Indonesia is a tropical country and is the largest archipelago in the world. The country consists of more than 17,000 islands, although only 6,000 are inhabited by a population of more than 201 million people. In tropical countries, superficial mycosis are prevalent all the time, pytiriasis versicolor, several clinical forms of tineas and cutaneous candidosis comprise the most common spectrum of the disease. In our clinic this group diseases ranks the second or third place after dermatitis and acne vulgaris. Besides these common superficial fungal diseases, tines imbricate is endemic in eastern parts of islands in Indonesia. Sporotrichosis, chromomycosis, mycetoma and subcutaneous zygomycosis are occasionally seen in our clinic. The incidence of mycosis profunda is 0~2 per year in our department. Besides dermatomycosis, systemic mycosis s. a. lung aspergillosis, candidosis of the G. I. tract were also observed. Other systemic mycosis reported as endemic are histoplasmosis and cryptococcosis.
Acne Vulgaris ; Chromoblastomycosis ; Cryptococcosis ; Dermatitis ; Dermatomycoses ; Histoplasmosis ; Incidence ; Indonesia ; Islands ; Mycetoma ; Pulmonary Aspergillosis ; Skin* ; Sporotrichosis ; Tinea ; Zygomycosis

Dermatomycoses are defined as the fungal infections of the skin including hair and nail. Generally, dermatomycoses are divided into superficial mycoses involving hair, nail and horny layer of the epidermis, and deep mycoses involving dermis and subcutis. Superficial mycoses described herein are dermatophytosis, candidiasis and Malassezia infection. Histopathologic findings of onychomycosis were a little more focused because of recently increased interest of its usefulness in making the diagnosis of onychomycosis and its causative fungi. Deep mycoses of the skin include primary or secondary dermal and/or subcutaneous fungal infections. Deep mycoses reported only in Korea were briefly described herein. Those are sporotrichosis, the most common primary cutaneous deep mycosis in Korea, and rare deep mycoses including chromoblastomycosis, phaeohyphomycosis, mycetoma, cutaneous paecillomycosis, aspergillosis, cryptococcosis, mucormycosis, systemic candidiasis, fusariomysosis, and trichophytic granuloma. Cutaneous protothecosis, a disease by achlorophilic algae, was also included because of its similarity of clinical and pathological findings with deep mycoses.
Aspergillosis ; Candidiasis ; Chromoblastomycosis ; Cryptococcosis ; Dermatomycoses* ; Dermis ; Diagnosis ; Epidermis ; Fungi ; Granuloma ; Hair ; Korea ; Malassezia ; Mucormycosis ; Mycetoma ; Mycoses ; Onychomycosis ; Phaeohyphomycosis ; Skin ; Sporotrichosis ; Tinea

Fungal diseases are grouped arbitarily into three broad categories based on the predominant location of infection within the body : superficial, cutaneous and subcutansous, and systemic. The Histopathologic features of more common fungal diseases were summarized in the table 1. and described in the text briefly. Herein described were superficial mycoses including dermatophytoses, pityriasis versicolor, cutaneous and subcutaneous including chromomycosis, rhinosporiodiosis, sporotrichosis, and systemic mycoses such as aspergillosis, candidiasis, cryptococcosis, fusariosis, zygomycosis and pneumocystosis. Characteristic and main histologic findings are granulomatous inflammation with respective organisms. The diagnosis of mycotic disease has four basic approach: clinical, mycologic, immunologivc and pathologic. Variety of host reaction are noted from non-specific reaction to granulomatous or mycetoma formation. Most important thing is mycological isolation and identification in the tissue. Multiple sections and special stains such as Gomori`s methenamine silver, Perioidic Acid Schiff, mucin stains, gram stains, acid fast stain, Giemsa stains are also very useful.
Aspergillosis ; Azure Stains ; Candidiasis ; Chromoblastomycosis ; Coloring Agents ; Cryptococcosis ; Diagnosis ; Fusariosis ; Inflammation ; Methenamine ; Mucins ; Mycetoma ; Mycoses ; Pneumonia, Pneumocystis ; Sporotrichosis ; Tinea ; Tinea Versicolor ; Zygomycosis

