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" Tinea capitis in adults "
Auchus, Isabella C; Ward, Kimberley M; Brodell, Robert T; Brents, Melissa J; Jackson, Jeremy D
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AL
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| Record Number
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923963
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LA4dm9s3fh
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| Language of Document
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English
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| Main Entry
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Auchus, Isabella C; Ward, Kimberley M; Brodell, Robert T; Brents, Melissa J; Jackson, Jeremy D
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| Title & Author
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Tinea capitis in adults [Article]\ Auchus, Isabella C; Ward, Kimberley M; Brodell, Robert T; Brents, Melissa J; Jackson, Jeremy D
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| Title of Periodical
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Dermatology Online Journal
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22/3
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| Date
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2016
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| Abstract
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Background: Tinea capitis is caused by dermatophyte fungi that utilize keratin as a nutrient source. Scalp erythema, scaling, andcrusting are typical signs of this disease. Although most commonly seen in prepubescent children, tinea capitis can occur in adults.Results: Endothrix tinea capitis owing to Trichophyton tonsurans commonly produces generalized scaling and localized perifollicular inflammation reminiscent of lichen planopilaris. Ectothrix tinea capitis owing to Microsporum sp. produces well- demarcated erythematous plaques suggestive of psoriasis. H&E stained biopsy specimens, KOH preparations or fungal cultures will confirm the diagnosis.Conclusion: Because of a low index of suspicion for tinea capitis in adults with scaling and alopecia, diagnosis and appropriate treatment are often delayed. Resistance to treatment for seborrheic dermatitis or psoriasis should prompt a KOH, fungal culture orbiopsy to confirm the diagnosis of tinea capitis and initiate systemic antifungal agents.
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