Extensive tinea capitis and corporis in a child caused by Trichophyton verrucosum

Publication date: Available online 22 February 2019Source: Journal de Mycologie MédicaleAuthor(s): Y. Jiang, P. Zhan, A.M.S. Al-Hatmi, G. Shi, Y. Wei, A.H.G.G. van den Ende, J.F. Meis, H. Lu, G.S. de HoogAbstractA 3-year-old boy presented with multiple lesions of tinea corporis with dermatophytids, and subsequent inflammatory lesions with alopecia on the scalp. At the beginning, topical clobetasone butyrate was prescribed. The infection was diagnosed as dermatophytosis on the basis of positive direct microscopy and fungal culture. The etiological agent was isolated from all sampled sites and identified as Trichophyton verrucosum. Clonal nature of the infection was confirmed by random amplified polymorphic DNA (RAPD) analysis. The child lived in close vicinity of cattle. He was successfully treated with itraconazole.
Source: Journal of Medical Mycology - Category: Biology Source Type: research

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Conclusion: This study showed that hair loss in children in our region is not an uncommon problem and results from a variety of causes. Early diagnosis and treatment are needed to prevent further hair loss and to avoid irreversible hair loss and scarring alopecia. As has been observed in this study, hair problem may be due to important nutritional deficiency. We should be aware of such presentation. These may be a clue to the diagnosis of systemic illness.
Source: Indian Journal of Dermatology - Category: Dermatology Authors: Source Type: research
Conclusions: Trichoscopy is a noninvasive method of examining hair and scalp. It allows differential diagnosis of hair loss in most cases.
Source: International Journal of Trichology - Category: Dermatology Authors: Source Type: research
​Welcome back to the weird and wild, "what do I do with that?" series! We want to take you back to the magical land of abscesses. This scalp abscess case study and Procedural Pause pearl will help you relieve significant pain and decrease the risk for skin infections and complications. This case made it to our weird and wild list for being rare and interesting.​Scalp abscesses and kerions can be tricky and complicated. At first glance, they can appear small and harmless. They are often underappreciated for this reason, but require immediate attention. There are several types of wound infections and rashes tha...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Abstract Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically. Telogen...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Ebtisam ElghblawiInternational Journal of Trichology 2017 9(2):47-49 Tinea capitis is the most common pediatric superficial dermatophyte infection. The causative species vary, as for instance, Microsporum canis predominates in Europe, while Trichophyton tonsurans predominates in North America. Tinea capitis does not respond well to topical therapy alone, thus oral therapy is requisite. The drug of choice is griseofulvin; however in some countries, it is no longer available. Fungal culture should be requested in the persistent, scalp lesion and trichoscopy can put forward a speedy diagnosis by its characteristic findings. ...
Source: International Journal of Trichology - Category: Dermatology Authors: Source Type: research
Abstract: Tinea capitis is the most common fungal infection in children. The identification of the etiologic agent helps clinicians make their therapeutic choice. Studies conducted in different countries show a changing pattern of the main etiological agents according to their regions. We performed a retrospective study in the tertiary public service in S ão Paulo, analyzing the isolated etiological agents in patients with tinea capitis from March 2013 to May 2015. Microsporum canis was the main agent (56.6%), followed by Trichophyton tonsurans (36.6%). Despite recent migratory movements in the city, we observed no ...
Source: Anais Brasileiros de Dermatologia - Category: Dermatology Source Type: research
Abstract Sixty novice Buddhist monks with tinea capitis confirmed according to clinical presentation and mycological laboratory finding were included in this study. Mixed‐type clinical presentation was observed in approximately half of all cases, together with scarring alopecia (95%) and superficial fungal skin infection at locations other than the scalp (43.3%). The major isolated organism was Trichophyton violaceum, and mixed‐organism infection was found in 27 cases (45%). Slow‐onset presentation and an extensive area of infection were significantly associated with mixed‐type clinical presentation.
Source: Pediatric Dermatology - Category: Dermatology Authors: Tags: Brief Report Source Type: research
A 2-year-old boy had gradually developed sporadic asymptomatic patches of alopecia with slight scales on the scalp in the past 2  months (Fig 1).
Source: Journal of the American Academy of Dermatology - Category: Dermatology Authors: Source Type: research
Conclusion: Hair loss is a common problem among Egyptian children, wherein tinea capitis showed the highest percentage. The routine use of dermoscopy in scalp and hair disorders improves diagnostic capability beyond simple clinical inspection, thus aiding in accurate diagnosis and better management of alopecia.
Source: Journal of the Egyptian Womens Dermatologic Society - Category: Dermatology Tags: Original articles Source Type: research
Abstract Trichoscopy corresponds to the scalp, and hair dermoscopy has been increasingly used as an aid in the diagnosis, follow‐up, and prognosis of hair disorders. Trichoscopy represents a valuable link between clinical and histological diagnosis. Tinea capitis (TC) and alopecia areata (AA) are considered the most common causes of hairless patches of the scalp in pediatrics. TC may have the same clinical appearance of AA, so dermoscopy has recently become a useful diagnostic tool for AA and TC, particularly in doubtful cases. The aim of this study is to identify the trichoscopic features of TC and AA in children that m...
Source: International Journal of Dermatology - Category: Dermatology Authors: Tags: Clinical Trial Source Type: research
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