Dr.Fata/001

Classification of Mycoses

Mycotic DiseasesSuperficial

Cutaneous

Sub-cutaneous

Visceral

Mucocutaneous

Superficial Mycotic Diseases1) Pityrosporiosis

2) Pityriasis versicolor

3) Erythrasma

4) Trichomycosis

5) Otomycosis

6) Mycotic Keratitis

7) Piedra

8) Tinea Nigra

PityrosporiosisAgent:

Pityrosporum ovale

Malassezia ovalis

Clinical Forms of Pityrosporiosis

1:Head DandruffItching, hair loss, dandruff

2:Seborrheic DermatitisItching, erythema,dandruff

Clinical Forms of

Pityrosporiosis

Seborrheic Dermatitis

Seborrheic Dermatitis

Seborrheic Dermatitis

Laboratory Diagnosis

Direct Stained Smear

Wood Light

Pityrosporum ovale

TREATMENT of

Pityrosporosis- Shampoo:

-Selenium Sulphide 1 1 or 2.5%

-Pyrition Zinc

Malassezia furfur

M.folliculitis

P. orbicularis

Pityriasis versicolor

Budding Cells

Pseudomycelia

Blastoconidia & Pseudomycelia

Dr.Fata /S07

Common sites

Dr.Fata/S08

Patche & Macules

Dr.Fata /S09

Multiple

Small

Patches

In

Pityriasis

Versicolor

Dr.Fata/S115

Brown

Scattered

Patches

Pityriasis Versicolor

Dr.Fata /S12a

Dr.Fata/S117

Invisible Macules of Pityriasis Versicolor

Dr.Fata/S118

Light Brown Patche

Dr.Fata/S119

Hypopigmented Macules

Dr.Fata/S118a

Hypopigmented macules

Dr.Fata/S120

Hypopigmented

Patche

&

Macules

Localization

Dr.Fata/S11

Dr.Fata/S11a

Dr.Fata /S12

Hypopigmented

Patches

Dr.Fata /S12a

Dr.Fata /S13

Dr.Fata /S16a

Pityriasis versicolor

Pityriasis Versicolor

Differential Diagnosis : 1. Vitiligo

2. Chloasma

3. Pityriasis rosea

4. Tinea circinata

5. Seborrheic dermatitis

6. Secondary syphilis

7. Erythrasma

8. Pinta

Laboratory Diagnosis• Direct Fresh Smear

By KOH 10-15%

• Scotch tape Test

• Wood Light

Dr.Fata /M37

pseudomycelia

Dr.Fata/ S25

Pseudomycelia

Blastoconidia

Dr.Fata/ S26

Dr.Fata/S26a

Pseudomycelia

Blastoconidia

Treatment• Small Patches

• -Tolnaftate

• -Clotrimazole

• -ketoconazole

Treatment• Large Patches

- Shampoo:

-Selenium Sulfide 1 or 2.5%

-Pyrition Zinc

• Solutions I & II

- I : Na Hyposulphate 20%

-II :Tartaric acid 5%

Dr.Fata/S46

ERYTHRASMAAgent:

Corynebacterium

minutissimum

Clinical Signs:

Erythema

Dandruff

Pruritus

Intertrigo:AxillaGroinUmblicusInterdigits of Foot

ERYTHRASMA

Localization

Dr.Fata/S27

Dr.Fata/S28

Dr.Fata /S29

Dr.Fata/S30

Dr.Fata/S30a

Erythrasma

Erythrasma in a child

Diagnosis of Erythrasma• Direct stained smear

• Wood light

Treatment of Erythrasma

Oral

• Erythromycin

Trichomycosis Axilaris

Corynebacterium tenuis

Diagnosis:

Direct smear

Wood’s light

OtomycosisEtiologic agents:

Fungi:

• Aspergillus

• Penicillium

• Mucor

• Rhyzopus

• Scopulariopsis

Bacteria

• Pseudomonas

• Proteus

• Micrococcus

• Corynebacterium

• Eschereshia

Dr.Fata/S31

Otomycosis

Mycotic Keratitis

• Trauma

• Surgery

• Contact lense

Mycotic Keratitis

• Etiologic Agents:

• Aspergillus

• Fusarium

• Candida

• Pseudoallescheria

• Acremonium

• Actinomycets

Dr.Fata/S32

• Dr.Fata/s33

Piedra

• White Piedra

• Trichosporon

biegelli

• Light

• soft

• Black Piedra

• Piedra hortae

• Dark

• Firm

Nodule of Black Piedra

Dr.Fata/S57

White Piedra ( Soft Nodule)

Dr.Fata/S59

White Piedra

White Nodules on the Beard Hair

Dr.Fata/S60

Tinea Nigra

Dr.Fata/S57

Phaoanelomyces wernekeii

Tinea Nigra

Dr.Fata/S57

Tinea Nigra

Dr.Fata/S57

Dr.Fata /S37

Be

Like a

Flower

But

Long live

As a

mountain