Tinea Capitis in the Elderly

Tinea Capitis Caused by Trichophyton tonsurans

“…Tinea capitis caused by T. tonsurans may occur as or mimic seborrheic dermatitis or dandruff, recurrent fotliculitis of the scalp, cicatriciai alopecia, psoriasis, id reactions including erythema nodosum, kerion, Majocchi's granuloma (which may resemble the Hoffmann type of perifoUiculitis abscedens or folliculitis decalvans), and lupus erythematosus (4,(9)(10)(11). Useful clues in the search for possible endothrix tinea capitis include (1) the noninflammatory nature of the scalp lesions, (2) typical black-dot appearance of the scalp, (3) negative reaction of trichophyton skin tests, and (4) involvement of the adult scalp (12).…”

Schmerzhafte Fußschwellung bei einem 16-jährigen Afrikaner

“…Auf der anderen Seite kann die Penetration des Pilzes durch die Haarfollikel zu granulomatösen, vegetierenden und ausgedehnten Läsionen führen [11]. T. tonsurans stellt die häufigste Ursache der Tinea capitis in Amerika dar [6,27,29]. Nur in seltenen Fällen konnte der Nachweis einer begleitenden bzw.…”

Tinea capitis in the Elderly

“…The relative resistance of the adult scalp is thought to be due to the fungistatic proper ties of sebum occurring after puberty or to immunological events [10,11], In adults, there is usually little inflammatory reaction. Kerion formations for instance are more fre quent in children and adolescents [2,7], In the first case described, the patient had moderate scaling and erythema on the scalp masquerading as an eczema seborrhoeicum, and in the second case a plaque of discoid lu pus erythematosus was initially suspected.…”

“…T. tonsurans affects both chil dren and adults but infection of the scalp be comes extremely rare over the age of 60 [2,7,10],…”