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BAGIAN ILMU PENYAKIT KULIT & KELAMIN

FAKULTAS KEDOKTERAN MEI 2016

UNIVERSITAS MUHAMMADIYAH MAKASSAR 

TINEA PEDIS

  OLEH :

FAJRIN ASHARI

 10542 0344 11

 

DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAAN KLINIK 

BAGIAN ILMU PENYAKIT KULIT DAN KELAMIN

FAKULTAS KEDOKTERAN

UNIVERSITAS MUHAMMADIYAH MAKASSAR 

/

201

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A. Penda!"!anT#nea $ed#% aa! %e'#n( d#%e)! athelete foot  ada"a de'*a+,#+%#% $ada -a-#

e'!a*a $ada %e"a/%e"a a'# dan e"a$a- -a-#. T#nea $ed#% ada"a

de'*a+,#+%#% an( )#a%a e'ad#. Pen((!naan #%#"a athlete foot   d#(!na-an

!n!- *en!n!-an )en!- a'# -a-# an( %e$e'# e')e"a. P'ea"en%# da'# #nea

 $ed#% %e-#a' 103 e'!a*a d#%e)a)-an +"e $en((!naan a"a% -a-# *+de'n

*e%-#$!n $e'a"anan -e"#"#n( d!n#a !(a *e'!$a-an ,a-+'. Kead#aan #nea

 $ed#% "e)# #n((# d#ana'a -+*!n## an( *en((!na-an e*$a/e*$a !*!*

%e$e'# -a*a' *and# %+4e' aa! -+"a* 'enan(. . Kead#an #n,e-%# #n# %e'#n(

e'ad# $ada #-"#* an(a "e*)a) d#*ana da$a *en#n(-a-an $e'!*)!an

 a*!' ea$# a'an( d#e*!-an d# dae'a an( #da- *en((!na-an a"a% -a-#.

51278

B. E#+"+(# dan $a+(ene%#%T#nea $ed#% d#%e)a)-an +"e Trichophyton rubrum9!*!*na: Trichophyton

mentagrophytes, Epidermophyton floccosum. Na*!n $ene)a) !a*a da'#

%e#a$ $a%#en '!*# den(an adana a*!' %a$'+,# 'a(# dan ;)a-e'#. Te"a d#

+)%e'a%# )a4a

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e'-ena #n,e-%# a*!'.  Se>a'a #%+"+(# #$e'-e'a+#% #nea $ed#% *e*#"#-#

-a'a-e'#%# )e'!$a a-an+%#% #$e'-e'a+%#% dan #n,#"'a%# $e'#a%-!"a' a(

dan(-a" -'+n#- dan da$a *ene)a' $ada de'*#%. Ben!- e%#>"e/)!"a

*ena*$#"-an %$+n(#+%#% $a'a-e'a+%#% dan %!)-+'nea aa! %$+n(#+%#%

#n'ae$#e" e%#>!"a%# den(an -ed!a #$e ,+># da'# ne!'+,#" )#a%ana da$a

d#"#a $ada dae'a %'a!* -+'nea. PAS aa! $e4a'naan silver methenamine

*ena*$#"-an +'(an#%*e a*!' 52?8

 Ga*)a' 1. T#$e -e'#n( da'# #n,e-%# T. Rubrum

@. Gea"a -"#n#%

Ada 7 en#% #nea $ed#% #ne'd#(#a"#% moccasin #$e a-! !"%e'a%# dan #$e

e%#>!")!"+%a %e*!a den(an -a'a-e'#%#- -!"# *a%#n(/*a%#n(.

1. Ine'd#(#a"#%5168

/ D#ana'a a'# 7 dan ? e'"#a ,#%!'a an( d#"#n(-a'# %#%#- a"!% dan

#$#%./ Da$a *e"!a% -e )a4a a'#9%!)d#(#a": dan -e %e"a a'# an( "a#n.

/ Se'#n( e'"#a *a%e'a%#. A%$e- -"#n#% )e'!$a -!"# $!# dan 'a$!.

Da$a d#%e'a# #n,e-%# %e-!nde' +"e )a-e'# %e#n((a e'ad# %e"!"##%

"#*,an(##% "#*,aden##% dan da$a $!"a e'ad# e'#%#$e"a%.

