Inflammatory tinea capitis: kerion, dermatophytic granuloma, and mycetoma

Isa-Isa, Rafael; Arenas, Roberto; Isa, Mariel

doi:10.1016/j.clindermatol.2009.12.013

Cited by 52 publications

(47 citation statements)

References 4 publications

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“…1,15 Four varieties of inflammatory tinea capitis have been characterised: favus, kerion, dermatophytic or Majocchi's granuloma and mycetoma. 16 The type of inflammatory tinea capitis seen in this case, kerion, is characterised by a suppurative and painful carbunclelike boggy plaque of the scalp and is often associated with purulent drainage and regional lymphadenopathy. 16 Histopathologically, kerion is distinguished by a perifollicular inflammatory response which varies in degree of intensity based on the patient's own immune response as well as the causative fungal species.…”

Section: Discussionmentioning

confidence: 97%

“…16 The type of inflammatory tinea capitis seen in this case, kerion, is characterised by a suppurative and painful carbunclelike boggy plaque of the scalp and is often associated with purulent drainage and regional lymphadenopathy. 16 Histopathologically, kerion is distinguished by a perifollicular inflammatory response which varies in degree of intensity based on the patient's own immune response as well as the causative fungal species. 15 Arenas et al described five histopathological categories of inflammatory patterns of kerions.…”

Section: Discussionmentioning

confidence: 97%

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Inflammatory tinea capitis mimicking dissecting cellulitis in a postpubertal male: a case report and review of the literature

Stein

Adams

Holcomb

2013

Mycoses

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Tinea capitis in postpubertal patients is unusual and may be misdiagnosed as dissecting cellulitis. We report a case of a healthy 19-year-old Hispanic male presenting with a 2-month history of a large, painful subcutaneous boggy plaque on the scalp with patchy alopecia, erythematous papules, cysts and pustules. Although initially diagnosed as dissecting cellulitis, potassium hydroxide evaluation (KOH preparation) of the hair from the affected region was positive. A punch biopsy of the scalp demonstrated endothrix consistent with tinea capitis, but with a brisk, deep mixed inflammatory infiltrate as can be seen with chronic dissecting cellulitis. Fungal culture revealed Trichophyton tonsurans, and a diagnosis of inflammatory tinea capitis was made. The patient was treated over the course of 17 months with multiple systemic and topical antifungal medications, with slow, but demonstrable clinical and histopathological improvement. A rare diagnosis in adults, clinicians should have a high index of suspicion for this condition in an adult with an inflammatory scalp disorder not classic for dissecting cellulitis or with a recalcitrant dissecting cellulitis. Prompt, appropriate diagnosis and treatment is necessary to prevent the long-term complications of scarring alopecia.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Inflammatory tinea capitis mimicking dissecting cellulitis in a postpubertal male: a case report and review of the literature

Stein

Adams

Holcomb

2013

Mycoses

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“…4 Positive dermatophyte screening results based on swabs of the affected area will distinguish Trichophyton and Microsporum species and may guide the choice of systemic antifungal therapy. 3 Standard systemic agents include griseofulvin (20 mg/kg/d for at least 8 weeks or until mycologic cure) or terbinafine (weight-based dosing for 4-6 weeks). 1,3 Kerions should also be cultured to ensure there is no superinfection with bacteria.…”

Section: 35mentioning

confidence: 99%

A Large, Tender Scalp Nodule in an 8-Year-Old Boy

Aderibigbe

Castelo‐Soccio

2015

JAMA Pediatr

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“…Die Sicherung der Diagnose erfolgt mit Kaliumhydroxid, Chlorazol-Black oder Calcofluor-White unter Fluoreszenz. Die Behandlung umfasst topische oder systemische Antimykotika wie Griseofulvin, Itraconazol, Fluconazol oder Terbinafin [56,57,58]. …”

Section: Pilzinfektionenunclassified

Alopezien infolge von Medikamenten oder von anderen Haut- und systemischen Erkrankungen

Guzmán-Sánchez¹,

Asz-Sigall²

2016

Kompass Dermatol

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In diesem Kapitel werden die häufigsten Formen der Alopezie vorgestellt, die durch medikamentöse Therapien oder durch andere Hautkrankheiten und systemische Erkrankungen hervorgerufen werden können. Die folgenden Haarerkrankungen werden analysiert: das Telogeneffluvium (akut und chronisch); das Anageneffluvium; die follikulotrope Mycosis fungoides sowie Follikulitiden infolge von Bakterien, Pilzen, Parasiten, humanem Immundefizienzvirus, Lupus erythematodes und Sarkoidose. Dabei werden die Epidemiologie und Ätiologie, die klinische Manifestation und Diagnose sowie die aktuellen Therapien der einzelnen Krankheiten abgedeckt.

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Inflammatory tinea capitis: kerion, dermatophytic granuloma, and mycetoma

Cited by 52 publications

References 4 publications

Inflammatory tinea capitis mimicking dissecting cellulitis in a postpubertal male: a case report and review of the literature

Inflammatory tinea capitis mimicking dissecting cellulitis in a postpubertal male: a case report and review of the literature

A Large, Tender Scalp Nodule in an 8-Year-Old Boy

Alopezien infolge von Medikamenten oder von anderen Haut- und systemischen Erkrankungen

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