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22 Cards in this Set

  • Front
  • Back
Fungal infections of the superficial
stratum corneum with little or no
inflammatory response
Superficial Mycoses
-Brown/Black macules on palms/soles
-Asymptomatic; only in outer dead layer of skin
-dimorphic fungus found

What is the dz and etiology?
Tinea Nigra

Exophiala wernickii
-Scaly with hypo or hyperpigmented patches on the neck, torso, or limbs.
--Asymptomatic; only in outer dead layer of skin
-Fungus found with short curved, septate hyphae and yeast-like cells (Spaghetti and meatballs)

What is the dz and etiology?
Tinea Versicolor

Malassezia furfur
-Superficial fungal infection that appears as cream, yellow or beige nodules along hair shaft
-produces hair breakage

What is the dz and etiology
White Piedra

Trichosporon sp.
-Fungal infection of the scalp hair, less often of the beard and rarely of axillary hair
-Hard, gritty, brown/black nodules firmly attached to hair shaft
-Tropics

Dz and etiology?
Black Piedra

Piedraia hortae
Sp. that Contains asci
Piedraia hortae
Three genera of dermatophytes
Trichophyton
Epidermophyton
Microsporum
Virulence factor of dermatophytes
produce keritinase
-Infection of GLABROUS skin
-ANNULAR lesions with active border that may be pustular or vesicular
Tinea corporis
Dermatophytosis of the plantar surface of the feet and toe webs
Tinea pedis
Dermatophytosis of the medial upper thighs and the inguinal, pubic, perineal and perianal areas.
Tinea cruris
-Hyphal invasion of scalp spreads to hair follicle
-Patches of alopecia, scaling and itching
Tinea Capitis
Fungus inside hair shaft
Endothrix
Fungus outside hair shaft
Ectothrix
-Affects the facial beard area of men
-inflammation characterized by elevated nodules, draining pustules and sinus tracts
Tinea barbae
Commonest cause of Onychomycosis (Tinea unguim)
Trichophyton rubrum
inflammation produced by chafing of adjacent areas of skin.

Dx? Etiology?
Intertrigo

Cutaneous Candidiasis
-Thorn prick
-Chronic nodular and ulcerative lesions
-Follow lymph nodes draining site of infection

Dx? and Etiology
dx: Lymphocutaneous Sporothrichosis

et: Sporothrix schenckii
--Chronic, localized cutaneous to
subcutaneous infection
–warty nodules at inoculation site with “cauliflower like”appearance
--Infected tissue contain sclerotic or muriform bodies

Dx?
Chromoblastomycosis
--wide spectrum of manifestations involving the skin and deeper tissues.
--Lesions are deforming, swollen with many draining sinuses.

Dx? Etiology?
dx: Mycetoma

Et: ActinoMycetoma (bact)
or EuMycetoma (fungus)
Fluoresces under Wood's lamp
Microsporum spp. scalp infections
Culture medium for fungi
Sabouraud agar
containing antibiotics and actidone