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Ga*)a' 2. T#nea $ed#% #ne'd#(#a"#%. Ma%e'a%# dan e'da$a

+$a!e $!# dan )e)e'a$a e'+%#

Ga*)a' . T#nea $ed#% $ada )a(#an )a4a a'# -a-#.2.  Moccasin foot 51 68

/ Pada %e"!'! -a-# da'# e"a$a- -a-# e$# %a*$a# $!n((!n( -a-#

e'"#a -!"# *ene)a" dan )e'%#%#- a"!% dan %e$e'# )eda- 

/ E'#e*a )#a%ana '#n(an dan e'"#a $ada )a(#an e$# "e%#

/ Te$# "e%# da$a d#"#a $a$!" dan -adan(/-adan( e%#-e"

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 Ga*)a' 7. T#nea $ed#%. Te'da$a d#%'#)!%# #$e moccasin. Ben!- 

a'>#,+'* da'# %#%#- an( *e'!$a-an -a'a-e'#%#- 

. Ve%#>!" )!"+%a52?8

/ D#a-#)a-an -a'ena T.mentagrophytes/ D#a*ee' e%#-e" "e)# )e%a' da'# **

/ a'an( $ada ana-/ana- a$# e#+"+( an( %e'#n( e'ad# $ada ana-/

ana- ada"a T.rubrum / Ve%#-e" $!%!" aa! )!"a $ada -!"# #$#% d#e"a$a- -a-# dan a'ea

 $e'#$"ana' 

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Ga*)a' ?. T#nea $ed#% #$e )!""+!%. Ve%#>"e $e>a )!"a e'#e*a dan

e'+%# $ada )a(#an )e"a-an( da'# #)! a'# -a-#.

7. T#$e a-! !"%e'a%#52?8

/ Me*$en(a'!# e"a$a- -a-# dan e'-a# den(an *a%e'a%#

 $en((!nd!"an -!"#

/ K+ #n,e-%# )a-e'#a" (ana% )#a%ana da'# (a'a* ne(a#e -+*)#na%#

den(an T.mentagrophytes *en(a%#"-an e%#-e" $!%!"e dan !">e' 

 )e'nana an( )e%a' $ada $e'*!-aan $"ana'  

D. D#a(n+%#%D#a(n+%#% da'# #nea $ed#% )#a%ana d#"a-!-an %e>a'a -"#n#-a" dan )e'da%a'-an

e=a*#na%# da'# dae'a an( e'#n,e-%#. D#a(n+%#% an( d#(!na-an )#a%ana

den(an >a'a -!"# d#-e'+- !n!- $'e$a'a KOH )#+$%# %-#n aa! -!"!'e da'#

dae'a an( e'#n,e-%#. 568

1. KOH

Ha%#" $'e$a'a KOH )#a%ana $+%##e d# )e)e'a$a -a%!% den(an *a%e'a%#

 $ada -!"#. Pada $e*e'#-%aan *#-'+%-+$ KOH da$a d#e*!-an #,a

%e$ae aa! )e'>a)an( a''+%$+'e aa! da"a* )e)e'a$a -a%!% %e"

 )!dd#n( *ened#a-an )!-# #n,e-%# a*!'. 5?8

2. -!"!'  

-!"!' da'# #nea $ed#% an( d#>!'#(a# d#"a-!-an SDA9 sabouraud’sdextrose agar : $H a%a* da'# ?6 !n!- *ed#a #n# *en(a*)a )ana- 

%$e%#e% )a-e'# dan da$a d#)!a "e)# %e"e-#, den(an $ena*)aan

%!$"e*en -"+'a*,en#-+". In# da$a %e"e%a# 2/7 *#n((!. Dermatophyte test 

medium9DTM: d#(!na-an !n!- #%+"a%# %e"e-#, dan *en(ena"# a*!' 

de'*a+,#+%#% ada"a $#"#an "a#n d#a(n+%#% an( )e'(an!n( $ada

#nd#-a%# $e'!)aan 4a'na da'# +'ane -e *e'a !n!- *enanda-an

-ead#'an de'*a+,#. 5?8

. Te% PASPAS *en!n!--an d#nd#n( $+"#%a-a'#da/%a'a da'# +'(an#%*e a*!' an(

e'-a# den(an -+nd#%# #n# dan *e'!$a-an %a"a %a! e-n#- an( $a"#n(

 )ana- d#(!na-an !n!- *endee-%# -a')+#d'a $'+e#n e'#-a

9("#-+$'+e#n:. Te% #n# d#"a-!-an den(an *en(e-%$+% a'#n(an da'#

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 )e')a(a# %!)%'a !n!- %e'an(-a#an 'ea-%# +-%#da%#/'ed!-%# %e)a(a# a%#"

a-#' e"e*en $+%##, %e$e'# -a')+#d'a )aan *e*)'an )a%e*en

*enad# $e'*en a$e" *e'a9candy apple red :. PAS -+n'a% $+%##, 

-+*$+nen #n# aa* e'ada$ "aa' )e"a-an( )#'! *e'a *!da. T#da- 

%e$e'# -!"!'e $ada SDA aa! DTM a%#" PAS da$a %e"e%a# %e-#a' 1?

