prevalence and clinical features of pityriasis versicolor among students in two boarding schools in...
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8/13/2019 Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar
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PREVALENCE AND CLINICAL FEATURES OF PITYRIASIS VERSICOLOR
AMONG STUDENTS IN TWO BOARDING SCHOOLS IN DENPASAR
Azhar Ramadan Nonci, Yulia Trisna Wijaya, IAK Utami Dewi, Made wasti!a Adi"una
De#artment o$ Dermato%enereolo"y, &aculty o$ Medicine, Udayana Uni%ersity,an"lah 'eneral (os#ital, Den#asar, Indonesia
Background
)ityriasis %ersicolor *)+, is a common su#er$icial $un"al in$ection o$ the s!in- It is caused .y
Malassezia s#ecies and #articularly common in tro#ical and su.tro#ical countries- Many
$actors are sus#ected to contri.ute to )+ #atho"enesis- Re"ardin" these #ro.a.le and #ossi.le
ris! $actors, we $elt that .oardin" school is a uni/ue #o#ulation which can .e a$$ected .y this
in$ection-
O!"#c$%
The aim o$ the #resent study was to determine the clinical and e#idemiolo"ical #ro$ile o$
#ityriasis %ersicolor in .oardin" schools in Den#asar-
M#$'od
Total o$ 01 students o$ two .oardin" schools in Den#asar were screened $or )+- A 234 K5(
e6amination o$ s!in scra##in" was done in all the screened students- )+ was dia"nosed in
students whose s!in scra#in"s showed s#ores and hy#hae- A /uestioner included, se6, a"e,
disease duration, num.er o$ occu#ants7.edroom, #i"mented chan"es and in%ol%ed area is
$illed $or each screened student- The clinical and e#idemiolo"ical data was noted-
R#(u)$
In the #resent study, 894 o$ all students were #ositi%e $or )+, :94 were .oys, and 2;4 were
"irls- )+ was $ound to .e commonest in the a"e "rou# 2224- In 0>4 screened students the lesions were on the $ace and $rom all screened students
the lesions were hy#o#i"mented macules-
Conc)u(%on
)ityriasis %ersicolor was a hi"h #re%alence in .oardin" schools in Den#asar whereas
en%ironmental $actors #lay a role $or this disease-
*#+ ,ord(?prevalence, clinical features, pityriasis versicolor, boarding school
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In$roduc$%on
)ityriasis %ersicolor *)+ also called tinea %ersicolor is a common chronic su#er$icial $un"al
in$ection o$ the s!in caused .y Malassezia s##-2 The in$ection #resents most commonly as
#i"mentation chan"es in the s!in .ut also can .e accom#anied with #ruritus-=The etiolo"ic
a"ent Malassezia furfur is a dimor#hic, li#o#hilic $un"us which is a common endo"enous
sa#ro#hyte o$ normal s!in- Under a##ro#iate conditions, it con%erts $rom the sa#ro#hytic
yeast to the #redominantly #arasitic mycelial mor#holo"y associated with clinical disease-8
Many #redis#osin" $actor ha%e .een #ro#osed $or this disease such as late teen and
youn" adulthood a"e,; tro#ical and su.tro#ical climate, immunosu#resion,0 use o$ oral
contrace#ti%e,9 hy#erhidrosis,>malnutrition,:#oor hy"iene1and a $ew other condition- This
disease occurs worldwide with #re%alence as hi"h as 83
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&i" 2? Total num.er o$ students screneed and #ositi%e with )+
The a"e ran"e o$ the students was $rom 024 *&i" 0- Boardin" school is a #lace where the
humidity is %ery hi"h due to o%ercrowdin" in one .edroom-
Ta.le 2- Demo"ra#hics and clinical characteristics amon" students in = .oardin" schools in Den#asar
*nC=2 %
Sex
Boys 18 86
Girls 3 14
Age
5-10 4 19
11-15 > 15
116
5229
Disease duration
1 !ont" 5 24
1-2 !ont"s 9 43
> 2 !ont"s
#u!$er o%o&&u'ants($edroo!
1-5 5-10 10-15
)n*ol*ed area +a&e #e&,
15
15
1044
33
5241
481919
01 Total no- o$ students *0 to 2: years
81 (y#o#i"mented lesions
=2 K5( #ositi%e 2: K5( ne"ati%e
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8/13/2019 Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar
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8/13/2019 Prevalence and Clinical Features of Pityriasis Versicolor Among Students in Two Boarding Schools in Denpasar
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0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
&i" 8- Distri.ution o$ )+ accordin" to a"e
Age Range
(Year)
19.0% 52.0% 29.0%
5-10 yrs 11-15yrs >15
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
&i" ;- Distri.ution o$ )+ accordin" to
disease duration
Disease
duration
(month)
24% 4% %
! 1
month
1-2
months
> 2
month
&i" 0- Distri.ution o$ )+ accordin" to .edroom occu#ancy
224
9 10 students
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&i" 9- Distri.ution o$ )+ accordin" to in%ol%ed area
A6tremities
2;4
&ace
;:4
Trun!
214
Nec!
214
Face
Neck
Trunk
Extreities
Conc)u(%on
In conclusion, 894 students o$ two .oardin" schools in Den#asar were #ositi%e $or #ityriasis
%ersicolor which is a hi"h #re%alence $or this disease- )re$erential $acial localization in
students a"e is characteristic o$ childhood and tenna"ers- This was an e6#ected outcome
considerin" hi"h le%el o$ #hysical acti%ity, acti%ity o$ se.aceous "lands in this a"e and
li#o#hilicity o$ the causati%e $un"us- )+ should .e !e#t as a di$$erential dia"nosis in
hy#o#i"mented macules es#ecially when on the $ace- The #re%alence o$ )+ increased with
increase in the num.er o$ occu#ants #er .edroom in the .oardin" schools- (a%in" u# to ten or
more occu#ants in a .edroom associated with #oor hy"iene, and o%ercrowded li%in"
conditions and these $acilitate the transmision o$ )+ that en%ironment $actors #lay a role $orthis disease- &urther studies will .e necessary in order to e6#lain the relationshi#s o$ the
en%ironment $actors and this disease-
R#-#r#nc#(
2- l
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0- 'ulec AT, Demir.ile! M, ec!in D, @an &, aray Y, ari$a!io"lu - u#er$icial
$un"al in$ections in 23= renal trans#lant reci#ients? A case
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