A 13year-old boy presented with a 15day history of an indurated, erythematous scaling plaque with pustules, golden-yellow crusts and an alopecia patch with well-defined edges on the temporal region of the scalp ( Figure 5). Asymptomatic and not previously treated. The scalp dermoscopy showed multiple white bands across the J Dermat Cosmetol. 2018;2(3):151-157. 151 AbstractTinea capitis is the scalp infection caused by dermatophyte-mainly by Trichophyton spp and Microsporum spp. The causal agent varies according to the geographic region, the most frequent in the world is M. canis and in the United States of America T. tonsurans. The inflammatory clinical manifestatitions called Kerion Celsi. It is caused mainly by zoophilic fungi as Microsporum canis and Trichophyton mentagrophytes, and rarely by geophilic fungi M. gypseum. We report the case of a 3year-old female patient with an inflammatory tinea capitis with the presence of crusts, zig-zag and comma hairs under trichoscopic examination; a parasited hair was observed in the histopathological study, and Microsporum gypseum was isolated on Sabouraud dextrose agar. In the second case, a 13year-old male patient, the trichoscopy showed "Morse code" hairs and hyaline hyphae and spores were observed in the direct mycological examination. Culture on Sabouraud agar confirmed the presence of Microsporum gypseum. He was treated with Itraconazole for 6weeks with a complete clinical and mycological resolution.
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