Teaching Bangsal I - Tinea Cruris (1)

7/23/2019 Teaching Bangsal I - Tinea Cruris (1)

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Isriyanti Silonde C 111 11 350Winda Merlysa Allorerung C 111 11 115

Anggisani Syawal A C 111 11 102

Nur Izzati Nabila Suriali C 111 11 858

Azrin Nurfarain !ainal Abidin C 111 11 8"3

Nurul Nadia Ari#n C 111 11 85$

Mod %adzley &a'ar C 111 11 833

Mua((ad Sya(il )ozlan C 111 11 81*

Mi+dad (od suberi C 111 11 82,

-a.z -azwan C 111 11 88*

BAGIAN ILMU KESEHATAN KULIT DAN KELAMIN

FAKULTAS KEDOKTERAN

UNIVERSITAS HASANUDDIN



PATIENT’S IDENTITYPATIENT’S IDENTITY

Name : Dian Ayu Prai!i

Re"#r$ N#% : &'()*(+,

A-e : .+ year/ #0$

Maria0 Sau/ : Sin-0e

A$mi//i#n : (



ANAMNESISANAMNESIS

12ie3 1#m40ain: B0a"5 4a"2 #n 2e ri-2(0e3

6u#"5 an$ 6a"5 #3 2i-2

Anamne/i/

S2e 2a$ e74erien"e$ i /in"e a6#u !# !ee5/ a-#%Iniia00y8 i a44eare$ #n 2e ri-2 6u#"5% T2en /4rea$ #

2e 0e3 6u#"5 an$ 6a"5 #3 2e 2i-2% Paien’/ "2ie3

"#m40ain i/ 2e a44earan"e #3 60a"5 4a"2 a""#m4anie$

6y "#m40ain/ #3 i"2in-8 n# 4ain an$ n# num6ne//%



1URRENT STATUS1URRENT STATUS

(16 November 2015) Genera0 1#n$ii#n : Mi0$

A!arene// : 1#m4#/ meni/

Nurii#na0 Sau/ : G##$

Hy-iene : G##$

Via0 Si-n/ ( BP : ).9,9 mmH-

( Pu0/e: ,.7minue

( RR : .; 7minue( Tem4: '*%& <1



-ead / Nor(oeal efor(ities / 4

Sy((etrial fae/ 6eft 7 )igt-air/ Straigt ard re9o:ed

eye / <:sotal(us=<notal(us / 4=4 (o9e(ent /Nor(al

eye>s lid/ <de(a alebra 4

Con?unti9a / Ane(is 4 on?unti9a In?etious 4Slera / Iterus 4 @uil / Iso:or 25 ((= 25 ((

ear / Boi / 4 earing /Nor(al

Serete 4



Nose / <istais 4 Serete / 4

Mout / li / dry 4 Bonsil / B14B1-yere(esis 4

teets/ Caries dents 4 %aring / -yere(esis 4

Du(/ bleeding 4 tongue / witis 4 iere(esis 4

ne: / 6y( nodes/ No enlarge(ent Byroid/ No enlarge(ent ES/ ) F 1 (-2G Hlood 9essels/ Nor(al

Sti' ne:/ 4

Bu(or / 4



Cest / Insetion/ Sy((etrial left 7 rigt

%or(/ Nor(oest sy((etrial left and rigt Bere does not aear 9ene:tasi

Ma((ary = S/ Nor(al ICS/ Sy((etrial left 7 rigt widened i(ression 4

Gter 4@ul(onary / Insetion/ e9elo(ent of sy((etrial rigt andleft est

isneu 4 taynea 4 est retration 4

@alation/ %re(itus on?eture/ Sy((etrial left 7rigt Benderness/ 4 @erussion/ 6eft 6ung/ Sonor rigt lung/ Sonor

6ung4li9er li(its/ ICS EI anterior detra )igt beind lung boundary/ As ig CE

B J detra @ul(onary left rear boundary/ As ig CE B

JI sinistraAusultation/ Be sound of breating/ EesiularAdditional sound/ ron:i 4 = 4 Weezing 4 = 4



