The Cutaneous Mycoses

1
The Cutaneous Mycoses
Incidence Causative organisms   Disease
Common Dermatophytes (Microsporum, Trichophyton, Epidermophyton) DermatophytosisRingworm of the scalp,glabrous skin and nails.
Common Candida albicans and  related species. Candidiasis of skin,mucous membranesand nails.
2
Dermatomycosis
????? ?? ????? ?? ?????? ????? ?????.????? ???
???????? ????? ????? ?? ???????? ????? ?????
???- Epidermophyton ???????? Microsporum
???????? Trichophyton ????????
??? ??????? ??????? ?? ????? ?? ????? ??? ?????
? ???? ??? ?? ????? 40 ???. ??? ??????? ???????
??? ??????? ?????? ????? ???? ??????? ????????
?????????? Arthroderma ? ???????????.Ascomycota
3
Dermatomycosis
????? ????? ??? ???????? ??? ??? ??????? ????????
???????? ??? ????? - 1- ????? ?? ?????? ?????
???? ??????? An thropophilic organisms ???
????? ?????? ?????? ?????? ??? ??????? ????? ??
???? ??????? ?? ?????? ????? ?????? .. 2- ??????
???? ??????? Zoophilic organisms ??? ??????
?????? ?????? ??? ??????? ????? ?? ???? ???????
??? ?? ??? microsporum ???? ???? ????? ???????
???? ????? ??????? . 3- ?????? ???? ?????? ??
????? Geophilic organisms ??? ????? ?????? ???
????? ???? ??????? ?? ??????? ??????? ?? ??????
?? ???? ?? ???????
4
Dermatomycosis
???? ???????? ??????? ???? ??? ????
dermatomycosis ??? ??? ????? ????
Dermatophytosis ?? trichophytosis ??
microsporsis ????? ????? Ringworm ?????? ??????
??????? ??? ??? ???? ???? ?????????? ?????
?????????? . ??? ???????? ???? ???? ????? ???????
?????? ?? ??????? ???????? keratinized tissue ??
??????? ???? ????? ??? ????????? (??????? ??????
?? ??? ?????? ??? ????? ?? ??????? ?? ??????? ??
??????) ??? ??? ????? ??? ???????? ??? ?????
?????? ????? ???? ???????? ?????? ??????? ???????
(??????) ???? ????????? ?????? ?? ??? ??? ?????
?????? ?????? ?? ???? ??? ????? ????? ?????.
5
Dermatomycosis
??????? ?????? ???????? ???? ???? ????? (????
???????) 1- ????? ?? ??????? ???? ?? ????? ?????
?? ????? ?? ????? . 2- ????? ????? ???????? (??
?? ????? ?? ????? ?????? ???? ?????? ??? ???????
?? ??????? ????? ?????? ???) . 3- ????? ??????
?????? ?????? ?? ???? ??? ????? ????? ?? ???
??????? . 4- ????? ?????? ?? ???? ??? ????? ???
????? ????? ?? ??????? , 5- ??????? ??????? ?????
??? ????? ????? ??????? . 6- ????? ?????? ??????
?? ??????? ??? ??????? ?? ?? ?????? ??? ??????? .
6
Dermatomycosis
7- ???? ?? ???? ??????? ?????? Host specificity
????? ???? ?????? ???? ??????? ????? ???? ???????
?????? Trichphyton rubrum ???? ??????? ????? ???
trichophyton verucosum ???? ??????? ????? ??? ???
???????? ??? Microsporum canis ???? ????? ??????
????? ???????? ??? ??????? ?? ????? ????? ????
???? ???? ?????? ??????? ??????? Organ
specificity ?? ?? ????? ?????? ?? ??? ???? ??
??????? ?? ??????? ?? ????? ?? ?????? ?? ????? .
7
Dermatomycosis
8- ???????? ????????? (????????) ?? ????? ???????
??? ??? ?????? ?? ??? ???? ?????? ?????? ?????
??????? ???? Ectothrix ? ????? ???????? ???? ???
?????? Endthrix ????? ??? ???? ??????? ???????
???? ?????? ????? ???? ?????? ?????????? ?????
??? ??? ???? ??????? ?????? ????? ???? ??????
?????? .
8
Dermatomycosis
????? ????? ???????? ??????? ????? ???????? ???
???????? ??? ???? ???????? ???? (SDA) ??? ????
????? 20 25? ??????? ?????? ??? ??????? ????
