A Case Report of Tinea Capitis in Children: Utility of Trichoscopy

Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with c...

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Main Authors: Citra Dwi Harningtyas, -, Evy Ervianti, -, Linda Astari, -, Sylvia Anggraeni, -, Yuri Widia, -
Format: Article PeerReviewed
Language:English
English
English
Published: Fakultas Kedokteran Universitas Airlangga 2022
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Online Access:https://repository.unair.ac.id/126441/1/23.pdf
https://repository.unair.ac.id/126441/2/Artikel%2023.pdf
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https://repository.unair.ac.id/126441/
https://e-journal.unair.ac.id/BIKK/article/view/24816
https://doi.org/10.20473/bikk.V34.1.2022.66-72
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spelling id-langga.1264412023-05-09T02:41:02Z https://repository.unair.ac.id/126441/ A Case Report of Tinea Capitis in Children: Utility of Trichoscopy Citra Dwi Harningtyas, - Evy Ervianti, - Linda Astari, - Sylvia Anggraeni, - Yuri Widia, - R Medicine (General) RL Dermatology Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with clinical findings suggestive of TC. Case: A 13-year-old boy was presented with a scaled plaque on his scalp that had appeared 1 month earlier. A physical examination revealed a scaly, nonerythematous, rounded lesion in the parietal area of the head. Wood’s lamp yielded a blue fluorescence. Microscopic morphology from fungal culture found the typical spindle-shaped macroconidia of Microsporum canis. Trichoscopy showed mainly comma hair, corkscrew hair, morse code hair, bent hair, and zig zag hair. The patient was started on oral griseofulvin 20 mg/kg/day and antifungal shampoo for 8 weeks. The patient was cured after two months of treatment and trichoscopy returned to normal. Discussion: Fungal culture remains the gold standard in TC diagnosis, but it needs time. Trichoscopy can be an additional tool to help evaluate the diagnosis, aetiology, and follow up of this disorder. The presence of characteristic trichoscopic features (comma hairs, corkscrew hairs, Morse code-like hairs, zigzag hairs, bent hairs, block hairs, and i-hairs) is predictive of TC. The present analysis confirmed that trichoscopy is a useful method in differentiating between Microsporum and Trichophyton TC, which is important from the perspective of a different therapeutic approach. Conclusion: Trichoscopy is not only of value in the diagnosis of TC but also for the etiologic agent and follow-up after treatment in this case. Fakultas Kedokteran Universitas Airlangga 2022 Article PeerReviewed text en https://repository.unair.ac.id/126441/1/23.pdf text en https://repository.unair.ac.id/126441/2/Artikel%2023.pdf text en https://repository.unair.ac.id/126441/3/Similarity%2023.pdf Citra Dwi Harningtyas, - and Evy Ervianti, - and Linda Astari, - and Sylvia Anggraeni, - and Yuri Widia, - (2022) A Case Report of Tinea Capitis in Children: Utility of Trichoscopy. Berkala Ilmu Kesehatan Kulit dan Kelamin, 34 (1). pp. 66-72. ISSN 2549-4082 https://e-journal.unair.ac.id/BIKK/article/view/24816 https://doi.org/10.20473/bikk.V34.1.2022.66-72
institution Universitas Airlangga
building Universitas Airlangga Library
continent Asia
country Indonesia
Indonesia
content_provider Universitas Airlangga Library
collection UNAIR Repository
language English
English
English
topic R Medicine (General)
RL Dermatology
spellingShingle R Medicine (General)
RL Dermatology
Citra Dwi Harningtyas, -
Evy Ervianti, -
Linda Astari, -
Sylvia Anggraeni, -
Yuri Widia, -
A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
description Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with clinical findings suggestive of TC. Case: A 13-year-old boy was presented with a scaled plaque on his scalp that had appeared 1 month earlier. A physical examination revealed a scaly, nonerythematous, rounded lesion in the parietal area of the head. Wood’s lamp yielded a blue fluorescence. Microscopic morphology from fungal culture found the typical spindle-shaped macroconidia of Microsporum canis. Trichoscopy showed mainly comma hair, corkscrew hair, morse code hair, bent hair, and zig zag hair. The patient was started on oral griseofulvin 20 mg/kg/day and antifungal shampoo for 8 weeks. The patient was cured after two months of treatment and trichoscopy returned to normal. Discussion: Fungal culture remains the gold standard in TC diagnosis, but it needs time. Trichoscopy can be an additional tool to help evaluate the diagnosis, aetiology, and follow up of this disorder. The presence of characteristic trichoscopic features (comma hairs, corkscrew hairs, Morse code-like hairs, zigzag hairs, bent hairs, block hairs, and i-hairs) is predictive of TC. The present analysis confirmed that trichoscopy is a useful method in differentiating between Microsporum and Trichophyton TC, which is important from the perspective of a different therapeutic approach. Conclusion: Trichoscopy is not only of value in the diagnosis of TC but also for the etiologic agent and follow-up after treatment in this case.
format Article
PeerReviewed
author Citra Dwi Harningtyas, -
Evy Ervianti, -
Linda Astari, -
Sylvia Anggraeni, -
Yuri Widia, -
author_facet Citra Dwi Harningtyas, -
Evy Ervianti, -
Linda Astari, -
Sylvia Anggraeni, -
Yuri Widia, -
author_sort Citra Dwi Harningtyas, -
title A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
title_short A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
title_full A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
title_fullStr A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
title_full_unstemmed A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
title_sort case report of tinea capitis in children: utility of trichoscopy
publisher Fakultas Kedokteran Universitas Airlangga
publishDate 2022
url https://repository.unair.ac.id/126441/1/23.pdf
https://repository.unair.ac.id/126441/2/Artikel%2023.pdf
https://repository.unair.ac.id/126441/3/Similarity%2023.pdf
https://repository.unair.ac.id/126441/
https://e-journal.unair.ac.id/BIKK/article/view/24816
https://doi.org/10.20473/bikk.V34.1.2022.66-72
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