Transcript Fungal Infection

Erythematous , macule and plaques around the cheeks and
peri-oral
Erythematous , macules , vesicles and plaques around the
cheeks and peri-oral, there is scaly layer
Erythematous macules , patches and lichenfication
( thickness of skin ) on the dorsum aspect of the hand
This disorder is a severely pruritic reaction in individuals with a personal or
family history of allergic manifestations. It is characterized by flares
of congestion resulting in deep and superficial blisters, followed by peeling,
scaling, and a dry, reddened surface. Flares generally result from contact with
irritants, but stress is also a significant factor.
Erythematous patches around the popliteal fossa
Erythematous patches around the popliteal fossa
Macule , papules and pastule (pus + papule),hyperpigmented, and scar. If there is only
comedom and white heads. It is considered mild degree of acne, drug induce
keratiniaztine (isotrismne). The bacteria affect the face during acne colled (propino
bacterium acne) can give the patient topical antibiotics like azithromycin, clindamycin.
with white heads on the face
Macule , papule , pustules with white head
And hyperpigmented area
Comedon ( primary lesion of acne “ black heads “ ) , pustules, papules
C losed comedon
Comedon
Leishmaniasis : Single or multiple Brown nodular lesion (indurated) with scale,
crust and central erosion or ulceration. Not tender +/- satellite lesion, any site
pentavalent antimonial compound (intralesional Na+ (of sand fly bite. Rx
stibogluconate
Imptigo :Erythematous macules and pathes around the mouth Ddx
imptigo staph infection Superficial honey-colored serous crusts are
characteristic of this disorder. It is usually caused by a staphylococcus
infection. Culture is
rarely reliable.
Erythematous patches on the right side of cheeks and around eye and on
The external surface of ear
Erythematous Macules and patches near metatarsal line oin the dorsum of the
left foot
Erythematous , macules or patches and pustules
Erythematous patches and plaques with active border around umbilicus
And on the anterior surface of abdomen
Erythematous patches and plaques with active border around umbilicus
And on the anterior surface of abdomen
Scaly lesion on the both feet affect all the dorsal aspect
Dx : tinea pedis
Fissured macerated skin on the plantar surface between 2nd and 3rd toes
Tinea capitis Fungal infection in the head causing patchy hair loss. Welldemarcated erythematous plaque with thick scales and +ve pulling test (the hair is
easily pulled) usually in older children or in adults. DDx alopecia areata Rx
systemic antifungal (terbinafine).
Tinea capitis Fungal infection in the head causing patchy hair loss. Welldemarcated erythematous plaque with thick scales and +ve pulling test
(the hair is easily pulled) usually in older children or in adults. DDx
alopecia areata Rx systemic antifungal (terbinafine).
Yellowish discoloration of the dorsal surface and oncholysis
Yellowish discoloration of distal subungal ascpect of nail
Dx: Tinea pedis
Erythematous nail fold with scaly layer and distal subungul involvement
Nail atrophy with nail bed depression
Pityriasis vercicolor (hypopigmented macuels or patches with scales that is more
prominent upon stretching. Caused by Malassezia furfur (a normal fungus that
inhabit the skin), after swimming. Occur in trunk, proximal extremity, in exposed and
non-exposed areas (usually non-esposed). Increased in hot weather and after
puberty. Treatment Topical antifungal (ketoconazole 2 week), selenium shampoo.
may need systemic antifugal.
Pityriasis vercicolor (hypopigmented macuels or patches with scales that is more prominent
upon stretching. Caused by Malassezia furfur (a normal fungus that inhabit the skin), after
swimming. Occur in trunk, proximal extremity, in exposed and non-exposed areas (usually
non-esposed). Increased in hot weather and after puberty. Treatment Topical antifungal
(ketoconazole 2 week), selenium shampoo. may need systemic antifugal.
Confulent papular lesion under the breast and on the anterior surface of
Abdomen craeating a plaques of lichen planus with scaly
Confluent plaques on the dorsum of hand erythematous
Erythematous papules and macules scattered on the dorsal surface
Of both feet
Erythematous papules and plaques on the flexor surface of the wrist with
palmar erosion
Atrophied nails of the fingers
Distal oncholysis and nail brittling , scaly layer of skin around the nail
Erythematous mucus membrabe with whitish patches and ulceration
Erythematous mucus membrabe with whitish blisters and erosions
mucus membrane with whitish patches
Patches of hair loss, normal skin, well demark affect the bread
Autoimmune – anagen.
Treatment topical anthralin, topical or intral-lesional steroid, cyclosporin.
Patches of hair loss, normal skin, well demark affect the scalp
Autoimmune – anagen.
Treatment topical anthralin, topical or intral-lesional steroid, cyclosporin.
