8/12/2019 Presentasi Tinea Barbae
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TINEA BARBAESUPERVISOR :
dr. ANNI ADRIANI, Sp.KK
ADVISOR :
dr. DIANA MUCHSIN
PRESENTERS :
MOHD SYAIFUL
ILHAM SARIF
KASMALIANA
8/12/2019 Presentasi Tinea Barbae
2/20
DEFINITION
Tinea barbae is ringworm of the beard and
moustache areas.
It seen only in males
It is largely transmitted by contaminated
barbers razors in the past, now more often
contracted by direct exposure to cattle, horses
or dogs
8/12/2019 Presentasi Tinea Barbae
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ETIOLOGY
zoophilic organism
T. mentagrophytes
T. verrucosum
uncommonly M. canis
anthropophilic organism
M. megninii
T. schoenleinii
T. violaceum
Uncommonly T. rubrum
8/12/2019 Presentasi Tinea Barbae
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EPIDEMIOLOGY
Tinea barbae is infrequent around the world.As with other dermatophytoses, tinea barbaeis more common in countries in which
weather is characterized by high temperaturesand humidity.
Tinea barbae is more common among ruralinhabitants, and zoophilic dermatophytesconstitute its primary pathogens.
Usually affected an adult (30-40 y.o)
8/12/2019 Presentasi Tinea Barbae
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PATHOPHYSIOLOGY
T. Mentagrophytes and T. verrucosumattacked the stratum corneum of epidermisand hair follicle
The dermatophyte produced keratinase
enzyme which necessary to invadekeratinins of the epidermis and hair
formed inflamed nodules with multiple
pustules and crust cover the skin surface
follicular pustulation demonstrate brittlehair and easily epilated
8/12/2019 Presentasi Tinea Barbae
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CLINICAL FEATURES
1. Inflammatory type
- Caused by T. mentagrophyte and T. verrucosum
- Analogous to kerion formation in tinea capitis
- The lesions are nodular and boggy with a
crusting seropurulent discharge
- Hair are lusterless, brittle and easily epilated
- Form scarring alopecia
8/12/2019 Presentasi Tinea Barbae
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Inflammatory type
8/12/2019 Presentasi Tinea Barbae
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2. Superficial type
closely resembles bacterial folliculitis
mild diffuse erythema and perifollicular papules
and pustules
Hairs are dull and brittle
More likely T. violaceum endothrix infection than
T. rubrum
8/12/2019 Presentasi Tinea Barbae
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Superficial type
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3. Circinate type
Like tinea circinata of glabarous skin
Active, vesiculopustular border with central
scaling
8/12/2019 Presentasi Tinea Barbae
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Circinate type
8/12/2019 Presentasi Tinea Barbae
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ANAMNESIS
Main complaints : red bumps around mouth,jaw, chin and/ or neck
Other complaints : first appeared flat red
patches, later became bumpy withpustule,exudate and crust that cover the skinsurface. Itchy, hair are brittle and easilyepilated. The patient have fever and malaise.The patient have history of contact withanimals
8/12/2019 Presentasi Tinea Barbae
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PHYSICAL EXAMINATION
Dermatological status
Location : regio facialis , colli
Effloresence : erythematous patches with raised
border, scaly patches with papule, pustule or
crust, follicular pustule, abscess
8/12/2019 Presentasi Tinea Barbae
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DIAGNOSIS
Tinea barbae can be diagnose by mycology
investigation
Wood lamp examination
KOH
Culture
Biopsy -- Histopathology
8/12/2019 Presentasi Tinea Barbae
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DIFFERENTIAL DIAGNOSIS
Sycosis vulgaris
(bacterial folliculitis)Perioral dermatitis
8/12/2019 Presentasi Tinea Barbae
16/20
Pseudofolliculitis barbae Contact Dermatitis
8/12/2019 Presentasi Tinea Barbae
17/20
Acne vulgaris Herpes simplex
8/12/2019 Presentasi Tinea Barbae
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TREATMENT
Systemic
griseofulvin 500-1000 mg/day for 6-12 weeks
terbinafine 250 mg/day for 4 weeks
itraconazole 200 mg/day for 4-6 weeks
fluconazole 150 mg/day fore 6 weeks
Topical
Allylamine
Azole (ketokonazole 2% )
8/12/2019 Presentasi Tinea Barbae
19/20
PROGNOSIS
The successful of treatment depends on the
elimination of the source of infection,
especially contact with infected animals
Treatment of other fungal infection such as
tinea pedis and onychomycosis is essential,
because of a possible autoinoculation.
8/12/2019 Presentasi Tinea Barbae
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