Human Trichophyton equinum infection treated with terbinafine.
A case of tinea capitis caused by Trichophyton equinum is described. This responded to a 6-week course of treatment with the allyl amine antifungal agent, terbinafine.
Adult↗
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New and emerging therapies in pediatric dermatology.
Many of the dermatologic conditions for which children seek medical attention are caused by infectious organisms. Several medications have recently become available or are on the horizon for the treatment of pediatric skin infections and infestations. Treatment of tinea capitis with fluconazole, itraconazole, and terbinafine, antibiotic therapy for staphylococcal skin infections, cidofovir for the treatment of verrucae vulgaris and molluscum contagiosum and ivermectin for scabies and head lice are discussed.
Child↗
Mental function following scalp irradiation during childhood.
Between 1950 and 1960 about 20,000 israeli children were treated for tinea capitis by x-ray therapy as part of a large public health campaign to eradicate the disease. Dosimetric studies determined that these children were subjected to a mean brain dose of 130 rads. Almost 20 years later, possible radiation effects on the central nervous system were evaluated by comparing several measures of mental and brain function in approximately 11,000 of the irradiated children and in two nonirradiated, tinea-free comparison groups: (a) ethnic, sex- and age-matched individuals from the general population, and (b) siblings. While not all comparisons were statistically significant, there was a consistent trend for the irradiated subjects to exhibit signs of central nervous system inpairment more often than either comparison group. The irradiated children had lower examination scores on scholastic aptitude, intelligence quotient (IQ) and psychologic tests, completed fewer school grades, and had an increased risk for mental hospital admissions for certain disease categories. A slightly higher frequency of mental retardation was also suggested. These-long-lasting scholastic and mental health effects lead the authors to conclude that radiation to the immature brain may cause damage to the central nervous system.
Adolescent↗
An unusual cause of skin "tumours" in a renal transplant recipient.
Renal transplant recipients on immunosuppression are at increased risk of developing skin cancers as well as opportunistic infections though it is usually not difficult to clinically differentiate cutaneous fungal infections from skin tumours. We describe a case of tinea capitis in a renal transplant recipient presenting with such an exuberant inflammatory reaction and nodule formation that it was clinically mistaken to be an appendigeal tumor.
Adult↗
Epidemiology of common transmissible skin diseases among primary school children in north-west Ethiopia.
A total of 1842 school children were examined for the occurrence of common transmissible skin infections in a rural area in North-West Ethiopia. The result showed a prevalence rate of 49.2%. Tinea capitis, impetigo, infected wounds and verrucae vulgaris were common. In addition the overall prevalence rate of lice infestation was 55.4%. The findings indicated the need to develop appropriate intervention programmes both at school and community levels.
Child↗
Squamous cell carcinoma--70 years after irradiation.
The rare event of invasive squamous cell carcinoma 70 years after irradiation to the scalp for tinea capitis, occurred in a 75-year-old Caucasian male. The clinical, histological, roentgenologic and magnetic resonance imaging picture are described, and the literature is reviewed.
Aged↗
Diagnostic dilemmas in pediatric/adolescent dermatology: scaly scalp.
Scaly scalp is a common problem in the pediatric and adolescent population. The possible causes range from the commonly seen tinea capitis and seborrheic dermatitis to rare systemic diseases such as dermatomyositis and Letterer-Siwe disease. In all cases a thorough history and physical examination are important first steps to successful diagnosis and treatment.
Adolescent↗
Falsely elevated urinary level of vanillylmandelic acid induced by griseofulvin.
A 6-year-old girl with mild hepatitis was found to have an elevated urinary level of vanillylmandelic acid (VMA), but no cause for the elevation was found. The patient was receiving griseofulvin for treatment of tinea capitis, and this drug was suspected of causing a falsely elevated urinary VMA level. Four other patients receiving griseofulvin were also found to have elevated urinary VMA levels. In one patient, urinary VMA level determined by an alternate method was normal.
Child↗
Skin disorders in black children.
Recently, progress and developments have been made in six skin conditions relevant to black children. Infantile acropustulosis may either be idiopathic or may be a sequela of scabies in young infants. The approach to small- or medium-sized congenital melanocytic nevi in black children must be different because the risk for malignant transformation into melanoma is exceedingly small. Keloids and hypertrophic scars in children are effectively treated with silicone gel sheeting. Tinea capitis caused by Trichophyton tonsurans remains to be a very common infection among black children. The newer systemic antifungal agents have no significant advantage over griseofulvin. Hair problems resulting from grooming practices or hair styling are preventable. For postinflammatory hyperpigmentation, azelaic acid holds promise.
