A single typical trichoscopic feature is predictive of tinea capitis: a prospective multicentre study

Dhaille, F.; Dillies, Anne-Sophie; Dessirier, F.; Reygagne, P.; Diouf, Momar; Baltazard, T.; Lombart, F.; Hébert, V.; Chopinaud, M.; Verneuil, Laurence; Becquart, C.; Delaporte, E.; Lok, Corie; Chaby, G.

doi:10.1111/bjd.17866

Cited by 35 publications

(43 citation statements)

References 20 publications

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“…Comma hairs are formed due to subsequent cracking and bending of a hair shaft filled with hyphae [10]. The frequency of comma hairs varied between 13% and 100% (mean value: 51%) of patients with tinea capitis [6,9,[12][13][14][15][16][17][18][19][20][21][22][23][24]. They were also occasionally detected in patients with alopecia areata and trichotillomania [16].…”

Section: The Most Characteristic Trichoscopic Findings Of Tinea Capitismentioning

confidence: 99%

“…However, trichoscopy may be useful in making a correct diagnosis before culture results are available [6]. It has been reported, that trichoscopy, an easy to perform, non-invasive method [7,8], is characterized by a higher sensitivity compared with direct examination (94% vs 49.1%) in diagnosis of tinea capitis [9]. Moreover, a high specificity of trichoscopy in tinea capitis has been described (83%) [9].…”

Section: Introductionmentioning

confidence: 99%

“…It has been reported, that trichoscopy, an easy to perform, non-invasive method [7,8], is characterized by a higher sensitivity compared with direct examination (94% vs 49.1%) in diagnosis of tinea capitis [9]. Moreover, a high specificity of trichoscopy in tinea capitis has been described (83%) [9]. Slowinska et al [10] first described the trichoscopic features of tinea capitis in 2008.…”

Section: Introductionmentioning

confidence: 99%

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Trichoscopy of Tinea Capitis: A Systematic Review

Waśkiel‐Burnat

Rakowska

Sikora

et al. 2020

Dermatol Ther (Heidelb)

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Introduction: An increased incidence of tinea capitis has been observed over the last few decades. Trichoscopy is a non-invasive, in-office method helpful in establishing the correct diagnosis in patients with hair loss and inflammatory hair disorders. The objective was to review and analyze current data on the trichoscopy of tinea capitis. Methods: A systematic review of the literature was conducted using the PubMed, EBSCO and Scopus databases. The search terms included 'tinea capitis' combined with 'trichoscopy', 'dermatoscopy', 'dermoscopy', 'videodermatoscopy' or 'videodermoscopy'. Results: Of 326 articles, 37 were considered eligible for the quantitative analysis. The most characteristic (with a high predictive value) trichoscopic findings of tinea capitis included comma hairs (51%), corkscrew hairs (32%), Morse code-like hairs (22%), zigzag hairs (21%), bent hairs (27%), block hairs (10%) and i-hairs (10%). Other common, but not characteristic, trichoscopic features were broken hairs (57%), black dots (34%), perifollicular scaling (59%) and diffuse scaling (89%). Morse code-like hairs, zigzag hairs, bent hairs and diffuse scaling were only observed in Microsporum tinea capitis (8/ 29, 28%; 6/29, 21%; 4/29, 14% and 4/29, 14%, respectively). In Trichophyton tinea capitis, corkscrew hairs were more commonly detected compared to Microsporum tinea capitis (21/38, 55% vs 3/29, 10%). Conclusion: The presence of characteristic trichoscopic features of tinea capitis is sufficient to establish the initial diagnosis and introduce treatment before culture results are available. Trichoscopy may be useful in distinguishing between Microsporum and Trichophyton tinea capitis.

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Section: The Most Characteristic Trichoscopic Findings Of Tinea Capitismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trichoscopy of Tinea Capitis: A Systematic Review

Waśkiel‐Burnat

Rakowska

Sikora

et al. 2020

Dermatol Ther (Heidelb)

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“…It mostly arises on hair-bearing skin of sun-exposed areas, whilst BCC developing on palms and soles has been rarely reported. 1,2 In this setting, most of these cases have been described in patients affected by predisposing syndromes such as Gorlin-Goltz or xeroderma pigmentosum, but isolated sporadic cases are extremely rare. [1][2][3] The latter have been related to previous trauma, scarring, arsenic exposure or irradiation, 2,3 but cases without any associated factor are exceptional.…”

Section: Basal Cell Carcinoma Of the Palm: An Unusual Presentation Ofmentioning

confidence: 99%

“…Dermoscopic findings do not differ from BCC in other locations; and blue-grey ovoid nests, leaf-like structures or dotted vessels can aid in the diagnosis. 1,3 Interruption of the dermatoglyphics has been described as a characteristic feature. 3 The main clinical differential diagnoses include squamous cell carcinoma (SCC), Bowen disease and eccrine poroma.…”

Section: Basal Cell Carcinoma Of the Palm: An Unusual Presentation Ofmentioning

confidence: 99%

Combined and dynamic trichoscopic signs for diagnosis and follow‐up of inflammatory tinea capitis

et al. 2019

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Tinea capitis (Favus) in a 8‐year‐old child: Case report

Akbari,

Parhiz,

Sabzi

2024

Clinical Case Reports

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Key Clinical MessageIn examining any scalp itch or skin lesions, especially in children with long hair, fungal lesions under the hair may not be diagnosed in a timely manner. Additionally, fungal infection of the scalp, known as tinea capitis, is considered a chronic condition and if left untreated, it can lead to alopecia (hair loss) and permanent scarring.AbstractTinea capitis (TC) is a common cutaneous fungal infection in childhood. In this report, we describe the case of an 8‐year‐old child presenting with erythematous scalp lesions accompanied by hair loss. Upon examination, palpation revealed a swollen and tender left parotid gland. Notably, the frontal region of the scalp exhibited erythematous lesions and scaly red plaques resembling yellowish paste‐like dough. Subsequent clinical evaluation and culture analysis confirmed the diagnosis of TC. The patient received treatment with Terbinafine 125 mg for a duration of 8 weeks. Follow‐up examinations conducted after 3 months showed no signs of recurrence. Accurate diagnosis and timely treatment, along with adherence to medication regimens, are crucial in cases of TC, and differential diagnoses should be considered. Treatment should commence promptly upon diagnosis to prevent complications such as scalp baldness and transmission to others. This case report underscores the significance of establishing a precise diagnosis and effective treatment for this dermatophytosis to mitigate the risk of recurrences or therapeutic shortcomings, particularly in infants.

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A single typical trichoscopic feature is predictive of tinea capitis: a prospective multicentre study

Abstract: This summary relates to https://doi.

Cited by 35 publications

References 20 publications

Trichoscopy of Tinea Capitis: A Systematic Review

Trichoscopy of Tinea Capitis: A Systematic Review

Combined and dynamic trichoscopic signs for diagnosis and follow‐up of inflammatory tinea capitis

Tinea capitis (Favus) in a 8‐year‐old child: Case report

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