Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar

8/13/2019 Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar

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PREVALENCE AND CLINICAL FEATURES OF PITYRIASIS VERSICOLOR

AMONG STUDENTS IN TWO BOARDING SCHOOLS IN DENPASAR

Azhar Ramadan Nonci, Yulia Trisna Wijaya, IAK Utami Dewi, Made wasti!a Adi"una

De#artment o$ Dermato%enereolo"y, &aculty o$ Medicine, Udayana Uni%ersity,an"lah 'eneral (os#ital, Den#asar, Indonesia

Background

)ityriasis %ersicolor *)+, is a common su#er$icial $un"al in$ection o$ the s!in- It is caused .y

Malassezia s#ecies and #articularly common in tro#ical and su.tro#ical countries- Many

$actors are sus#ected to contri.ute to )+ #atho"enesis- Re"ardin" these #ro.a.le and #ossi.le

ris! $actors, we $elt that .oardin" school is a uni/ue #o#ulation which can .e a$$ected .y this

in$ection-

O!"#c$%

The aim o$ the #resent study was to determine the clinical and e#idemiolo"ical #ro$ile o$

#ityriasis %ersicolor in .oardin" schools in Den#asar-

M#$'od

Total o$ 01 students o$ two .oardin" schools in Den#asar were screened $or )+- A 234 K5(

e6amination o$ s!in scra##in" was done in all the screened students- )+ was dia"nosed in

students whose s!in scra#in"s showed s#ores and hy#hae- A /uestioner included, se6, a"e,

disease duration, num.er o$ occu#ants7.edroom, #i"mented chan"es and in%ol%ed area is

$illed $or each screened student- The clinical and e#idemiolo"ical data was noted-

R#(u)$

In the #resent study, 894 o$ all students were #ositi%e $or )+, :94 were .oys, and 2;4 were

"irls- )+ was $ound to .e commonest in the a"e "rou# 2224- In 0>4 screened students the lesions were on the $ace and $rom all screened students

the lesions were hy#o#i"mented macules-

Conc)u(%on

)ityriasis %ersicolor was a hi"h #re%alence in .oardin" schools in Den#asar whereas

en%ironmental $actors #lay a role $or this disease-

*#+ ,ord(?prevalence, clinical features, pityriasis versicolor, boarding school


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In$roduc$%on

)ityriasis %ersicolor *)+ also called tinea %ersicolor is a common chronic su#er$icial $un"al

in$ection o$ the s!in caused .y Malassezia s##-2 The in$ection #resents most commonly as

#i"mentation chan"es in the s!in .ut also can .e accom#anied with #ruritus-=The etiolo"ic

a"ent Malassezia furfur is a dimor#hic, li#o#hilic $un"us which is a common endo"enous

sa#ro#hyte o$ normal s!in- Under a##ro#iate conditions, it con%erts $rom the sa#ro#hytic

yeast to the #redominantly #arasitic mycelial mor#holo"y associated with clinical disease-8

Many #redis#osin" $actor ha%e .een #ro#osed $or this disease such as late teen and

youn" adulthood a"e,; tro#ical and su.tro#ical climate, immunosu#resion,0 use o$ oral

contrace#ti%e,9 hy#erhidrosis,>malnutrition,:#oor hy"iene1and a $ew other condition- This

disease occurs worldwide with #re%alence as hi"h as 83


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&i" 2? Total num.er o$ students screneed and #ositi%e with )+

The a"e ran"e o$ the students was $rom 024 *&i" 0- Boardin" school is a #lace where the

humidity is %ery hi"h due to o%ercrowdin" in one .edroom-

Ta.le 2- Demo"ra#hics and clinical characteristics amon" students in = .oardin" schools in Den#asar

*nC=2 %

Sex

Boys 18 86

Girls 3 14

Age

5-10 4 19

11-15 > 15

116

5229

Disease duration

1 !ont" 5 24

1-2 !ont"s 9 43

> 2 !ont"s

#u!$er o%o&&u'ants($edroo!

1-5 5-10 10-15

)n*ol*ed area +a&e #e&,

15

15

1044

33

5241

481919

01 Total no- o$ students *0 to 2: years

81 (y#o#i"mented lesions

=2 K5( #ositi%e 2: K5( ne"ati%e


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5/8

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

&i" 8- Distri.ution o$ )+ accordin" to a"e

Age Range

(Year)

19.0% 52.0% 29.0%

5-10 yrs 11-15yrs >15

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

&i" ;- Distri.ution o$ )+ accordin" to

disease duration

Disease

duration

(month)

24% 4% %

! 1

month

1-2

months

> 2

month

&i" 0- Distri.ution o$ )+ accordin" to .edroom occu#ancy

224

9 10 students


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&i" 9- Distri.ution o$ )+ accordin" to in%ol%ed area

A6tremities

2;4

&ace

;:4

Trun!

214

Nec!

214

Face

Neck

Trunk

Extreities

Conc)u(%on

In conclusion, 894 students o$ two .oardin" schools in Den#asar were #ositi%e $or #ityriasis

%ersicolor which is a hi"h #re%alence $or this disease- )re$erential $acial localization in

students a"e is characteristic o$ childhood and tenna"ers- This was an e6#ected outcome

considerin" hi"h le%el o$ #hysical acti%ity, acti%ity o$ se.aceous "lands in this a"e and

li#o#hilicity o$ the causati%e $un"us- )+ should .e !e#t as a di$$erential dia"nosis in

hy#o#i"mented macules es#ecially when on the $ace- The #re%alence o$ )+ increased with

increase in the num.er o$ occu#ants #er .edroom in the .oardin" schools- (a%in" u# to ten or

more occu#ants in a .edroom associated with #oor hy"iene, and o%ercrowded li%in"

conditions and these $acilitate the transmision o$ )+ that en%ironment $actors #lay a role $orthis disease- &urther studies will .e necessary in order to e6#lain the relationshi#s o$ the

en%ironment $actors and this disease-

R#-#r#nc#(

2- l


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0- 'ulec AT, Demir.ile! M, ec!in D, @an &, aray Y, ari$a!io"lu - u#er$icial

$un"al in$ections in 23= renal trans#lant reci#ients? A case


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Documents

Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar