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Canker sores
Disorders
Viral
Infections
Skin
Infestations Secondary bacterial
infections
Fungal Infections
Tinea
Types
Pedis
Corporis
Capitis
Unguium
Versicolor
1- Tinea pedis
Athlete’s foot
NOT just
athletes !!
But also:
Weak immune system
Older than 60
Diabetics
1- Tinea pedis
Athlete’s foot
Interdigital Moccasin Vesicular
Absence of vesicles
Involve the entire sole of the foot and extend onto the sides
1- Tinea pedis
Athlete’s foot
Interdigital Moccasin Vesicular
Differences :
1)Occurs on arms, hands & feet
2)smaller
3)Middle part is not normal
4)Rare in patients under 20 years
Differential diagnosis
Tinea
Psoriasis
corporis
Immunological problem
Differences:
Not contagious
Red plaques covered with silvery-
white scales
Painful and sometimes crack &bleed
Similarities:
4- Tinea capitis
Ringworm of the scalp
Yeast
pitysporum orbiculare
Common in oily
surfaces
teenagers
Cosmetic concern
Not contagious
Differential diagnosis
Tinea versicolor Vitiligo
No scaling
Transmission of tinea
Prevention
1. Dry off well
2. Do not wear
occlusive clothes
3. Wear shower sandals
at public showers and
swimming pools
Water
Transmission of tinea
Prevention
Do not share
clothes, socks,
towels, nail
clippers
Indirect contact
Transmission of tinea
Prevention
Avoid contact
with infected
people or
animals
Direct contact
Transmission of tinea
Autoinfection
Candidiasis
Candidiasis
Candida albicans
Most common (Monilia)
Oral thrush
Causes
Vaginal candidiasis
Oral candidiasis (Oral thrush) (Moniliasis)
Symptoms
Thick, white lacy patches
on top of a red base
Where ??
Tongue
Palate
Or elsewhere
inside the mouth
Canker sores
Aphthous stomatitis
Symptoms
1- Size
Minor 5-8 mm
Major
???? > 1 cm
2- Shape
Oval - round
3- Color
White - yellow
4- Where ?
Tongue, cheek
and lip
Cause
Unknown
Canker sores is an idiopathic disease
Triggers Risk groups
Oral trauma
Being female
Hormonal changes
Food
Smoking cessation
Helicobacter pylori
Differential diagnosis
1- Major canker sores
Self Healing
Patient counseling
Rinse your mouth with salty solution
to heal canker sores.
Baking soda !!
Ice !!
Skin infestations
Scabies
Cause:
called
Microscopic mite Sarcoptes scabei
Scabies Symptoms
Itching
to appear in
Take from 4 to 8 weeks patients who have not been infected previously
to appear in
Take from 1 to 4 days Patients who have scabies before
Scabies
Transmission
Cause:
Small wingless parasitic insect
Pediculus humanus capitis
Head lice
Symptoms
Transmission
HSV-1causes:
Herpetic labialis (cold sores)
Herpetic whitlow
Herpetic keratitis
HSV-2 causes:
Genital lesions
genital lesions and the virus is
never eliminated from the body
because The virus stays in the
ganglia in an inactive form.
Prevention
A vaccine called Zostavax to reduce the
risk of shingles in people ages 60 and over.
Hyperkeratotic
disorders
Callus
Skin lesions caused by
Excess friction
Over a broad
area of skin
Callus
Hand callus Feet callus
Skin growth
Very contagious
Go away on their own within months or years
Warts
Common Plantar
hemorrha- Hair
ging growth
Secondary Bacterial
Infection
Which bacteria causes SBI
Staphylococcus aureus
Streptococcus pyogenes
Staphylococcus aureus
Impetigo (school sores)
Staphylococcus aureus
Folliculitis
Staphylococcus aureus
Furunculosis (boils)
Which bacteria causes SBI
Staphylococcus aureus
Streptococcus pyogenes
Thanks