Patches of hair loss, normal skin, well demark affect the scalp
Autoimmune – anagen.
Treatment topical anthralin, topical or intral-lesional steroid, cyclosporin.
Patches of hair loss, normal skin, well demark affect the bread
Autoimmune – anagen.
Treatment topical anthralin, topical or intral-lesional steroid, cyclosporin.
Butter-fly rash erythematous affect the cheeks and nose and until reach
the lips
Butter-fly rash erythematous affect the cheeks and nose and until
Basal Cell Carcinoma This lesion represents 90% of skin cancers. Basal
cell carcinoma is the most common cancer. On the face, it usually starts as a reddened
papule or nodule with a smooth surface and a translucent, pear
quality. Because of a poorly formed stroma, it is fragile and often bleeds. On the torso,
the lesion hasan irregular surface, bright red color, sometimes scaly, with a distinct edge.
Histologic examination is required
Basal Cell Carcinoma This lesion represents 90% of skin cancers. Basal
cell carcinoma is the most common cancer. On the face, it usually starts as a
reddened papule or nodule with a smooth surface and a translucent, pear
quality. Because of a poorly formed stroma, it is fragile and often bleeds. On the
torso, the lesion hasan irregular surface, bright red color, sometimes scaly, with a
distinct edge. Histologic examination is required
Hyperpigmentation area on the face with brownish patches
depigmented patches, well demarcated with irregular margins. The affected skin is
non-scarring with NO scale. May occur in hairy on non-hairy (difficult to treat)skin.
It is an autoimmune disease affecting the melanocyte. DDx Pitryasis Alba, Tinea
vercicolor, post. Inflammatory hypopigmentation. Treatment topical or systemic
steroid (depend on surface area affected), photosensitizer (psoralin or PUVA),
tacrolimus (immunomodulator).
Erythematous papules, vesicle, pastule, burrows, crust, itching (at night). Mite infestation,
sarcoptes scabes. DDx Contact dermtits, pitryasis rosea, psoriasis. Sites of predilection:
genetalia, paraumbilical region, breast, gluteal region, flexor surface, axillae and finger webs
(burrows). Note: the face palms and soles are spared in adults and only involved in infants.
Treatment 1. Boiling, ironing or putting on sun light (for3-4 days) of clothes and bed
mattresses. 2. Treat all family members (even if have NO itching) 3. Good hygienic measures
4. Topical steroids, systemic anti-histamine for itching 5. Scabicidals topical permithrin or
10% sulfer preparation for 3 days + vasalin. Failure of treatment may be due to
inappropriate drug compliance, no family treatment, resistance, no hygiene, recurrent
infection or exposure to the same cause.
Erythematous papules, vesicle, pastule, burrows, crust, itching (at night). Mite infestation,
sarcoptes scabes. DDx Contact dermtits, pitryasis rosea, psoriasis. Sites of predilection:
genetalia, paraumbilical region, breast, gluteal region, flexor surface, axillae and finger webs
(burrows). Note: the face palms and soles are spared in adults and only involved in infants.
Treatment 1. Boiling, ironing or putting on sun light (for3-4 days) of clothes and bed mattresses. 2.
Treat all family members (even if have NO itching) 3. Good hygienic measures 4. Topical steroids,
systemic anti-histamine for itching 5. Scabicidals topical permithrin or 10% sulfer preparation for 3
days + vasalin. Failure of treatment may be due to inappropriate drug compliance, no family
treatment, resistance, no hygiene, recurrent infection or exposure to the same cause.
Burrow on the skin
Erythematous papules, vesicle, pastule, burrows, crust, itching (at night). Mite infestation, sarcoptes scabes
DDx Contact dermtits, pitryasis rosea, psoriasis. Sites of predilection: genetalia, paraumbilical region,
breast, gluteal region, flexor surface, axillae and finger webs (burrows). Note: the face palms and soles are
spared in adults and only involved in infants. Treatment 1. Boiling, ironing or putting on sun light (for3-4
days) of clothes and bed mattresses. 2. Treat all family members (even if have NO itching) 3. Good hygienic
measures 4. Topical steroids, systemic anti-histamine for itching 5. Scabicidals topical permithrin or 10%
sulfer preparation for 3 days + vasalin. Failure of treatment may be due to inappropriate drug compliance,
no family treatment, resistance, no hygiene, recurrent infection or exposure to the same cause.