This study was done with 5,980 cases of dermatomycosis of dermatological patients in Chnnnam University Hospital for 10 years(1976~1985). And the literatures concerning all fungal diseases reported in Korea were reviewed. The results were summarized as follows ; Among total dermatological patients, the average annual incidence of dermatomycosis was about 15+3%. Dermatophytosis was the most prevalent(77.34%), followed by candicliaais(14.38%), tinea versicolor(7.78%), sporotrichosis(0.45%). Of dermatophytosis, the decreasing orders of clinical localization by the incidence were T.pedis(42.2%), T.cruris(25.9%), T. manum(10.3% ), T. corporis(10.0%), T. ungium (6.2%), T.facialis(4.2%), and T. capitis(2.2%). The organisms identified from dermato phytoses were generally 9 species ; the decreasing orders of frequency were Trichophyton rubrum(59.4%), T. mentagrophyte(27.9%), Microsporum canis(8.5%), Epidermophyton floccosum(2.4%), T. ferrugineum(0.9%), and others(M. gypseum, T. schonleinii, T. violaceum, T. verrucosum). The most common causative organism was T. rubrum, but that of T. corporis and T. capitis was M. canis, which showed a continuous increase on the annual variation of dermatophytes. Of candidiasis, the most common clinical form was cutaneous candidiasis, which was prevalent under 10 years old. But vulvo-vaginitis and paronychia highly developed between 3rd and 5th decades. The occasion with precipitating faetors was 10.4% of total candidiasis, of which tuberculosis and diabetes mellitus were prevalent. Of T. versicolor patients, the peak age was 3rd decades but some cases were infant and child. Of sporotrichosis, the most common clinical location and form were hand and lym phatic respectively. The peak age was between 4th and 5th decades, and the most prevalent occupation was farmer. Of other deep mycosis, there were each case of cryptococcosis, systernic candidiasis, and Wangiella derm,atitidies infection.
Arthrodermataceae ; Candidiasis ; Candidiasis, Cutaneous ; Child ; Cryptococcosis ; Dermatomycoses* ; Diabetes Mellitus ; Epidermophyton ; Exophiala ; Hand ; Humans ; Incidence ; Infant ; Korea ; Microsporum ; Occupations ; Paronychia ; Sporotrichosis ; Tinea ; Trichophyton ; Tuberculosis

The reports on the subcutaneous infection cases by the opportunistic fungi, reported in Korean Journal of Dermatology, Annals of Dermatology and Korean Journal of Medical Mycology from 1960 to 1999, were summarized. The opportunistic subcutaneous fungal diseases were cryptococcosis, aspergillosis, mucormycosis, pheohypomycosis, pseudallescheriasis, chromomycosis, paecilomycosis, fusariosis, sporotrichosis. Only two cases were the systemic infection with cutaneous manifestations and the others were the primary cutaneous infection. Besides sporotrichosis, all the fungal diseases began to be reported since 1980's. The total number of the cases was insidiously increased.
Aspergillosis ; Chromoblastomycosis ; Cryptococcosis ; Dermatology ; Fungi ; Fusariosis ; Mucormycosis ; Mycology ; Sporotrichosis

The subcutaneous mycoses are infections caused by fungi that have been introduced directly into the dermis or subcutaneous tissue from puncture wounds, abrasions, or other trauma. The skin lesion of subcutaneous mycosis is a verrucous plaque or abscess that forms at the site of probable trauma in an exposed area of the body. The most commom subcutaneous mycosis in Korea is sporotrichosis. In recent years the dematiaceous fungi, characterized by having melanin in their cell walls, have become significant due to increasing cause of subcutaneous mycoses in Korea. The subcutaneous mycoses caused by demataceous fungi contain chromoblastomycosis, phaeohyphomycosis, and eumycotic mycetoma.
Abscess ; Cell Wall ; Chromoblastomycosis ; Dermis ; Fungi ; Korea* ; Melanins ; Mycetoma ; Mycoses* ; Phaeohyphomycosis ; Punctures ; Skin ; Sporotrichosis ; Subcutaneous Tissue ; Wounds and Injuries

