Role of trichoscopy in the management of tinea capitis in two infants: A case report

Kumar, Pradeep; Pandhi, Deepika

doi:10.4103/jcas.jcas_160_20

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Due to its rarity, tinea capitis in newborns can be misdiagnosed as a bacterial infection, eczematous dermatitis, seborrheic dermatitis, psoriasis, neonatal lupus, congenital triangular alopecia, annular erythema of infancy, or erythema annulare centrifugum. 1,2,24 It is crucial to avoid misdiagnosis and inappropriate treatments, as they can worsen the disease and potentially lead to a kerion. Trichoscopy, a non-invasive and rapid diagnostic tool, plays a significant role in the diagnosis of tinea capitis.…”

Section: Discussionmentioning

confidence: 99%

“…However, only 29 cases of tinea capitis in newborns less than 1 month old have been reported in indexed literature from 1990 until now (Table 1). 2–23 Due to its rarity, tinea capitis in newborns can be misdiagnosed as a bacterial infection, eczematous dermatitis, seborrheic dermatitis, psoriasis, neonatal lupus, congenital triangular alopecia, annular erythema of infancy, or erythema annulare centrifugum 1,2,24 . It is crucial to avoid misdiagnosis and inappropriate treatments, as they can worsen the disease and potentially lead to a kerion.…”

Section: Discussionmentioning

confidence: 99%

“…Trichoscopy, a non‐invasive and rapid diagnostic tool, plays a significant role in the diagnosis of tinea capitis. Typical trichoscopic features such as perifollicular scaling, short broken hair, comma hair, corkscrew hair, zigzag hair, black dot, morse‐code hair, horseshoe hair, and i‐hair 24 along with the absence of characteristic features of other diseases, can aid in reaching an accurate diagnosis. Trichoscopy should always be accompanied by KOH microscopic examination of skin scraping and culture to confirm the diagnosis and identify the causative agent 25 .…”

Section: Discussionmentioning

confidence: 99%

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Tinea capitis in newborns: Report of a case and review of the literature with a focus on treatment modalities

Dell'Antonia,

Pavan,

Lai

et al. 2023

Pediatric Dermatology

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Tinea capitis is a common disease in children but rare in newborns younger than 1 month of age. Only 29 cases of tinea capitis in newborns have been described in indexed literature from 1990 until now. While antifungal agents can be used topically and systemically, systemic antifungal therapy is generally accepted as the treatment of choice for tinea capitis due to limited penetration of topical agents into the hair follicle. However, there is a lack of data on the use of systemic antifungal agents in newborns, and there are reports of successful treatment of tinea capitis in newborns using only topical therapy. In this paper, we present a case of tinea capitis in a 29‐day‐old female baby and review the previous 29 reported cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tinea capitis in newborns: Report of a case and review of the literature with a focus on treatment modalities

Dell'Antonia,

Pavan,

Lai

et al. 2023

Pediatric Dermatology

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Tinea Capitis in Children Younger than Two Years Old: A Retrospective Study and Treatment Recommendations

Zhang

Kong

et al. 2022

Mycopathologia

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Background: Tinea capitis (TC) is a dermatophytosis of the scalp and hair, which occurs less common in infants younger than two years of age, and the data of TC in this age group are still unknown.Objectives: We aimed to reveal the epidemiological, clinical and mycological characteristics of TC in infants.Methods: We retrospectively analyzed all reported cases of TC in infants in their rst two years of life from 1991 to 2022, by searching PubMed, Embase, Web of Science, CNKI, Wanfang and Weipu databases.Results: A total of 47 articles involving 126 cases of infant TC were enrolled in this study. The sex ratio (M/F) was 1.28:1. Infants were between ten days old and two years old with a median age of three months. The main clinical manifestations were alopecic patches (40 cases, 31.7%) and scaling (39 cases, 31.0%) on the scalp, and 29 infants (23.0%) appeared kerion. The most common sources of contagion were animals (35 cases, 27.78%) and humans (31 cases, 24.60%). The leading pathogens were Microsporidium canis(64 cases, 50.79%), followed by Trichophyton violaceum (13 cases,10.32%), T. mentagrophytes complex (12 cases, 9.52%) and T. tonsurans (10 cases, 7.94%). Ninety-ve infants (75.40%) were treated with systemic antifungal drugs and 22 patients (17.46%) were only treated with topical therapy. All patients were cured after treatment. Only one infant (0.79%) relapsed after treatment with griseofulvin 20 mg/kg/d for two months and one case (0.79%) presented with gastrointestinal from griseofulvin, who got better after stopping this drug. Conclusion:The principal clinical symptoms of TC in infants were alopecic patches and scaling. The top four pathogens were M. canis, T. violaceum, T. mentagrophytes complex and T. tonsurans. Oral treatment for TC in infants had achieved good therapeutic effects, and topical therapy can be an alternative choice.

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A prospective clinical and trichoscopic study of tinea capitis in children during treatment

Wahbah

Atallah

Eldahshan

et al. 2022

Dermatologic Therapy

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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 children clinically diagnosed with TC confirmed by potassium hydroxide microscopy, were divided into two groups and given either oral ultramicrosize griseofulvin (60, Group A) or terbinafine (60, Group B). Following initiation of the antifungal therapy, trichoscopic features within Groups A and B were noted at 0, 2, 4, 6, and 8 weeks. However, variation in the baseline trichoscopic features between the two groups was not statistically significant (p = 0.855). A significant reduction of corkscrew and broken hairs as well as perifollicular scales, scalp erythema, and crust was significantly observed from 2 weeks onward irrespective of the antifungal drug prescribed. Despite the paucity of data evaluating trichoscopic features in patients with TC, this tool can serve as a rapid diagnostic and monitoring tool during antifungal treatment. Trichoscopic signs of TC resolution occur before clinical improvement and can guide for treatment adjustment during the course of therapy.

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Role of trichoscopy in the management of tinea capitis in two infants: A case report

Cited by 4 publications

References 11 publications

Tinea capitis in newborns: Report of a case and review of the literature with a focus on treatment modalities

Tinea capitis in newborns: Report of a case and review of the literature with a focus on treatment modalities

Tinea Capitis in Children Younger than Two Years Old: A Retrospective Study and Treatment Recommendations

A prospective clinical and trichoscopic study of tinea capitis in children during treatment

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