Tinea capitis in two black African adults with HIV infection

Lateur,; [], André; Maubeuge, De; Poncin,; Song, Xianfang

doi:10.1046/j.1365-2133.1999.02778.x

Cited by 18 publications

(13 citation statements)

References 14 publications

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“…While literature says that tinea capitis is more common in little boys [6], in our study we saw a female prevalence of the disease, in particular in post-menopausal women; this is thought to be related to increased involution of sebaceous glands following decreased blood estrogen level [1,2,6]; furthermore taking care of children and more frequent visits to the hairdresser could help to explain this higher incidence [2,14,15]. Another important factor predisposing to tinea capitis is impairment of health or immunity [2,4,10,11,16]: in fact, one of our patient suffered from diabetes and two were in oral chronic corticosteroid therapy.…”

Section: Discussionmentioning

confidence: 49%

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Tinea Capitis in Adults

Cervetti¹,

Albini²,

Arese³

et al. 2014

AiM

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Objective: To determine the epidemiology and the aetiology of tinea capitis in the elderly in Turin (Italy). Methods: We prospectively collected all cases of adult tinea capitis in the Dermatology Clinic of the University of Turin from January 1997 to December 2012. Results: 13 patients (4 males and 9 females) with a mean age of 56.5 years were found to be affected by tinea capitis among a total number of 508 (2.6%). Diagnosis was made on clinical appearance and mycological examination. Culture identified M. canis in 7 patients (53.8%), T. mentagrophytes in 3 patients (23.1%), T. rubrum in 2 patients (15.4%) and T. violaceum in 1 patient (7.7%). 6 cases reported contact with animals. Treatment consisted in administration of Griseofulvin at the dose of 500 mg/d or Terbinafine at the dose of 250 mg/d for at least 8 weeks. A complete recovery was observed in 10 patients, whereas 3 of them suffered from cicatritial alopecia. Conclusion: This study wants to highlight the importance of considering tinea capitis as a differential diagnosis in elderly patients with scaly scalp lesions, even though it is considered to be rare in adults.

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Section: Discussionmentioning

confidence: 49%

“…Tinea capitis mainly affects children and rarely adults [3,5] (less than 3% of all reported cases [2,10]). People catch the infection by contact with affected animals, other people or soil.…”

Section: Introductionmentioning

confidence: 99%

Tinea Capitis in Adults

Cervetti¹,

Albini²,

Arese³

et al. 2014

AiM

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“…If present in adults (especially inflammatory subtypes) then underlying immune suppression should be considered. 64 Periodic acid-Schiff (PAS) stain to identify fungal spores and hyphae should be performed as part of the routine histological assessment of scalp biopsies. 65 …”

Section: Tinea Capitismentioning

confidence: 99%

Hair and scalp disorders in women of African descent: an overview

2013

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“…[4] Tinea capitis is considered rare after puberty because of certain protective factors,[35–8] namely the fungistatic property of the increased sebum, sweat, greater thickness of hair, and presence of Pityrosporum ovale as a competing agent in this age group. The clinical presentation of tinea capitis varies in adults.…”

Section: Discussionmentioning

confidence: 99%

Tinea capitis in the form of concentric rings in an HIV positive adult on antiretroviral treatment

2012

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Dermatophyte infection may present in the form of concentric rings caused by Trichophyton concentricum, known as Tinea Imbricata. In immunosuppressed patients, there are reports of lesions in the form of concentric rings caused by dermatophytes other than Trichophyton concentricum too, mostly by Trichophyton tonsurans, known as Tinea indesiciva or Tinea pseudoimbricata. We report a case of tinea capitis in a HIV-positive adult woman on antiretroviral therapy, who presented with concentric rings of papules and pustules with slight scaling on the scalp along with diffuse thinning of hair. Both Potassium hydroxide mount and culture showed the presence of Dermatophytes. Tinea capitis is considered rare in adults, but new cases are being reported in immunocompromised as well as in immunocompetent patients. The pertinent features of this case are: HIV-positive adult female on antiretroviral therapy, presenting with tinea capitis in the form of concentric rings; culture from the lesion grew Microsporum audouinii; responding to oral Terbinafine.

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Tinea capitis in two black African adults with HIV infection

Cited by 18 publications

References 14 publications

Tinea Capitis in Adults

Tinea Capitis in Adults

Hair and scalp disorders in women of African descent: an overview

Tinea capitis in the form of concentric rings in an HIV positive adult on antiretroviral treatment

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