Tinea capitis mimicking cicatricial alopecia: What host and dermatophyte factors lead to this unusual clinical presentation?

Mirmirani, Paradi; Willey, Andrea; Chamlin, Sarah L.; Frieden, Ilona J.; Price, Vera H.

doi:10.1016/j.jaad.2008.09.016

Cited by 20 publications

(17 citation statements)

References 57 publications

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“…Sharma et al 19 further investigated the use of oils, gels, and hairstyles such as braids, and found no association with acquisition of TC. The higher prevalence of TC among African American children is more likely a result of environmental factors 28 and asymptomatic carriage and transmission, in combination with other host immune factors. 28 Structural hair properties may aid or hinder the acquisition of infectious organisms.…”

Section: Tinea Capitismentioning

confidence: 99%

“…The higher prevalence of TC among African American children is more likely a result of environmental factors 28 and asymptomatic carriage and transmission, in combination with other host immune factors. 28 Structural hair properties may aid or hinder the acquisition of infectious organisms. For example, African American hair may be inherently susceptible to dermatophyte infection but less conducive to Pediculosis capitis (head lice) infestation (which is noted to be less common among African American children).…”

Section: Tinea Capitismentioning

confidence: 99%

See 1 more Smart Citation

Hair care practices and their association with scalp and hair disorders in African American girls

Wright

Gathers

Kapke

et al. 2011

Journal of the American Academy of Dermatology

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Section: Tinea Capitismentioning

confidence: 99%

Section: Tinea Capitismentioning

confidence: 99%

Hair care practices and their association with scalp and hair disorders in African American girls

Wright

Gathers

Kapke

et al. 2011

Journal of the American Academy of Dermatology

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“…Very rarely, T. tonsurans can lead to an inflammatory tinea capitis with unpredictable signs and bizarre presentations, often leading to misdiagnoses of impetigo, folliculitis, recurrent furunculosis, pyoderma, folliculitis decalvans, tufted hair folliculitis or dissecting cellulitus of the scalp. 1,3,[7][8][9][10][11][12][13][14] The acute, pustular and suppurative appearance of the scalp is also known as kerion. 4 Diagnosis of tinea capitis due to T. tonsurans is sometimes complicated because its clinical presentation is often on a spectrum of severity and infected hairs do not fluoresce yellow-green under Wood's light examination.…”

Section: Discussionmentioning

confidence: 99%

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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“…tarafından tinea kapitisin en belirgin ve ayırt edici özelliği olarak tanımlanmıştır. Ancak inflamasyon kıl foliküllerinde kalıcı hasara yol açarsa skar lezyonlarının geliştiği son evrede diğer nedenlere bağlı skatrisyel alopesilerden dermoskopik olarak ayırt edilmesi mümkün değildir 16,17 . Sonuç olarak saçlı deri dermoskopisi hastalığın aktif döneminde skatrisyel alopesinin ayırıcı tanısına yardımcı, kolay ve hızlı uygulanabilen, invaziv olmayan bir yöntemdir.…”

Section: Arı Ve Ark Sikatrisyel Alopeside Dermoskopiunclassified

Sikatrisyel alopeside dermoskopik bulgular

Ari¹,

Gökdemir²

2013

TURKDERM

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ÖzetAmaç: Dermoskopi pigmente deri lezyonlarının tanısında önemli bir araçtır. Son yıllarda bu yöntem saç ve saçlı deri hastalıklarının tanı ve takibinde de kullanılmaktadır. Çalışmanın amacı klinik ve histopatolojik olarak sikatrisyel alopesisi olan bir grup hastada dermoskopik bulguları değerlendirmekti. Gereç ve Yöntem: Klinik ve histolojik bulgulara dayanarak sikatrisyel alopesi tanısı konulan 29 hasta dermoskopik özellikler açısından değerlendirildi. Bulgular: Çalışmaya katılan folikülitis dekalvanslı 8, Brocq'un psödopeladı olan 7, liken planopilarisli 6, diskoid lupus eritematozuslu 2, dissekan selüliti olan 1 ve sekonder skatrisyel alopesili 5 hastada dermoskopik özellikler incelendi. Çıplak gözle muayenede görülen özellikler dermoskopi ile daha detaylı değerlendirildi. Sikatrisyel alopesili hastaların hepsinde foliküler açıklık kaybı vardı. Perifoliküler skuam, dallanan kırmızı çizgiler, bal peteği pigment paterni, beyaz benekler ve tufted folikülit diğer sık görülen bulgulardı. Sonuç: Sikatrisyel alopesinin klinik değerlendirilmesinde dermoskopinin kullanımı, basit klinik inspeksiyonun ötesinde tanısal yararlılık sağlar, fakat bu yöntemin daha iyi anlaşılması için histopatolojik korelasyonun da yapıldığı geniş serili çalışmalara ihtiyaç vardır. (Türk derm 2013; 47: 223-6) Anah tar Ke li me ler: Sikatrisyel, alopesi, dermoskopi Sum maryBackgroundandDesign:Dermoscopy is an important tool in the diagnosis of pigmented skin lesions. Newly, this method has also been used in the diagnosis and follow-up of hair and scalp disorders. The objective of this study was to investigate dermoscopic findings in a sample of patients diagnosed with cicatricial alopecia based on clinical and histopathological findings. MaterialsandMethods:Twenty-nine patients with cicatricial alopecia diagnosed according to the clinical and histological findings were examined by dermoscopy. Results: Dermoscopic features were evaluated in 8 patients with folliculitis decalvans, -7 with pseudopelade of Brocq, -6 with lichen planopilaris, -2 with discoid lupus erythematosus, -1 with dissecting cellulitis, and in 5 patients with secondary cicatricial alopecia. The structures previously examined with naked eye were evaluated by dermoscopy in more detail. Loss of follicular orifices was seen in all patients with cicatricial alopecia. Perifollicular scaling, arborizing red lines, honeycomb pigment pattern, white dots and tufted hairs were the other most obvious findings. Conclusion:The use of dermoscopy in the clinical evaluation of cicatricial alopecia improves diagnostic capability beyond simple clinical inspection. Larger studies correlating dermoscopic findings with histopathology examinations are necessary to improve our understanding of this method. (Turkderm 2013; 47: 223-6)

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Tinea capitis mimicking cicatricial alopecia: What host and dermatophyte factors lead to this unusual clinical presentation?

Cited by 20 publications

References 57 publications

Hair care practices and their association with scalp and hair disorders in African American girls

Hair care practices and their association with scalp and hair disorders in African American girls

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

Sikatrisyel alopeside dermoskopik bulgular

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