Epidemiology of Tinea Capitis in Children in Beijing and Adjacent Regions, China: A 15-Year Retrospective Study

Xiao, Yuan Yuan; Zhou, Ya Bin; Chao, Jin Jing; Ma, Lin

doi:10.1007/s11046-022-00649-2

Cited by 3 publications

(8 citation statements)

References 15 publications

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“…The predominant pathogens were the zoophilic species M. canis (49.5%, 51/103) and T. mentagrophytes (22.3%, 23/103), accounting for more than 70% of cases, with T. violaceum (13.5%, 14/103) predominating among the anthropophilic species. Animal contact history was associated with zoophilic pathogen infection, and the percentage of children with a history of animal contact was 35.9% (32/103) in this study, M. canis 59.4% (19/32) and T. mentagrophytes 18.8% (6/32) being the main pathogens in this patient cohort, which is consistent with previous studies 1,22,25 …”

Section: Discussionsupporting

confidence: 92%

“…In this study, we first retrospectively studied the epidemiological characteristics and pathogen spectrum of children with tinea capitis over the past 15 years. We observed that the average age of children with tinea capitis in our hospital was 4.83 years, which is consistent with the recent a retrospective study tinea capitis in China that most patients were prepubertal children aged approximately 5 years 22 . From 2007 to 2011, the proportion of patients with tinea capitis aged 2–5 years old was 39.3% (22/56), compared to 51.5% (17/33) in 2012–2016 and 68.4% (26/38) in 2017–2022.…”

Section: Discussionsupporting

confidence: 91%

“…We observed that the average age of children with tinea capitis in our hospital was 4.83 years, which is consistent with the recent a retrospective study tinea capitis in China that most patients were prepubertal children aged approximately 5 years. 22 (36.2%) were female, with a male-to-female ratio of 1.76:1. This is higher than the ratio of 1.28:1 found in a previous study from China, where the percentage of female patients was 43.8%.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, grey patch (59%, 75/127) was the most common, followed by kerion ( cohort, which is consistent with previous studies. 1,22,25 The frequency of allergic diseases has increased over the last century. Allergic diseases including AD, AR, AS and food allergy affect about 20% to 35% of all children, and many of these conditions share similar risk factors.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the clinical features and risk factors for children tinea capitis complicated with allergic diseases

Zhou

Sulian

et al. 2022

Mycoses

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Background Tinea capitis, atopic dermatitis and allergic rhinitis are the most common disorders endured by prepubescent children. Dermatophyte infections have been linked to allergic disorders, such as increased sensitivity to dermatophytes in patients with atopic dermatitis. Objectives To explore the correlation between tinea capitis and allergic diseases in children and to analyse their risk factors. Methods This study monitored epidemiological changes in childhood tinea capitis and risk factors for whom with allergic disease in a single centre in three consecutive five‐year intervals by reviewing clinical data and multivariate logistic data analysis. Results Between 2007 and 2022, there were 127 children patients with tinea capitis, the mean age was 4.83 years, and the male‐to‐female ratio was 1.76:1. Zoophilic Microsporum canis and Trichophyton mentagrophytes were the most prevalent pathogens, and the proportions remained relatively constant every 5 years. There were 34 (26.8%) children with tinea capitis complicated with allergic disease, among them 14 children with atopic dermatitis/eczema, 13 with allergic rhinitis, 8 urticaria, 6 food allergies and 1 allergic asthma. Male, kerion, zoophilic species infections and animal contact history were prevalent features in allergic disease combined with tinea capitis. Patients with tinea capitis plus allergic disease mostly had a family history with similar complications. Conclusion M. canis and T. mentagrophytes were the most prevalent pathogens of tinea capitis in the last 15 years; atopic dermatitis/eczema and allergic rhinitis were the most frequently associated allergic diseases. Male, kerion, zoophilic pathogen and animal contact history are risk factors.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring the clinical features and risk factors for children tinea capitis complicated with allergic diseases

Zhou

Sulian

et al. 2022

Mycoses

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“…Kerion is a severe type of TC resulting from inflammatory responses to dermatophyte infections and remains an important public health problem due to its severe clinical symptoms and sequelae. 15 Although the incidence of TC has shown a downward trend due to…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic features and therapeutic strategies of kerion: A nationwide multicentre study

Deng,

Chen,

Zheng

et al. 2024

Mycoses

Self Cite

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BackgroundKerion is a severe type of tinea capitis that is difficult to treat and remains a public health problem.ObjectivesTo evaluate the epidemiologic features and efficacy of different treatment schemes from real‐world experience.MethodsFrom 2019 to 2021, 316 patients diagnosed with kerion at 32 tertiary Chinese hospitals were enrolled. We analysed the data of each patient, including clinical characteristics, causative pathogens, treatments and outcomes.ResultsPreschool children were predominantly affected and were more likely to have zoophilic infection. The most common pathogen in China was Microsporum canis. Atopic dermatitis (AD), animal contact, endothrix infection and geophilic pathogens were linked with kerion occurrence. In terms of treatment, itraconazole was the most applied antifungal agent and reduced the time to mycological cure. A total of 22.5% of patients received systemic glucocorticoids simultaneously, which reduced the time to complete symptom relief. Furthermore, glucocorticoids combined with itraconazole had better treatment efficacy, with a higher rate and shorter time to achieving mycological cure.ConclusionsKerion often affects preschoolers and leads to serious sequelae, with AD, animal contact, and endothrix infection as potential risk factors. Glucocorticoids, especially those combined with itraconazole, had better treatment efficacy.

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Tinea capitis (Favus) in a 8‐year‐old child: Case report

Akbari,

Parhiz,

Sabzi

2024

Clinical Case Reports

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Key Clinical MessageIn examining any scalp itch or skin lesions, especially in children with long hair, fungal lesions under the hair may not be diagnosed in a timely manner. Additionally, fungal infection of the scalp, known as tinea capitis, is considered a chronic condition and if left untreated, it can lead to alopecia (hair loss) and permanent scarring.AbstractTinea capitis (TC) is a common cutaneous fungal infection in childhood. In this report, we describe the case of an 8‐year‐old child presenting with erythematous scalp lesions accompanied by hair loss. Upon examination, palpation revealed a swollen and tender left parotid gland. Notably, the frontal region of the scalp exhibited erythematous lesions and scaly red plaques resembling yellowish paste‐like dough. Subsequent clinical evaluation and culture analysis confirmed the diagnosis of TC. The patient received treatment with Terbinafine 125 mg for a duration of 8 weeks. Follow‐up examinations conducted after 3 months showed no signs of recurrence. Accurate diagnosis and timely treatment, along with adherence to medication regimens, are crucial in cases of TC, and differential diagnoses should be considered. Treatment should commence promptly upon diagnosis to prevent complications such as scalp baldness and transmission to others. This case report underscores the significance of establishing a precise diagnosis and effective treatment for this dermatophytosis to mitigate the risk of recurrences or therapeutic shortcomings, particularly in infants.

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Epidemiology of Tinea Capitis in Children in Beijing and Adjacent Regions, China: A 15-Year Retrospective Study

Cited by 3 publications

References 15 publications

Exploring the clinical features and risk factors for children tinea capitis complicated with allergic diseases

Exploring the clinical features and risk factors for children tinea capitis complicated with allergic diseases

Epidemiologic features and therapeutic strategies of kerion: A nationwide multicentre study

Tinea capitis (Favus) in a 8‐year‐old child: Case report

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