Tinea capitis en mujeres de edad avanzada: descripción de 4 casos

Morell, L.; Fuente, M.J.; Boada, Aram; Carrascosa, J.M.; Ferrándiz, Carlos

doi:10.1016/j.ad.2011.01.010

Cited by 10 publications

(6 citation statements)

References 15 publications

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“…9,10 In adults tinea capitis has been particularly reported from elderly, post-menopausal females. 2 In our study all patients were females, 11 postmenopausal. This may be related to increased involution of sebaceous glands following decreased blood estrogen levels in post-menopausal women.…”

Section: Discussionmentioning

confidence: 67%

“…19 Griseofulvin remains the treatment of choice for Tinea capitis, but both terbinafine and itraconazole are considered acceptable alternatives. 2,20 All patients except one responded to 6-8 weeks course of terbinafine 250 mg OD. One patient which showed candida tropicalis and T. violaceum on culture was put on Itraconazone 100mg BD for 8weeks, after which lesions healed with scarring.…”

Section: Discussionmentioning

confidence: 97%

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Tinea capitis in adults: not so rare

et al. 2016

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Shahab-ud-din Bukhari 1 INTRODUCTION Tinea capitis is the dermatophyte infection of the scalp with varied clinical presentation. Tinea capitis is predominantly seen in preadolescent adults and is rare in adults. In adults cases generally occur in immunocompromised patients. Tinea capitis may be rare in adults due to the fungistatic activity of long chain saturated fatty acids in sebum which appear after puberty and unknown immunological factors. 1 Colonization by Malassezia globosa may interfere with dermatophyte contamination, and the thicker calibre of adult hair may protect against dermatophytic invasion. 2 Tinea capitis presents clinically as irregularly shaped scaly alopecic patches, with hair broken off at varying levels from hair follicle. 3-5 The clinical presentation in adults is often atypical; resembling impetigo, folliculitis decalvans or scalp cellulitis. 6,7 This atypical presentation along with rarity of the condition in adults often leads to delay in diagnosis. METHODS This is a prospective study conducted in Department of Dermatology of SKIMS-MCH from April 2015 to March 2016. The study included all patients older than 18 years. Ethical Clearance was taken from Institute Ethics Committee. Informed consent was obtained from all patients. Clinically suspected cases of tinea capitis were confirmed by mycological examination. Clinical material was microscopically examined with the use of 20% KOH for hyphae and arthroconidia. The Samples ABSTRACT Background: Tinea capitis is the dermatophyte infection of the scalp with varied clinical presentation. Tinea capitis is predominantly seen in preadolescent adults and is rare in adults. Growing number of authors have reported increase in incidence among adults. Clinical presentation in such case is often atypical leading to delay in diagnosis. Methods: The study included all patients older than 18 years. Informed consent was obtained from all patients. Clinical material was microscopically examined with the use of 20% KOH for hyphae and arthroconidia. The Samples were also inoculated on Sabourauds Agar and Mycosel Agar for 15 days. For each patient we collected information about sex, menstrual status, predisposing factor, symptoms and etiological agent. Results: Out of 457 cases of tinea capitis 14 patients were adults and represented 3.06% of all cases. All patients were females. The most common etiological agent was T. violaceum (35%), followed by T. mentagrophytes (21.43%), T. tonsurans (14.29%), T. rubrum (14.29%) and T. schoenleinii (14.29%). Conclusions: Tinea capitis in adults is not so rare, particularly in post-menopausal women. The presentation is often atypical mimicking other inflammatory conditions of scalp and should be included as a differential diagnosis of inflammatory conditions not responding to conventional treatment.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 97%

Tinea capitis in adults: not so rare

et al. 2016

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“…Although griseofulvin remains, for some authors, the treatment of choice for tinea capitis in children and adults, both terbinafine and itraconazole are considered acceptable alternatives. [7] Our patient responded nicely to itraconazole.…”

Section: Discussionmentioning

confidence: 84%

“…[6] Although the disease was once thought to be rare in adulthood, a growing number of authors have reported an increase in tinea capitis among adults, particularly menopausal and elderly women. [7] Factors that may favor the development of disease at this age include hormonal changes, the use of certain hair care products and using the services of hair salons, which can be a source of infection. [8] In most of the cases that have been reported, including our own case, the diagnosis was delayed.…”

Section: Discussionmentioning

confidence: 99%

Kerion mimicking bacterial infection in an elderly patient

Ahmad

Wani

Khursheed

2014

Indian Dermatol Online J

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Tinea capitis is generally thought to be a common disease in children but not in adults. When infection does occur in adults, it may have an atypical appearance. We report an elderly female with inflammatory tinea capitis caused by Trichophyton rubrum. She had numerous pustular lesions throughout the scalp with alopecia, initially treated for bacterial infection. We concluded that tinea capitis should remain in the differential diagnosis of elderly patients with alopecia and pyoderma like presentations and culture test should be routinely done in such patients to avoid complications.

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“…Desquamative lesions, alopecia and black dots have traditionally been related to infection by Trichophyton tonsurans. 5,6 Exceptionally cases have been reported where the predominance of inflammatory lesions are seen as in the first case. 7 It is important to exclude fungal infections in cases that simulate seborrheic dermatitis, folliculitis or impetigo with torpid evolution, because produce a delate in the diagnosis, as in our patient who being delayed a year and a half after the start of the clinic.…”

Section: Objectivementioning

confidence: 99%

Tinea capitis in 2 immunocompetent elderly patients

C¹,

Tm²,

M³

et al. 2018

JDC

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Tinea capitis en mujeres de edad avanzada: descripción de 4 casos

Cited by 10 publications

References 15 publications

Tinea capitis in adults: not so rare

Tinea capitis in adults: not so rare

Kerion mimicking bacterial infection in an elderly patient

Tinea capitis in 2 immunocompetent elderly patients

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