Auchus, Isabella C; Ward, Kimberley M; Brodell, Robert T; Brents, Melissa J; Jackson, Jeremy D
SUMMARY OR ABSTRACT
Text of Note
Background: Tinea capitis is caused by dermatophyte fungi that utilize keratin as a nutrient source. Scalp erythema, scaling, andcrusting are typical signs of this disease. Although most commonly seen in prepubescent children, tinea capitis can occur in adults.Results: Endothrix tinea capitis owing to Trichophyton tonsurans commonly produces generalized scaling and localized perifollicular inflammation reminiscent of lichen planopilaris. Ectothrix tinea capitis owing to Microsporum sp. produces well- demarcated erythematous plaques suggestive of psoriasis. H&E stained biopsy specimens, KOH preparations or fungal cultures will confirm the diagnosis.Conclusion: Because of a low index of suspicion for tinea capitis in adults with scaling and alopecia, diagnosis and appropriate treatment are often delayed. Resistance to treatment for seborrheic dermatitis or psoriasis should prompt a KOH, fungal culture orbiopsy to confirm the diagnosis of tinea capitis and initiate systemic antifungal agents.
SET
Date of Publication
2016
Title
Dermatology Online Journal
Volume Number
22/3
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Auchus, Isabella C; Ward, Kimberley M; Brodell, Robert T; Brents, Melissa J; Jackson, Jeremy D