highest risk factor was a history of contact with cats. Scales were the most common clinical feature. Microsporum canis was the most common causative species, ectothrix arthrospores was revealed during the direct microscopic examination, Wood lamp's fluorescence was mostly yellow-green, and cigarette-shaped hair was the most common dermoscopic finding. Eighty percent of subjects were diagnosed with gray patch type. Conclusion: The diagnosis of TC was established based on the patient's history, clinical examination, and supporting examination.
头癣患者的临床及治疗概况
背景:头癣(Tinea capitis, TC)是一种由毛癣属和小孢子属皮肤真菌引起的毛囊和毛干的浅表真菌感染。头癣可引起脱发和鳞屑,并伴有不同程度的炎症反应。发病率因地理位置和影响发病率的因素而异。了解头癣的发病率、临床和治疗概况对预防、诊断和治疗有重要意义。目的:评估2019年1月至2020年1月泗水Soetomo综合学术医院皮肤科性病门诊TC患者的临床和治愈情况。方法:采用全抽样方法对病历资料进行回顾性描述性研究。结果:研究对象10例TC患者中,TC以男性为主,年龄在5 ~ 11岁。风险最高的因素是与猫有过接触史。鳞片是最常见的临床特征。犬小孢子虫是最常见的致病菌种,直接镜下可见外生thrix节肢孢子,Wood灯荧光多为黄绿色,皮肤镜下最常见的是香烟状毛发。80%的受试者被诊断为灰色斑块型。结论:TC的诊断是基于患者的病史、临床检查和辅助检查。
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