*en#. PAS !(a e"a *enad# e% d#a(n+%#- an( $a"#n( da$a d#anda"-an

!n!- #nea $ed#% den(an -e)e'a%#"an !ane!% -a-# %e$e'# -+na- de'*a##%

 $%+'#a%#% d#d'+%#% e>e*a de'*a##% a+$#> -e'a+de'*a "#-en $"an!% dan

 )e)e'a$a #n,e-# )a>e'#a" %e$e'# C.minutissimum, streptococcal cellulitis dan

"a#n/"a#n an( !*!*na %!%a d#)eda-an den(an #nea $ed#%.5 ?8

D#a(n+%#% )and#n( da'# #nea $ed#% da$a d# )eda-an *enad#1. Ine'd#(#a"#%

D#a(n+%#% )and#n( )e'!$a $%+'#a%#% soft corns!,  -+#n,e-%# )a-e'#

-and#d#a%#% e''a%*a528

2. T#$e Moccasin 

D#a(n+%#% )and#n( )e'!$a $%+'#a%#% -e!'!nan aa! an( d#$e'+"e

-e'a+de'*a $ada e"a$a- an(an dan -a-# d%#d'+%#%528

. Ve%#>!"/)!"+%a

D#a(n+%#% )and#n( )e'!$a P!%!"a' $%+'#a%#% $a"*+$"ana' $!%+"+%#%

 $+de'*a )a-e'#528

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F. Penaa"a-%anaan1. T+$#-a"

Men((!na-an +$#-a" a(en %e$e'# )eda- -'#* aa! %$'a. K'#* dan %$'a

"e)# )e'(!na da'#$ada )eda-. T+$#-a" an#,!n(a" %e$e'# Clotrina"ole,

micona"ole, sulcona"ole, oxicona"ole, ciclopirox, econa"ole,

#etocona"ole, naftifine, terbinafine, flutnma"ol, bifona"ole, dan butenafine

ea$# clotrhna"ole, micona"ole  *e*)!!-an 4a-! 7 *#n((!

d#)and#n(-an #-a *en((!na-an terbinafine an( *e*)!!-an 4a-! 1/

2*#n((!. Ka"a! e'ad# *a%e'a%# d#ana'a a'# $#%a-an a'# den(an )!%a

aa! (!na-an -a$a% $ada *a"a* a'#. A"!*#n#!* -"+'#de 103 aa!

a"!*#n#!* a>ea !(a da$a )e'(!na. T+$#-a" an( )e'(!na !n!- 

+'(an#%*e ('a*/ne(a#, ada"a %a"e$ an#)#+#- %e$e'# (ena*#>#n !n!- 

"e%# #ne'd#(#a"#%. Ke'a+"##- a(en *en(and!n( %a"#%#" a>#d 'e%+'>#n+"

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"a>#> a>#d dan !'ea )e'(!na d# )e)e'a$a -a%!% 4a"a!$!n da$a

*en(a-#)a-an *a%e'a%#.5768

2. S#%e*#- 578

/ G'#%e+,!"#n ?00/1000 *("a'#. B!a ana-/ana- 10/ 20 *("-("a'#.

/ Te')#na,#ne 2?0 *("a'# !n!- 1/2 *#n((!/ I'a>+na+"e 200 *(;2 -a"# %ea'# !n!- 1 *#n((!. Un!- -a%!%

'#n(and# )e'#-an 100*( 2 -a"# %ea'#/ F"!>+na+"e 1?0 *(;*#n((! !n!- 7 *#n((!

G. Pen>e(aanMe*)e'#-an $ene"a%an -e$ada $a%#en *en(ena# $en#n(na -e)e'%#an

 $ada -a-# *ena(a -a-# ea$ -e'#n( *e*)e'%#-an -!-! -a-#

*en((!na-an %e$a! an( $a% dan -a+% -a-# -e'#n( dan )e'%# %e'a

*en((!na-an %anda" aa! ,"#$/,"+$ $ada e*$a *and# !*!* aa! -+"a*

'enan( da$a *en>e(a e'ad#na #nea $ed#%. D#a(n+%#% an( ee$a %e'a

 $en(+)aan e'ada$ $a%#en an( *ende'#a da)ee% *e""#!% HIV

'a%$"ana%# +'(an $en#n( !n!- $en>e(aan #n,e-%# #nea $ed#% .5?68

Da,a' P!%a-a1. B!d#*!"a U. M#-+%#%. Da"a* D!anda A. I"*! $ena-# -!"# dan

-e"a*#n. ?ed##+n. a-a'a F-/UI200$ G'a4/H#"" Med#>#ne

200C 0

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7. a*e% D #""#a* Be'(e' G T#*+ E"%+n M D#'-. And'e4% d#%ea%e +, 

e %-#n D#%ea%e% 'e%!"#n( ,'+* ,!n(# and ea% . 10   ed##+n. @anada

Sa!nde'% E"%e#e' 200C$ 0/0?

?. K!*a' V T#"a- R P'a-a% P N#(a* @ G!$a R. A%#an +!'na" +, *ed#>a" %>#en>e. T#nea Ped#% 2011 $17/ 1?

6. @"a#'e  . @a'"+ MD Pa'#>#a Ma>#""#a*% B+4e RN MS. T#nea

Ped#%9ae"ee ,++: aa#"a)"e a $;;444.)>$.+'(;BH@HP

320Man!a";$d,J,#"e%;Pa'1JPDF;T#neaPed#%.$d,  

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