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العنوان
The Role of Dermoscopy in Diagnosis of Superficial Fungal Cutaneous Infections /
المؤلف
Mohammed, Fatma Haridy.
هيئة الاعداد
باحث / فاطمة هريدى محمد عباده
مشرف / حسام محمد عبدالوهاب
مشرف / وليد مدحت محمد
مشرف / مها حسين رجائى
الموضوع
Dermoscopy. Skin Diseases - Diagnosis.
تاريخ النشر
2017.
عدد الصفحات
132 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأمراض الجلدية
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة المنيا - كلية الطب - الأمراض الجلدية والتناسلية وأمراض الذكورة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Dermoscopy is a non-invasive method that allows evaluation of colors and microstructures of the epidermis, the dermoepidermal junction, and the papillary dermis not visible to the naked eye this enhancing the diagnostic accuracy.
Superficial fungal infections of the skin are the most common diseases. These infections affect the outer layers of the skin, the nails and hair. The main groups of fungi causing superficial fungal infections are dermatophytes, yeasts and mould.
The diagnosis of cutaneous fungal infections is made by direct microscopic examination with KOH and fungal cultures; however, these conventional mycological examinations are rather complex, time-consuming and requiring trained personnel and mycological tools. Dermoscopy is a simple, fast and non-invasive diagnostic tool that is primarily used for pigmented lesions, but it has been increasingly used for many skin diseases including non pigmented tumors, hair and nail diseases, infectious and parasitic diseases.
The aim of the study aims to evaluate the role of dermoscopy in diagnosis of superficial cutaneous fungal infections.
The present study included 120 patients that were devided in to 5 groups clinically diagnosed as TC, tinea corporis, onychomychosis, TVC and Cutaneous candidasis. All patients were subjected to clinical , KOH microscopic, dermoscopic, mycological and histological examinations.
The present study has found that comma hairs, broken hairs, black dots, scales, corkscrew hairs, Morse code hairs, zigzag hairs, proximal sheath and translucent hair are characteristic dermoscopic features of TC. Dermoscopic feature of TC caused by M. canis was different from dermoscopic feature of TC caused by T. violecium and patients with kerion show all dermoscopic features non inflammatory tpes of TC.
Dermoscopic features suggesting fungal invasion of hair follicle, such as follicular micropustules and brown spots and translucent hairs which reported may help in therapeutic management of tinea corporis.
Jagged edge wih spikes, longtuidnal strations, distal irregular termination and ruin appearance are dermoscopic criteria of onychomychosis and the presence of fine scaling overlying the pigmented lesions enhance PVdiagnosis.
The study reported the presence of scales, pustules, thick horny layer and hyperemic background in cases of candidasis.
It can be concluded that the present study confirm the dermoscopic features of superficial fungal infections reported in previous studies.
Dermoscopy should be regarded as a safe and rapid diagnostic tool that assists in clinical examination and management decision in dermatology, as the stethoscope does for diagnosing heart, lung or abdominal problems. As a consequence, dermoscopy can be nowadays seen as the dermatologists’ stethoscope.