????? ??? ????? ?????? slide culture ?????? ???
??????? ?? - 1- ???????? Epidermophyton ????
??? ????? ????? ???????? ??? ??? ???? ????? ?????
?????? ????? ???? macroconidia (????? 1 5
?????) ????? ???? ????? club shape ?????
???????? ????? ?? ????? ????? ???????? ??? ?????
????? ??? ????? ??????? ????? ??? ??????? .
9
Dermatomycosis
2- Microsporum ????? ??? ????? ??????? ??
???????? ??????? macroconidia ??? ?????? ?????
??? ???? ??? ??? ???? ?? ??????? ?????? ???
???????? ??? ???? ??????? ??????? ????? ?????? ??
????? spindle shape ?????? ????? ?????? ?????
microconidia ?????? ???? ?????? ????????? ??????
????? ???? microsporum ????? ?????? ??????? ??
???? ??????? . ????? ???????? ?????? ?? ????????
????????? ?????? ??? ?????? ????? ???????? ?? (4
5 ????) ??? ???? ?????????? ???? ????? ??
???????? ??? ?????? ?????? ?? ????? ???? ???? ???
. ?????? ???? ????? ???? ????? ???? ????? ??? ???
???? ???? ????? ???? ???? ??? ??? Woods light
????? ????? ?? ???????? ??? ???????? ??? ??? ???
10
Dermatomycosis
3- Trichophyton ????? ??? ????? ????? ?????? ??
???????? ??????? microconidia ??? ???????? ??????
?????? ?????? . ??? ??? ????? ??? ????????? ????
?????? ?? ????? ?? ?????? ?? ????? ???????? ?????
???????? ??????? ??? ??? ????? ??? ??? ????
??????? ??????? ??? ???? ???? ??????? ???????
?????? ?? ????? ????? ???? ???????? ??????? ???
???? ????? ??? ????? ??????? ??????? Tear drop
??? ??? ?????????? ??? ???? ???? ??? ??????
?????? ?? ?????? ????? ?????? ?????? ???? ?????
?????? ?????? ???? ????? ?????? ??????? ????????
?? ???? ????? ???????? ?????? .
11
????? ????? ?????? ?? ???
Dermatomycosis

• ????? ??? ????????? NonInflammatory
• ?????? ??? ????? ???? ???? ???????? ?? ????
  ????? ????? ??????? ?? ???? ????? ????? ???
  ?????? ????? ??? ????? ?????? ???? ????? ??
  ?????( ????? )alopecia ??? ?? ???? ??????? ?????
• 2- ????? ????????? Inflammatory
• ???? ????? ????? ????? pastules ????? ???
  ??????? ????? ???? ????? ???? sticky material
  ???? ??????? ????? ???? ?????
• 3- ????? ?????? ?????? Black dot
• ?????? ??? ????? ?? ??? ????? ?????? ??? ?????
  ?? ??? ????? ??? ???? ????? ????? ???? ????? ??
  ???? ????? ????? ????? ??????? ?? ???? ?????? ??
  ??????? ???????.

12
Dermatomycosis
??????? ???????? ??????? ???? ??????? ????? ????
Trichophytin ?? ??????? ??????? ?? ????????
??????? ????? ??? ??????? ??????? ?????? ?????
????? ????? ????? ?? ??? ????? ???? ?????? ???
??????? ?? ???? ???????? ?????? ??? ???? ?? ?????
???????? ?? ??? ???????? ????? ???? ?????? ????
???? ??????? ?????? ???????? ??????? ??????? ???
??? ?????? ?????? ?? ??? ??????? ?? ??????
??????? ?????? . ??? ??? ?? ?????? ???? ?? ????
??? ?????? ??????? ??????? ?? ??? ???????? ??? ??
??? ?? ????? ????? ???? ????? ???? ????????
?????? ?? ????? ??? ??? ??????? ???????? ?????? .
13
Dermatomycosis
???? ????? ?? ????? ??????? ?????? ?? ???????
??????? ?? ??? ??????? ?? ???? ?????? ??????
?????????? ?????? - 1- ??? ??? woods light ???
??? ????? ?????? ?????? ??? ????? ????? ???? ???
?? ???? ????? ??? ??? ???? ??????? ???? ????????
microsporum 2- ????? ??????? ???? ?????? ???
????? ?????? ?? ???? ?? 10 20 ?? ?????
????????? ???????? ?? ?????????? ?? ???? ?????
