Tinea Berulang Pada Pengguna Anti-Epileptik Jangka Panjang

Abstract

Tinea capitis is a disorder of the skin and scalp caused by dermatophyte species capable of infecting keratin, such as Trichophyton and Microsporum. Several risk factors that can cause tinea capitis include gender, age, level of hygiene, place, economic status, education level, contact with people with tinea capitis, conditions that can reduce the immune system against infection such as the use of drugs, diabetes mellitus, and obesity. Tinea capitis is classified according to its shape, including gray patch ringworm, blackdot ringworm, kerion, and favus. A case of tinea capitis is reported in a 16 year old boy with complaints of itching on the scalp since 2 weeks before going to the hospital. Localized lesions on the scalp with efflorescence in the form of erythematous papules, multiple lenticular sizes, gray scales and erosions, atypical configuration and circumscript boundaries were found. Wood's lamp examination revealed a greenish fluorescence. The patient was diagnosed with tinea cruris and was given ketononazole 2% shampoo used twice a week, griseofulvin 125 mg twice a day two tablets, and cetirizine 10 mg once a day. The patient's prognosis is good but relapse can occur because the patient also has a history of epilepsy and routine consumption of antiepileptic which is one of the predisposing factors for tinea capitis.