Car / Insetion/ Itus ordis does not aear @alation/ Itus ordis was not alable te trill 4 @erussion/ dull -eart uer li(it/ ICS III sinistra)igt eart border/ 6inea arasternalis detra ICS IE6eft eart border/ 6inea (idla9iularis te left ICS EAusultation/ H& I = II/ @ure regularadditional sound/ Noise 4

Sto(a Insetion/ %lat follow te (otion of breat Ausultation/ nor(al eristalsis i(ression @alation/ tu(or (ass 4 tenderness 4 6i9er/ Not alable Sleen/ No alable Kidney/ Hallote(ent 4 @erussion/ Bi(ani F

Denitals / Not ea(ined

Be anus and retu(/ )etal touer/ Not aliable



Ha:s / Insetion/ Motion breat sy((etrialleft 7 rigt :yosis 4 lordosis 4

soliosis 4@alation/ %re(itus on?eture/

Sy((etrial left 7 rigt

Massa tu(or 4 tenderness 4 @erussion/6i(it lung rigt beind/ As ig CE B Jdetra left beind lung 6i(it/ As ig CE B@ain of word sinistra JI/ 4

Ausultation/ Eesiular ron:i 4 = 4

Weezing 4 = 4

<tre(ities/ wit in nor(al range



DERMATOLOGI1AL STATUSDERMATOLOGI1AL STATUS L#"ai#n: Re-i# G0ueu/ $e7ra e /ini/ra

Si=e : Variai#n

E330#re/"en"e : Ma"u0a 2y4er4i-menai#n 40a>ue

!i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-

er#/i#n8 e7"#riai#n% L#"ai#n : 2i-28 4#/eri#r $e7ra e /ini/ra

Si=e : Variai#n

E330#re/"en"e : Ma"u0a 2y4er4i-menai#n8

/"a0in-8 er#/i#n



PATIENT’S PHOTO1st DAY

Ma"u0a 2y4er4i-menai#n 40a>ue !i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-

er#/i#n8 e7"#riai#n%



Ma"u0a 2y4er4i-menai#n8 /"a0in-8 er#/i#n







Hy-iene : G##$

Via0 Si-n/ ( BP : ))9&9 mmH-

( Pu0/e: ,.7minue

( RR : .* 7minue( Tem4: '*%+ <1




Si=e : Variai#n




Si=e : Variai#n


/"a0in-8 er#/i#n



PATIENT’S PHOTO2nd DAY












Hy-iene : G##$

Via0 Si-n/ ( BP : ).9&9 mmH-

( Pu0/e: ,97minue

( RR : .; 7minue( Tem4: '*%* <1




Si=e : Variai#n




Si=e : Variai#n


/"a0in-8 er#/i#n



PATIENT’S PHOTO3rd DAY








DIAGNOSISDIAGNOSIS

Tinea 1ruri/



DIFFERENTIAL DIAGNOSISDIFFERENTIAL DIAGNOSIS

1an$i$ia/i/P/#ria/i/ Tinea 1ruri/



TREATMENTTREATMENT?)* N#@em6er .9)+

Ora0

Ke#5#na=#0e a6 .99m-.;2#ur#ra0

Ta5e i in 2e m#rnin-8 2e 0a4/e #3 . 2#ur/ 3r#m a3er

a5in- #2er $ru-/% Ta5e i #n an em4y /#ma"2 T#4i"a0

○ Sa0i"y0i" a"i$ 'C

○ Mi"#na=#0e "r .9-r

a440y !i"e a $ay8 m#rnin- an$ e@enin-



Treamen 3r#m Inerna0 Me$i"ine

$e4armen?)* N#@em6er .9)+ L#! /a0 $ie

O. '0ier minue

Ome4ra=#0e .9 m-).2#ur#ra0 N(A"e .99m-).2#ur#ra0

Am0#$i4ine +-.;2#ur#ra0

Para"eam#0 +99m-,2#ur#ra0 Rim/ar ; FD1 'a60e.;2#ur#ra0



RESUMERESUME

A 4aien8 !#men8 .+ year #0$ "ame # 2e RSS!i2 60a"5 4a"2 #n 2er ri-2(0e3 6u#"5 an$ 6a"5

