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Cutaneous mycoses
Section 6
57
Microbiology
Professional
05/19/2012

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Term
Tinea barbae
Definition
Mycelia grow into pores around hair shafts, beneath the cuticle of hairs, or in the stratum corneum layer of the skin
Term
Tinea faciei
Definition
Sxs include: scaling, annular or circular lesions with raised margins. Pruritus, burning, and erythema are present
Term
Tinea faciei.
Definition
Dx by hyphae with microconidia on KOH and PAS stained preparations
Term
Tinea faciei
Definition
Trichophyton spp. cause cutaneous mycoses of the glabrous skin of the face, including the chin and upper lip of children and females, but excludes mustache and bearded areas of the adult male
Term
Tinea barbae
Definition
Tichiphyton spp.cause cutaneous mycoses of hairy areas of the skin of the face and neck
Term
Tinea barbae
Definition
mild superficial type is characterized by scaling lesions with vesiculopustular border on the bearded area of the neck and skin
Term
Tinea barbae
Definition
deep pustular type has deep, follicular pustules on the bearded areas of the face and neck that result in nodular keloids and kerions with alopecia and scarring
Term
Tinea barbae
Definition
hyphae growing in the stratum corneum produce edema and leukocytic infiltrations
Term
Tinea capitis-ectothrix
Definition
microsporum spp. cause cutaneous mycoses of the scalp
Term
Tinea capitis-ectothrix
Definition
male infections are more common before puberty, females are mainly infected after puberty
Term
Tinea capitis-ectothrix
Definition
aka gray-patch ringworm, which is a prepubertal infection of the scalp, eyelashes, and eyebrows
Term
Tinea capitis-ectothrix
Definition
infections start as papules in a ring form and can develop into kerions or keloids
Term
Tinea capitis-ectothrix
Definition
dermatophytids can occur. Also, keratomycosis, diseased cornea.
Term
Tinea capitis-ectothrix
Definition
Diagnosis is chains of macroconidia and hyphae are seen on hair shafts treated with KOH or PAS stains.
Term
Tinea favosa
Definition
Found in Africa and Europe
Term
Tinea favosa
Definition
...is a form of tinea capitis that occurs when mycelia interact with scalp proteins producing dead cell masses in mats of hair and then develop into yellowish-brown, cup-shaped skin crusts with loss of hair and scarring.
Term
Tinea favosa
Definition
caused by Trichophyton schoenleinii
Term
Tinea capitis-endothrix
Definition
Trichophyton species casue cutaneous mycoses of the scalp known as black-dot ringworm.
Term
Tinea capitis-endothrix
Definition
Conidia are found inside the hair shaft
Term
Tinea capitis-endothrix
Definition
Males are more commonly affected with ....
Term
Tinea capitis-endothrix
Definition
Sxs include erythematous, scaling, circular lesions with black dots that are broken off hairs
Term
Tinea capitis-endothrix
Definition
Scutula can develop.
Term
Tinea capitis-endothrix
Definition
Can be a chronic infection into adult life and can also result in hair loss
Term
Tinea capitis-endothrix
Definition
Conidia and hyphae are seen inside hair shafts on KOH or PAS stains
Term
Tinea corporis
Definition
Microsporum, Trichophyton spp. and Epidermophyton flocoosum (EMT)cause infection of the horny layer of the skin and spread circularly
Term
Tinea corporis
Definition
center of the ring clears as the fungus is eliminated.
Term
Tinea corporis
Definition
produces rings of inflammation on the glaborous skin, dry and scaly then pustular and crusty. Can have hyperkeratosis.
Term
Tinea corporis
Definition
Two types are seen.
1. annular type- small, spreading circular areas of erythema. can be chronic
2. vesicular - vesicles and pustules behind erythematous border. usually NOT chronic.
Term
Tinea corporis
Definition
Mycelia and conidiospores in scrapings of KOH and PAS preps.
Term
Tinea imbricata
Definition
ONLY found in Polynesian races! Caused by Trichophyton concentricum
Term
Tinea imbricata
Definition
Found in Pacific Islands, SE Asia, and Central America.
Term
Tinea imbricata
Definition
Masses of hyphae accumulate in cutaneous tissue
Term
Tinea imbricata`
Definition
Sxs include brownish maculopapules which gradually change into concentrically arranged, imbricated, fissured rings on ARMS and TORSO.
Term
Tinea imbricata
Definition
Scaling and itching, but NO erythema or pain. Lesions are chronic
Term
Tinea imbricata
Definition
Swollen hyphae with forked tips on KOH and PAS stains
Term
Tinea unguium
Definition
Epidermophyton floccosum and Trichophyton spp. (ET is unique)cause cutaneous mycoses of nail plates.
Term
Tinea unguium
Definition
incidence is greatest in males post-puberty and is usually associated with Tinea pedis or Tinea manuum
Term
Tinea unguium
Definition
nail injury predisposes to infection
Term
Tinea unguium
Definition
starts under nails, hyphae grow out into stratum corneum and produce inflammation by releasing ENZYMES that interact with skin and nail proteins.
Term
Tinea unguium
Definition
Sxs include soft, friable, keratin that loosens the nail.
Term
Tinea unguium
Definition
Leukonychia mycotica and Invasive subungal dermatophytosis are associated with ...
Term
Tinea unguium
Definition
Hyphae and macroconidia are seen in PAS or KOH stains
Term
Tinea unguium
Definition
Usually very resistant to treatment
Term
Tinea manuum
Definition
Microsporum, Trichophyton spp. and Epidermophyton flocoosum (EMT) cause cutaneous mycoses of the palms and fingers
Term
Tinea manuum
Definition
Most prevalent in males and usually associated with Tinea pedis
Term
Tinea manuum
Definition
lesions begin as exoliative, erythematous, scaly sheets of skin that become vesicular, red circumscribed patches on the palms and fingers
Term
Tinea manuum
Definition
masses of hyphae and macroconidia are seen in scrapings of KOH and PAS preps.
Term
Tinea cruris
Definition
Epidermophyton floccosum and Trichophyton spp. cause cutaneous mycoses of the groin
Term
Tinea cruris
Definition
hyphae invade moist areas of the groin, commonly called jock itch
Term
Tinea cruris
Definition
begins as circular lesions that develop into SERPINGOUS, WELL MARGINATED, ERYTHEMATOUS LESIONS with raised borders in groin area
Term
Tinea cruris
Definition
Epidermophyton and Trichophyton spp have club-shaped macroconidia with smooth walls. (ET cruises the sky.)
Term
Tinea pedis
Definition
Ef and T (ET) cause cutaneous mycoses of the feet, aka athletes foot
Term
Tinea pedis
Definition
breakdown in skin promotes infection that has poor immune response. NO partial protective immunity
Term
Tinea pedis
Definition
seen mostly in adult MALES
Term
Tinea pedis
Definition
Sxs include INTERTRIGINOUS DERMATITIS with peeling, maceration (softening), and fissuring b/w 3rd 4th and 5th toes.
Term
Tinea pedis
Definition
ONLY mold from this section that does not result in partial or protective immunity
Term
Tinea faciei
Definition
pts are usually 10-40 yoa
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