Tinea Capitis in Elderly Women: A Report of 4 Cases

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

doi:10.1016/j.adengl.2012.03.001

Cited by 8 publications

(8 citation statements)

References 16 publications

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“…The possible explanation of TC among adults can be attributed to hormonal changes and hair styling [8]. As the literature reports, diagnosis is delayed in most of the cases [9]. In our case the diagnosis was covered by scalp DM and by treatment with methotrexate as well as oral and topical steroids that exacerbated fungal proliferation.…”

Section: Discussionmentioning

confidence: 65%

“…Normalization of trichoscopy after 8 weeks is a good prognostic sign for recovery in TC [5], and it was confirmed by mycological examination. TC is unusual in adulthood [8, 9], but a growing number of authors have reported an increase in TC among adults, particularly menopausal and elderly women [9]. The possible explanation of TC among adults can be attributed to hormonal changes and hair styling [8].…”

Section: Discussionmentioning

confidence: 99%

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An Undetected Case of Tinea Capitis in an Elderly Woman Affected by Dermatomyositis: How Trichoscopy Can Guide to the Right Diagnosis

Vastarella

Gallo

Cantelli

et al. 2019

Skin Appendage Disord

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Dermatomyositis (DM) is an autoimmune disease that primarily affects the skin and muscles, but may also have a systemic involvement. The frequency of scalp involvement in DM varies from 28 to 82% and is often encountered as part of a DM flare. However, it frequently presents as a treatment-resistant disease, and patients reporting no improvement with conventional therapies require further investigation. We report a case of tinea capitis (TC) in a 79-year-old woman affected by DM with scalp involvement which did not respond to conventional therapies. Thanks to trichoscopy we could detect “comma hairs,” “zigzag hairs,” and “pigtail hairs” at scalp examination, made the right diagnosis of TC, and instituted the best treatment without delay.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

An Undetected Case of Tinea Capitis in an Elderly Woman Affected by Dermatomyositis: How Trichoscopy Can Guide to the Right Diagnosis

Vastarella

Gallo

Cantelli

et al. 2019

Skin Appendage Disord

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“…As Morell, et al described in 2012, T. tonsurans infection in adults can be manifested atypically, with diffuse desquamation and lesions suggestive of seborrheic dermatitis or another inflammatory dermatosis [13].…”

Section: Case Reportmentioning

confidence: 99%

“…T. tonsurans performs an endothrix type of infestation, which causes hair to break easily [13,14,18].…”

Section: Case Reportmentioning

confidence: 99%

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Tinea Capitis: Unusual Chronic Presentation in an Elderly Woman

Elizabeth¹,

Asz-Sigall²,

Diana³

et al. 2018

J Infect Dis Epidemiol

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Tinea capitis is a superficial fungal infection of the scalp and hair caused by dermatophytes such as Trichophyton and Microsporum. Tinea capitis is very rare in adults, and may affect those with immunosuppressive diseases or menopausal elderly women. Clinical manifestations along with trichoscopy and Wood's light, can help the clinician to determine the correct diagnosis, in order to reduce irreversible sequelae and decrease multiple contagion. KOH direct exam and culture confirm diagnosis and aetiology. We report a 61-year-old female with a 50-year history of tinea capitis. This is an atypical case in a postmenopausal elderly woman who was treated as seborrheic dermatitis.

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