No abstract available.
Aspergillosis, Allergic Bronchopulmonary* ; Diagnosis*

Bacteriological study, including antibiotic sensitivity tests, of 81 patients with pyodermas such as impetigo, folliculitis, furuncle, carbuncle, cellulitis and acuete infectious eczematoid dermatitis, was carried out during 4 months period from June, 1980 to September, 1980 at the department of dermatology, Han Il Hospital. The results were as follows: 1) The causative agents of impetigo in 42 patients, were coagulase positive Staphylacoccus aureus in 33, p-hemolytic Streptococcus in 6 and both organisms in R (S. aureus and 3-hemolytic Streptococcus). Coagulase negative Stgaphylococcus was not found. 2) The causative agents of superficial and deep follicultis in 23 cases, were coagulase positive S. aureus in 12, coaulase negative Staphylococcus in 5, p-hemolytic Streptococcus in 4 and S. aureus and p-hemolytic Streptococcus in 3. 3) The causative agents of cellulitis in 2 cases, were coagulase positive S. aureus in 1, and coagulase negative Staphylococcus in 1. 4) The causative agents of acute infectious eczematoid dermatitis in l4 cases, were coagulase positive S. aureus in 6, coagulase negative Staphylococcua in 1, p-hemolytic Streptococcus in 2, and two organisms in 5 (4 cases were mixed).
Carbuncle ; Cellulitis ; Coagulase ; Dermatitis ; Dermatology ; Folliculitis ; Furunculosis ; Humans ; Impetigo ; Pyoderma* ; Staphylococcus ; Streptococcus

Bacteriological study, including antibiotic sensitivity tests, of 145 patients with pyodermas such as impetigo, superficial folliculltis, deep folliculitis, ecthyma, paronychia, cellulitis and secondary skin infections, was carried out during the period from June, 1981 to September, 1982 at the Department of Dermatology, Han II hospital. (countinued..)
Cellulitis ; Dermatology ; Ecthyma ; Folliculitis ; Humans ; Impetigo ; Paronychia ; Pyoderma* ; Skin

BACKGROUND: Pediatric infectious skin diseases are different from their counterparts in adults, since the sources of infection and disease progressions are distinct. To our knowledge, there have been no reports of epidemiologic studies of pediatric infectious skin diseases in Korea. OBJECTIVE: The purpose of this study was to evaluate the distribution of pediatric infectious skin diseases in the Ansan and Southwestern area of Gyeonggi-do, and to compare the results with previous reports about general pediatric dermatoses. METHODS: The authors retrospectively evaluated 4,366 cases of pediatric infectious skin diseases from July 2003 to June 2013 in the Department of Dermatology at Korea University Ansan Hospital. The monthly, seasonal, and annual incidences, as well as the ages and genders of the patients were evaluated. RESULTS: The study included 2004 (45.0%) girls and 2362 (55.0%) boys. The most frequent age of infection was 4 to 6 years old (range 0~15 years), and the peak incidences occurred in July, August, and January. The most common infectious dermatoses were viral (76.0%), bacterial (11.5%), fungal (8.3%), and parasitic (4.0%). The 10 most common pediatric infectious skin diseases were viral wart (45.8%), molluscum contagiosum (20.9%), impetigo (10.3%), tinea (7.1%), scabies (3.8%), herpes zoster (2.5%), varicella (1.6%), herpes simplex (1.5%), eczema herpeticum (1.1%), and cellulitis (0.9%). CONCLUSION: Compared to previously published reports, the distribution of pediatric infectious skin diseases has changed and was different from general pediatric dermatoses.
Adult ; Cellulitis ; Chickenpox ; Dermatology ; Disease Progression ; Epidemiologic Studies* ; Epidemiology ; Female ; Gyeonggi-do* ; Herpes Simplex ; Herpes Zoster ; Humans ; Impetigo ; Incidence ; Kaposi Varicelliform Eruption ; Korea ; Molluscum Contagiosum ; Retrospective Studies ; Scabies ; Seasons ; Skin Diseases ; Skin Diseases, Infectious* ; Tinea ; Warts