Black People↗
Rapid response of Trichophyton tonsurans-induced onychomycosis after treatment with terbinafine.
We describe an 8-year-old Hispanic female who presented with distal subungual onychomycosis and tinea capitis. Both foci of infection yielded Trichophyton tonsurans upon culture, and were clinically and mycologically cured with terbinafine 125 mg, once daily for 1 week [DOSAGE ERROR CORRECTED]. This aspect of treatment with terbinafine has not previously been reported.
Antifungal Agents↗
Postirradiation extensive cicatricial scalp alopecia treated by tissue expansion.
The scalp of a 20-year-old woman with extensive cicatricial alopecia caused by x-ray irradiation for tinea capitis has been reconstructed by the use of tissue expansion. Two stages were required to reconstruct the large defect. The hair-bearing posterior scalp has been expanded to cover the whole irradiated area, creating a new anterior hairline and a pleasing cosmetic result.
Adult↗
On six cases of radiation meningiomas from the same community.
The article deals with 6 patients operated on for meningioma many years after they had undergone X-ray therapy because of an epidemic of tinea capitis in their community. One of the patients developed another meningioma 13 years after the operation. A causal connexion between radiation and tumors is supported by the patient linkage and by the similarity of tumor type, site and latency (36.14 +/- 7.51 years).
Adult↗
Clinical diagnosis of common scalp disorders.
Scalp skin is unique on the body due to the density of hair follicles and high rate of sebum production. These features make it susceptible to superficial mycotic conditions (dandruff, seborrheic dermatitis, and tinea capitis), parasitic infestation (pediculosis capitis), and inflammatory conditions (psoriasis). Because these scalp conditions share similar clinical manifestations of scaling, inflammation, hair loss, and pruritus, differential diagnosis is critically important. Diagnostic techniques and effective treatment strategies for each of the above conditions will be discussed.
Adult↗
A report on radiation-induced gliomas.
Radiation-induced gliomas are uncommon, with only 73 cases on record to date. The disease that most frequently occasioned radiation therapy has been acute lymphoblastic leukemia (ALL). Three more cases are added here, two after irradiation for ALL and one after irradiation for tinea capitis. In a review of the relevant literature, the authors stress the possibility that the ALL-glioma and the retinoblastoma-glioma links point to syndromes in their own right that may occur without radiation therapy.
Adult↗
Trichophyton tonsurans granuloma in the scalp of an adult.
Tinea capitis with granuloma formation in the scalp of an adult that was caused by Tr. tonsurans infection is presented. The lack of symptomatic findings emphasizes the occasional difficulty in making a clinical diagnosis of this condition. Moreover, the possibility of beauty parlors being the source of scalp infection in adults, as well as children, must be considered.
Female↗
Dermatophyte pseudomycetoma of the scalp: case report and review.
We report the first case of a scalp pseudomycetoma due to Trichophyton schoenleinii in a 15-year-old girl from Senegal. The lesion was not associated with tinea capitis. Long-term antifungal therapy with itraconazole and terbinafine was unsuccessful but a favourable outcome was obtained after surgical removal of the lesion. Between 1973 and 1999, only 12 previous cases of dermatophyte pseudomycetoma of the scalp were reported in the literature. Clinical features and therapeutic outcomes of these cases are reviewed.
Adolescent↗
Microcystic adnexal carcinoma following radiotherapy in childhood.
A 36-year-old man was treated by radiotherapy for tinea capitis many years before discovery of microcystic adnexal carcinoma (MAC). Because of patient's refusal of any surgical intervention, we were able to follow the natural course of this tumor for 13 years. This case emphasizes the typical slow development of (MAC). The implication of the association of MAC and radiotherapy are discussed.
Adult↗
[Epidemiology of communicable skin diseases in school children of a rural area in North Ethiopia].
The pupils of 5 elementary schools in the Dembia-District in Northethiopia were inspected in serial examinations. The transmissible skin diseases head lice infestation, tinea capitis, impetigo contagiosa and verrucae vulgares are very common among the unselected children (5 to 15 years old). Only 16% of all children had not any infectious skin disease. The investigations showed the unfortunate conditions of the poor hygiene those are existing in the rural areas of a developing country in the tropics.
Adolescent↗