#3 2i-2 "#m40ain% S2e 2a$ e74erien"e$ i /in"e

a6#u !# !ee5/ a-#% Iniia00y8 i a44eare$ #n 2e

ri-2 6u#"5% T2en /4rea$ # 2e 0e3 6u#"5 an$

6a"5 #3 2e 2i-2% Paien’/ "2ie3 "#m40ain i/ 2e

a44earan"e #3 60a"5 4a"2 a""#m4anie$ 6y

"#m40ain/ #3 i"2in-8 n# 4ain an$ n# num6ne//%





Binea ruris is a der(atoyte infetion of teinguinal region in artiular te inner asets ofte uer tigs and rural folds wit ossibleetension onto te abdo(en and butto:s in(ore se9ere ase

Wile tinea ruris ours worldwide li:e (ostoter de(atoyte infetions it is (oreo((on in troial en9iron(ents

Be tree (ost o((on ausati9e agents are

<ider(oyton Loosu( B rubru( and B(entagroytes



Be disease our in (en and wo(enbut it is (u (ore often seen in (en forse9eral reason/ te srotu( enourages a

war( and (oist en9iron(ent and tineaedis and onyo(yosis are bot (oreo((on in (an

Gter redisosing fators inlude

obesity and eessi9e ersiration Binearuris is fre+uently assoiated wit Bineaedis beause loting tat is brougto9er te feet is onta(inated and ten

o(es in ontat wit s:in in te groinregion



Binea ruris is alled (yosis suer.sialor eze(a (arginatu( double it

?o:ey it ring wor( of te groin wilassify under aute = roni

der(ato.tosis grou S:in lesions (ay be li(ited to te

region = area genitorural alone oretends to te area around te anus

te area under gluteus and lowerabdo(inal or oter art of body



er(atoyte sread all o9er te worldand beo(e a roble( eseially inde9eloing ountries Binea ruris tineaedis and tinea ororis is

der(atoytosis wi (ost found InIndonesia der(atoytosis is 52 ofte entire er(ato(yosis tinea rurisand tinea ororis are (ost

der(atoytosis found



Be ri(ary ause of tinea ruris are Brioyton rubru( *0 and<ider(oyton Luosu( Brioyton (entagroytes $

Brioyton tonsurans , In Westernountries <ider(oyton Loosu( iste (ost o((on der(atoytes





S:in disorder tat aears to be ade(arated lesions inLa((ation ofte edge (ore 9isible tan in te(iddle area If tis beo(es a roni

disease an be a bla: sot wit littlesales <rosion and disarge isusually due to srating

@rediletion lae in te groinerineu( and around te anus



Binea ruris on its ru( Bere are sarlyde(arated eryte(atousla+ues in te groin and

ubi area



KG- Culture

istoatology



i'erential iagnosis

)% Kan$i$#/i/.% P/#ria/i/



Boial anti4fungal Bolylat 1 4 lotion

rea(

-alorogin

I(inazole grous

(i:onazoleloti(azole 1:eto:onazole

Allia(in grous terbina.ne

butena.ne

Syste(i anti4fungiDriseoful9in/ 104

15(g=:gHW=day

adults 200 O 1000single dose

Keto:onazole 1 200(g = 3 wee:s

Itra:onazole / 1 100(g = 2 wee:s

Berbina.n/ 1 1 = 2wee:s



@re9ent ot Binea Cruris re4infetion Breat all ati9e areas of tinea ruris

infetion si(ultaneously

eduation

ietWeigtloss for atient wo obese and

a9e Binea Cruris



@rognosis is good if roer diagnosisand regular treat(ent

)eurrene an our wen te area ofrediletion u(idity is not

(aintained



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Teaching Bangsal I - Tinea Cruris (1)