Follow‐up of tinea capitis with trichoscopy: a prospective clinical study

Campos, Sara; Brasileiro, Ana; Galhardas, Célia; Apetato, Margarida; Cabete, Joana; Serrão, Vasco; Lencastre, André

doi:10.1111/jdv.14322

Cited by 18 publications

(23 citation statements)

References 9 publications

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“…Dermoscopy is also proposed as a method for monitoring response to treatment in TC . Trichoscopy follow‐up of 50 patients with TC showed disappearance of dystrophic hairs 12 weeks after starting treatment . However, 8% and 24% of patients still had perifollicular scaling and diffuse scaling, respectively.…”

mentioning

confidence: 99%

Morse code‐like hairs in tinea capitis disappear after successful treatment

et al. 2018

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mentioning

confidence: 99%

Morse code‐like hairs in tinea capitis disappear after successful treatment

et al. 2018

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“…In our case study, whitish sheath or scaling resolved more slowly, and did not predict the time point of clinical cure; it should therefore not be considered as a marker of treatment failure. 4 Mixed trichoscopic signs in joint ectothrix-endothrix infections have previously been reported by Bourezane and colleagues. 5 To our knowledge, this is the first case of inflammatory tinea capitis showing coexistence of multiple characteristic trichoscopic signs (endothrix and ectothrix infections) and followed by dynamic trichoscopy.…”

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confidence: 68%

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

et al. 2019

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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%

“…Their formation results from incomplete, transverse fractures along the hair shaft [31]. Zigzag hairs were only described in patients with ectothrix-type fungal infection with an incidence rate between 5% and 49% (mean value: 21%) [6,9,13,15,[18][19][20][21]24]. They were also reported in patients with alopecia areata [41].…”

Section: Morse Code-like Hairsmentioning

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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Follow‐up of tinea capitis with trichoscopy: a prospective clinical study

Cited by 18 publications

References 9 publications

Morse code‐like hairs in tinea capitis disappear after successful treatment

Morse code‐like hairs in tinea capitis disappear after successful treatment

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

Trichoscopy of Tinea Capitis: A Systematic Review

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