2022
DOI: 10.1111/dth.15582
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A prospective clinical and trichoscopic study of tinea capitis in children during treatment

Abstract: Tinea capitis (TC) is the most common dermatophyte infection in children. Fungal culture; although a gold standard of diagnosis, requires time for the final results which can favor horizontal transmission. Trichoscopy helps in rapid diagnosis and could work as a monitoring tool during antifungal therapy. The objective of this study is to provide a clinico‐trichoscopic evaluation and follow‐up of children presenting with TC during treatment with either griseofulvin or terbinafine. One hundred and twenty childre… Show more

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Cited by 6 publications
(3 citation statements)
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“…Fungal culture remains the gold standard of mycologic diagnosis regardless of its delayed results, which may take up to 4 weeks for proper identification of the fungal colonies and require ample expertise to interpret the morphologic features of the grown colonies. 4 Other tests such as the potassium hydroxide preparation are nonspecific and do not identify the dermatophyte species. Although this method has been reported to have 5% to 15% false-negative results in routine practice depending on the skill of the observer and the quality of sampling, microscopic examination is essential, as it may allow the clinician to start treatment sooner pending culture results.…”
Section: Diagnosismentioning
confidence: 99%
See 1 more Smart Citation
“…Fungal culture remains the gold standard of mycologic diagnosis regardless of its delayed results, which may take up to 4 weeks for proper identification of the fungal colonies and require ample expertise to interpret the morphologic features of the grown colonies. 4 Other tests such as the potassium hydroxide preparation are nonspecific and do not identify the dermatophyte species. Although this method has been reported to have 5% to 15% false-negative results in routine practice depending on the skill of the observer and the quality of sampling, microscopic examination is essential, as it may allow the clinician to start treatment sooner pending culture results.…”
Section: Diagnosismentioning
confidence: 99%
“…The disappearance of black dots and comma hairs can be appreciated from 2 weeks onwards by trichoscopic evaluation. 4…”
Section: Update On Tinea Capitis Diagnosis and Treatmentmentioning
confidence: 99%
“…Owing to its mycological properties, terbinafine acting by inhibiting the enzyme squalene epoxidase was considered a first line treatment of choice when used in daily doses of 250 mg for two weeks and achieved cure rates of up to 90%. In recent years; terbinafine resistance emerged from overuse of the drug and resulted in increased clinical failures and relapses 3 .…”
Section: Introductionmentioning
confidence: 99%