Abstract
Tinea capitis is the most common infection in prepubertal individuals and it is most frequent in children aged 3–7 years. There is connection between the disease with low socioeconomic status and poor hygiene. Clinical presentation of T. capitis may be divided into two subtypes: Inflammatory and non-inflammatory. Inflammatory and suppurative type is known as kerion. Living in rural areas and immune system disorders may facilitate the development of kerion. Zoophilic dermatophytes are more prominent in kerion formation. The clinical presentation is painful and erythematous, inflammatory crusted nodule(s). Pustules may accompany. Regional lymphadenopathy may be present. Clinical examination and fungal culture are very essential in the diagnosis. Wood’s lamp examination and dermoscopy may help in the diagnosis process of a kerion. Wood’s lamp investigation reveals green fluorescence in M. canis-caused infection. Broken hairs, scales, follicular keratosis, black dots, bent hairs, erythema, comma hairs, crusts, forked hairs, barcode-like hair, follicular pustules, V-shaped hairs may be observed with a dermoscopy in patients having kerion celsi.
In this article, a 5-year-old girl with multiple painful alopecic plaques on the scalp will be presented.
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References
John AM, Schwartz RA, Janniger CK. The kerion: an angry tinea capitis. Int J Dermatol. 2016;57(1):3–9. https://doi.org/10.1111/ijd.13423.
Arenas R, Toussaint S, Isa-Isa R. Kerion and dermatophytic granuloma. Mycological and histopathological findings in 19 children with inflammatory tinea capitis of the scalp. Int J Dermatol. 2006;45(3):215–9. https://doi.org/10.1111/j.1365-4632.2004.02449.x.
Hay RJ. Tinea capitis: current status. Mycopathologia. 2016;182(1–2):87–93. https://doi.org/10.1007/s11046-016-0058-8.
Aqil N, BayBay H, Moustaide K, Douhi Z, Elloudi S, Mernissi FZ. A prospective study of tinea capitis in children: making the diagnosis easier with a dermoscope. J Med Case Rep. 2018;12(1):383. https://doi.org/10.1186/s13256-018-1914-6. PMID: 30591075; PMCID: PMC6309099.
Galli L, Venturini E, Bassi A, Gattinara GC, Chiappini E, Defilippi C, et al. Common community-acquired bacterial skin and soft-tissue infections in children: an intersociety consensus on impetigo, abscess, and cellulitis treatment. Clin Ther. 2019; https://doi.org/10.1016/j.clinthera.2019.01.010.
Strazzulla LC, Wang EHC, Avila L, Lo Sicco K, Brinster N, Christiano AM, Shapiro J. Alopecia areata. J Am Acad Dermatol. 2018;78(1):1–12. https://doi.org/10.1016/j.jaad.2017.04.1141.
Alkhalifah A. Alopecia areata update. Dermatol Clin. 2013;31(1):93–108. https://doi.org/10.1016/j.det.2012.08.010.
Miettunen PM, Bruecks A, Remington T. Dramatic response of scarring scalp discoid lupus erythematosus (DLE) to intravenous methylprednisolone, oral corticosteroids, and hydroxychloroquine in a 5-year-old child. Pediatr Dermatol. 2009;26(3):338–41. https://doi.org/10.1111/j.1525-1470.2009.00916.x.
Arkin LM, Ansell L, Rademaker A, Curran ML, Miller ML, Wagner A, Paller AS. The natural history of pediatric-onset discoid lupus erythematosus. J Am Acad Dermatol. 2015;72(4):628–33. https://doi.org/10.1016/j.jaad.2014.12.028.
Tosti A, Torres F, Misciali C, Vincenzi C, Starace M, Miteva M, Romanelli P. Follicular red dots. Arch Dermatol. 2009;45(12) https://doi.org/10.1001/archdermatol.2009.277.
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Atsü, A.N., Caf, N., Türkoğlu, Z., Kutlubay, Z. (2022). Nodular Alopecic Lesions. In: Waśkiel-Burnat, A., Sadoughifar, R., Lotti, T.M., Rudnicka, L. (eds) Clinical Cases in Scalp Disorders. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-93426-2_56
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