????? ???? ????? ?????? ??? ?????? ?????? ?? ????
??? ???? ??? ?????? ??? 20 ????? . ????? ??? ??
????? ????? ???????? ????? ????? ?????? ?? ?????
?????? ??? ??? ????? ??? ?? ????? ????? ??? ???
??????? ????? ??? ????? (???? ?????????) ?? ???
?????? ??? ??? ???? ??????? ???? ?? ???? ??????
(?? ???? ????????) .
14
Dermatomycosis
3- ????? ???? ?? ????? ????? ???????? ??????? ??
???? ??????? ??? ???? ??????? ?? ???? ????????
???? (SDA) ?? ???? ???? 1 3 ?????? ??? ????
????? 20 25 ? ?? ??? ??? ???? ??? ?????? ???
????? ??? ????? ?????? .
15
Dermatomycosis
??????? ??????? ??????? Dermatophytes ?? ???
??????? ???? ?????? ??? ?????? ?? Tinea ???? ????
????? Ringworm ??? ?? ??????? ??????? ???? ????
?????? ?? ??????? ????? ????? ????? ????? ?????
????? ?????? ?? ????? ????? ??????? ? ?????
??????? ???????? ?????? ????? ?????? ??? 5 12
??? ???????? ????? ?? ???? ??????? ??? ??? ??????
???? ????? ??? ??????? ??????????? ???? ????? ???
??? ????? ?????? ?? ????? ????? ??? ??? ??? ?????
?????? ???? ??? ??????? ??????????? ???????? ??
???????? ???????? ?????? ????? ???? ?????? .
16
Dermatomycosis
???? ??? ???????? ???? ?? ?????? ????? ???? ?????
(??????) ??? ????? ????? ?? ??????? ?? ???????
??? ?? ??? ??????? ???? ???? ?? ?????? ??? ??????
??? ????? ??????? ???????? ?? ????? ????? ?????
????? ?? ???????? ??????? ???? ???? ?????? ?????
????? ???????? ????? ?? ??????? ??? ?????? ??
?????? ??????? . ?????? ?? ???????? ???????
?????? ?? ???? ????? ?????? ??? ?? ???? ???????
???? ???? ?? ????? ????? ??? ?????? ?????? ??? ??
Trichophyton ???? ?? ????? ??? ????? ??????
??????? ???????? ???????? ????? ??? ????????
??????? ???? ????????? ???????? ??????? ?????
????? ????? ??? ??????? ????? ???? ???
Microsporum ????? ??????? ????? ????? ????? ???
??????? .
17
Dermatomycosis
???? ?????? ??????? ???? ????? ? ????? ? ???????
????? ??????? ??? ??????? ??? ?????? ??????????.
??? ???? ??? ???????? ?????????? ?? ???????
??????????? ? ?? ?? ???? ???????? ??? ??? ?????
??? ????? ????????? ???????? ????????. ? ???? ???
????? ????? ??? ???????? ??? ?????? ???????? ??
?????? ? ??? ???? ?????? ??? ?????? ??????? ?????
?? ??? ?????? ?? ??????? ???????. ????? ???
?????? ??????? ?????? ?? ????? ?????? ?????? ??
?????? ??? ?????. ??? ? ???? ?? ?? ?????????
??????? ????????, ????????, ?????????? ? ?????
?? ????????? ??????? ?????????? ????? ?? ?????
??? ????????. ??? ? ?? ???? ????? ?????? ??????
????? ?????? ?? ??? ?????? ??????? ?? ???? ??
????? ??? ?????? ??? ??? ???????? ????? ?????? ??
????? ?? ??????? ??????? ? ??? ???? ????? ?????
????? ?? ??????.
18
Dermatomycosis
???? ???? ??? ?????? ??????? ????????? ???????
??? ??????? ??????? Ringworm ?? ???? ??? ?????
Tinea. ??? ???? ?? ???? ??? ???????? ???????
????? ?? ?????? ???????? ?? ????? ? ?? ?????
????? ???? ??????? ??? ??????? ????? ???? ???????
kerion.
19
Dermatomycosis
???????- ???? ????? (??????) Tinea barbae ????
????? Tinea capitis  ???? ????? Tinea corporis
???? ??????? (?????) Tinea Cruris  ???? ?????
Tinea Faciei ???? ???? Tinea Manuum  ??????
????? ???????? (????????) Tinea Incognito  
????? (?????) ????? Tinea pedis ???? ???????
Tinea unguium