Erythematous papules, vesicle, pastule, burrows, crust, itching (at night). Mite infestation, sarcoptes
scabes. DDx Contact dermtits, pitryasis rosea, psoriasis. Sites of predilection: genetalia,
paraumbilical region, breast, gluteal region, flexor surface, axillae and finger webs (burrows). Note:
the face palms and soles are spared in adults and only involved in infants. Treatment 1. Boiling,
ironing or putting on sun light (for3-4 days) of clothes and bed mattresses. 2. Treat all family
members (even if have NO itching) 3. Good hygienic measures 4. Topical steroids, systemic antihistamine for itching 5. Scabicidals topical permithrin or 10% sulfer preparation for 3 days + vasalin.
Failure of treatment may be due to inappropriate drug compliance, no family treatment, resistance,
no hygiene, recurrent infection or exposure to the same cause.
Multiple vesicles
Grouped and painful vesicles with erythematous rim below the border of
the lower lip
Grouped and painful vesicles with erythematous rim and edema in both
surface of the upper and lower lips
surface, papule, scales, some time digitated [filliform wart (finger like)]. Of many types
common wart, plane wart, planter wart or filliform wart. Caused by HPV infection
Site: anywhere DDx: planter wart (corn), common wart (Molluscum contangiosum).
Treatment Depend on: site, size, number and pt. preference. Topical keratinolytic
(salicylic acid), immunomodulator and curettage.
surface, papule, scales, some time digitated [filliform wart (finger like)]. Of many types
common wart, plane wart, planter wart or filliform wart. Caused by HPV infection Site:
anywhere DDx: planter wart (corn), common wart (Molluscum contangiosum). Treatment
Depend on: site, size, number and pt. preference. Topical keratinolytic (salicylic acid),
immunomodulator and curettage.
Grouped and painful vesicles with erythematous rim below the border of
the lower lip
Multiple erythematous papules and vesicles Red-ringed blisters occur in a dermatomal
distribution of a nerve root. Papules change
vesicles which become pustules before crusting.complication
multiple fleshy or pearly white color large papule (sometimes erythematous) with central
umblication (a depression seen by magnifier lens). Sites: face, trunk and gentilia. Caused by:
parapox viral infection. Transmission (contagious) contact, STD. DDx warts. Treatment
topical salicylate or curettage (depend on the number).
surface, skin or darker pigment, papule, well demarked. HPV 10, 3, 41, 28. Sites:
forehead, face, arm. Occur: children, young adult (mostly due to immune suppression).
DDx nevi, acne, 2ndry syphilis. Treatment topical keratolytic, retin A chemotherapy.
surface, skin or darker pigment, papule, well demarked. HPV 10, 3, 41, 28. Sites:
forehead, face, arm. Occur: children, young adult (mostly due to immune
suppression). DDx nevi, acne, 2ndry syphilis. Treatment topical keratolytic, retin
A chemotherapy.
Small papules and patches on red skin Weal and flare Lesion with itchinG
Elevation (edema), no scale, no scar, scratching marks.
Small papules and patches on red skin Weal and flare Lesion with itchinG Elevation
(edema), no scale, no scar, scratching marks.
Small papules and patches on red skin Weal and flare Lesion with itchinG Elevation
(edema), no scale, no scar, scratching marks.
Erythematous macules , plaques with scale appear in the center of the lesion the sclale
form a collarate on the advancing edge of the border also called ( herald patch )
Erythematous macules , plaques with scale appear in the center of the lesion the sclale
form a collarate on the advancing edge of the border also called ( herald patch )
Erythematous macules , plaques with scale appear in the center of the lesion the sclale
form a collarate on the advancing edge of the border also called ( herald patch )
Well demarcated highly erythematous small papules , plaques on the trunk
DDx scabies, contact dermatitis and teania corporis
Well demarcated erytematous papule and plaques and scaly on the back
Well demarcated erytematous papule and plaques and scaly on the
abdomen
Well demarcated erythmatous plaques on the palmar surface of hand
Cap-like very thick , scales covers the entire scalp with erythematous
plaques extend to the forehead not associated with hair loss
Cap-like very thick , scales covers the entire scalp with erythematous
pl`ques extend to the forehead not associated with hair loss
Well demarcated eythematous plaques with thick yellowish scale and
desqumentation on the sites of pressure arising on the plantar surface
Many depression ( nail pittings ) in the dorsum of the nail plate with distal
oncholysis
Many depression in the dorsum of the nail plate with distal oncholysis
pink plaques, well demarcated with silver scales. Possible causes: Genetic, autoimmune,
infection of unknown, increase keratinocyte. Sites of predilection: Extensor surfaces
(especially elbows and knees), scalp and nails. Nail finding: coarse pitting, onycholysis, oily
spot. DDx scabies, contact dermatitis and teania corporis. Treatment depend on severity,
chronicity and age of pt. : 1. Topical therapy: steroid (Systemic steroid is contraindicated as it
causes flaring up of the disease), Vit. D, retinoic acid and salicylic acid (kerationlytic).