Trichoscopy as an additional tool for the differential diagnosis of tinea capitis: a prospective clinical study

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

doi:10.1111/bjd.14413

Cited by 45 publications

(56 citation statements)

References 11 publications

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“…In addition, the most common dermoscopic findings of kerion celsi are perifollicular scaling and broken hairs. These differ from the dermoscopic findings of CL [8]. …”

Section: Discussioncontrasting

confidence: 95%

Cutaneous Leishmaniasis: A Case Involving the Scalp - Clinical and Videodermoscopic Findings

Sánchez

et al. 2017

Skin Appendage Disord

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Cutaneous leishmaniasis (CL) is a worldwide infectious disease caused by flagellate protozoa of the genus Leishmania. In America, the species most commonly responsible for CL are L. mexicana and L. brasiliensis. Usually, in America, it is transmitted by sand flies mainly of the genus Lutzomyia and Psychodopygus. CL most commonly affects exposed areas and is characterized by an erythematous infiltrated and ulcerated papular or nodular lesion. We report a 28-year-old male, with a 6-month history and a previous trip to the forest in the south of Mexico. He presented with an asymptomatic erythematous plaque on his scalp, with slow and progressive nodular lesions with central crusted ulceration, with a raised and well-defined border. On videodermoscopy, we observed erythematous gummy lesions, yellowish scabs, and white star, dotted, hairpin, and glomerular patterns of vessels.

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“…In addition, the most common dermoscopic findings of kerion celsi are perifollicular scaling and broken hairs. These differ from the dermoscopic findings of CL [8]. …”

Section: Discussioncontrasting

confidence: 95%

Cutaneous Leishmaniasis: A Case Involving the Scalp - Clinical and Videodermoscopic Findings

Sánchez

et al. 2017

Skin Appendage Disord

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“…Dermoscopy is a non‐invasive tool that can help clinicians on the differential diagnosis of TC based on its characteristic patterns. In this study, the most sensitive findings in TC were scales and the specific findings were comma hairs, corkscrew hairs and Morse code‐like hairs, which was similar with the result of earlier studies primarily done in prepubertal TC …”

Section: Discussionsupporting

confidence: 91%

Tinea capitis in adults: A 18‐year retrospective, single‐centre study in Korea

Park

Yun

et al. 2019

Mycoses

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Summary Background Tinea capitis (TC) is a dermatophyte infection involving hair and scalp and occurs primarily in prepubertal children. However, data on adults are limited. Objectives The aim of this study was to evaluate epidemiological, clinical and mycological characteristics of TC in adults in Korea. Patients/Methods We retrospectively evaluated 82 adults (44.3%) among 185 TC patients at a tertiary hospital during June 2000‐2017. Results Mean patient age was 66.9 ± 15.8 (20‐90) years with female predominance; mean disease duration until mycological diagnosis, 22.5 (1‐144) weeks; and misdiagnosis rate, 65.9%. Most common presumptive initial diagnoses were seborrhoeic dermatitis (24.4%) and bacterial folliculitis (18.3%). Chronic systemic illness and accompanying alopecia were found in 61 (74.4%) and 46 (56.1%) patients, respectively. Pustular type was found in 26.8% patients, followed by seborrhoeic dermatitis–like 25.6%, grey patch 23.2%, kerion celsi 22.0% and black dot 2.4%. Forty‐eight patients (58.5%) had tinea infection at other skin areas. Microsporum canis (56.5%) and Trichophyton rubrum (21.7%) were the most common causative organisms; 92.7% patients achieved complete resolution, and seven patients (9.2%) had a recurrence. Conclusions We report the largest, most recent series of case studies of adult TC. Adult TC is not an uncommon problem, especially in elderly women, and has distinctive epidemiological and clinicomycological characteristics compared to those in prepubertal children. Recognising adult TC profile will help clinicians avoid misdiagnosis and provide appropriate treatment.

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“…Corkscrew hairs, which appear as irregularly twisted short hairs, are a characteristic finding in patients of African descent [4,[34][35][36][37][38] (Fig. 6).…”

Section: Tinea Capitismentioning

confidence: 99%

Trichoscopy of Dark Scalp

Ocampo‐Garza

Tosti

2018

Skin Appendage Disord

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Trichoscopy (dermoscopy of the hair and scalp) is a technique that improves diagnostic accuracy and follow-up with hair and scalp disorders. Although several studies of trichoscopy have been made in Caucasian and Asian populations, little has been published regarding trichoscopy findings in skin of color, despite the great prevalence of hair diseases in populations with this kind of skin. The aim of this review was to describe the trichoscopic features of normal scalp and of hair disorders in patients with dark skin phototypes. This will help dermatologists to distinguish between unique trichoscopic features of dark skin, and allow them to provide more accurate diagnoses and treatments for these patients.

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Trichoscopy as an additional tool for the differential diagnosis of tinea capitis: a prospective clinical study

Cited by 45 publications

References 11 publications

Cutaneous Leishmaniasis: A Case Involving the Scalp - Clinical and Videodermoscopic Findings

Cutaneous Leishmaniasis: A Case Involving the Scalp - Clinical and Videodermoscopic Findings

Tinea capitis in adults: A 18‐year retrospective, single‐centre study in Korea

Trichoscopy of Dark Scalp

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