“…This study shows that, of the foreign children, the Moroccans are at-risk, possibly because the Moroccan community tends to isolate itself more from the Dutch culture than other ethnic minorities. Like Ravits (15), we found no differences between the sexes (15). Oral griseofulvin, 10-20 mg/kg/day, to be ingested with whole milk during 6 weeks is still the treatment of choice for scalp ringworm (16).…”
Summary
This retrospective study reviews the occurrence and treatment of various forms of tinea capitis at the out‐patient clinic for Dermatology and Pediatric Dermatology of the University Hospital Sophia/Dijkzigt over the period 1977–1988. Tinea capitis was diagnosed in 64 children. Trichophyton violaceum was the pathogen most frequently isolated, with Microsporum canis ranking second. The potassium hydroxide preparation was positive in 58 % of the cases. Four cases showed a positive potassium hydroxide preparation with a negative culture. Immigrant children from Morocco were the largest group (61 %). A zoophilic dermatophyte was isolated in 15 cases (27 %). A pet animal was the source of infection in 4 cases. The ratio between boys and girls was equal in the patient population studied. In 43 % of the children suffering from tinea capitis the clinical features were mild flaking without hair loss (so called seborrheic dermatitis‐like infection).
“…This study shows that, of the foreign children, the Moroccans are at-risk, possibly because the Moroccan community tends to isolate itself more from the Dutch culture than other ethnic minorities. Like Ravits (15), we found no differences between the sexes (15). Oral griseofulvin, 10-20 mg/kg/day, to be ingested with whole milk during 6 weeks is still the treatment of choice for scalp ringworm (16).…”
Summary
This retrospective study reviews the occurrence and treatment of various forms of tinea capitis at the out‐patient clinic for Dermatology and Pediatric Dermatology of the University Hospital Sophia/Dijkzigt over the period 1977–1988. Tinea capitis was diagnosed in 64 children. Trichophyton violaceum was the pathogen most frequently isolated, with Microsporum canis ranking second. The potassium hydroxide preparation was positive in 58 % of the cases. Four cases showed a positive potassium hydroxide preparation with a negative culture. Immigrant children from Morocco were the largest group (61 %). A zoophilic dermatophyte was isolated in 15 cases (27 %). A pet animal was the source of infection in 4 cases. The ratio between boys and girls was equal in the patient population studied. In 43 % of the children suffering from tinea capitis the clinical features were mild flaking without hair loss (so called seborrheic dermatitis‐like infection).
“…The condition is seen most in African-American children [6,7], but comparison census data from 1980 to 1990 actually demonstrates a 1.5% decrease in the number of African-Americans living in San Francisco [8,9]. The number of patient visits at the paediatric dermatology clinic at SFGH during the time period described remained relatively stable.…”
Tinea capitis caused by Trichophyton tonsurans has been increasing in the United States for the past 25 years. A retrospective study of dermatophyte culture data at the University of California, San Francisco, and a parallel study of patient visits for tinea capitis at an affiliated hospital demonstrates a dramatic rise in Trichophyton tonsurans tinea capitis in the San Francisco Bay area.
“…T. tonsurans can be spread from mother to child within the earliest days of the latter's life. 4. When the diagnosis of tinea capitis is made in children (or adults), these patients should be followed for fungal infections at regular intervals for years.…”
Section: Discussionmentioning
confidence: 99%
“…Tinea capitis caused by T. tonsurans may occur as or mimic seborrheic dermatitis or dandruff, recurrent fotliculitis of the scalp, cicatriciai alopecia, psoriasis, id reactions including erythema nodosum, kerion, Majocchi's granuloma (which may resemble the Hoffmann type of perifoUiculitis abscedens or folliculitis decalvans), and lupus erythematosus (4,(9)(10)(11). Useful clues in the search for possible endothrix tinea capitis include (1) the noninflammatory nature of the scalp lesions, (2) typical black-dot appearance of the scalp, (3) negative reaction of trichophyton skin tests, and (4) involvement of the adult scalp (12).…”
Children with tinea capitis caused by Trichophyton tonsurans often have a lifetime of association with the organism and, in spite of intermittent therapy, as adults pass the infection to successive generations. While most current treatment regimens are directed at treating the individual patient, our study supports the need to evaluate and possibly treat all family members and their home environment.
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