Inflammatory Tinea Capitis Mimicking Dissecting Cellulitis in a Healthy Woman.

Autor: Rabhi F; Department of Dermatology, Military Hospital of Tunis, Tunis, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Elinkichari D; Department of Dermatology, Military Hospital of Tunis, Tunis, Tunisia., Mtibaa L; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.; Department of Parasitology, Military Hospital of Tunis, Tunis, Tunisia., Jemli B; Department of Parasitology, Military Hospital of Tunis, Tunis, Tunisia., Jaber K; Department of Dermatology, Military Hospital of Tunis, Tunis, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Dhaoui R; Department of Dermatology, Military Hospital of Tunis, Tunis, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Jazyk: angličtina
Zdroj: Skin appendage disorders [Skin Appendage Disord] 2023 Oct; Vol. 9 (5), pp. 373-376. Date of Electronic Publication: 2023 Jul 07.
DOI: 10.1159/000530498
Abstrakt: Introduction: Inflammatory tinea capitis (TC) is uncommon in adults.
Case Presentation: A 29-year-old healthy woman presented with a 2-year history of scalp alopecia with purulent discharge. Clinical, trichoscopic, and histological features and the negativity of a first fungal sampling were consistent with the diagnosis of dissecting cellulitis of the scalp. A second mycological examination guided by trichoscopy was carried out, showing tinea endothrix. Fungal culture isolated trichophyton violaceum. The patient was treated with terbinafine with complete healing.
Conclusion: The diagnosis of adult TC is challenging, mainly the inflammatory form. An exhaustive trichoscopic examination of all alopecic plaques may help make a rapid diagnosis and provide a guide to the mycological examination.
Competing Interests: The authors have no conflict of interest to disclose.
(© 2023 S. Karger AG, Basel.)
Databáze: MEDLINE