scholarly journals Dermoscopic evaluation of tinea capitis: A case report

2019 ◽  
Author(s):  
Ade Fernandes ◽  
Yuri Widia ◽  
Sylvia Anggraeni ◽  
Linda Astari ◽  
Evy Ervianti ◽  
...  

Tinea capitis is the most common fungal infection in children. Recently, the dermoscopic examination of the hair and scalp or trichoscopy has surfaced on and proven to be a very effective, proficient, and efficient useful tool in diagnosing and screening of some hair disorders. Case: A 12-year-old boy presented with circular lesions with sharp margins on the scalp, with breaking hairs forming patches of partial alopecia. Scrapings of the scalp, containing broken hairs, were collected and submitted for direct examination by using KOH preparation revealed chains of arthroconidia covering the hair shaft. Dermoscopic examination was performed and revealed the presence of fine scale, broken hairs and comma hair. Discussion: Our patient reavealed a good clinical improvement evaluated by microscopic examination and dermoscopic evaluation. After effective antifungal therapy for 8 weeks duration, the hair fully regrows. Conclusion: Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to tenia capitis.

Author(s):  
P. M. Stockdale

Abstract A description is provided for Nannizzia grubyia. Information is included on the disease caused by the organism, its transmission, geographical distribution, and hosts. HOSTS: Only four cases of infection by this species have been reported so far. These were in a Malabar squirrel (Ratufa indica malabarica), a boxer dog, and two humans. Guinea-pigs have been experimentally infected. DISEASE: Ringworm (dermatophytosis, tinea). Infected hairs contain some hyphae within the hair shaft but no ectothrix spore sheaths have been observed. In one (human) case infected hairs fluoresced light green under Wood's light. Both human cases were confined to the scalp (tinea capitis). In both animals and man the usual symptom was scaling patches with some hair loss and little tissue reaction, but one human case was a kerion with much secondary infection (RMVM 4, 1587; 5, 493). GEOGRAPHICAL DISTRIBUTION: U.S.A. (Illinois, La, Miss.).


PEDIATRICS ◽  
1992 ◽  
Vol 90 (3) ◽  
pp. 416-418
Author(s):  
Thomas W. Hubbard ◽  
John M. de Triquet

Using traditional methods to verify the existence of a fungal infection in children with suspected tinea capitis is a cumbersome process. Scraping scale and pulling hairs for culture or microscopic examination can be time-consuming and uncomfortable for the child. This study is the first comparison of this method with an alternate brush-culture method for diagnosing tinea capitis. In 70 children with symptoms suggestive of tinea capitis, there was strong agreement between methods in detecting disease or lack thereof (McNemar's test, P < .2). In the 51 paired positive cultures, those obtained by brush culture turned positive significantly faster (t test, P < .01) than samples obtained by the traditional method. The brush method is a reliable, painless, and more expedient way to obtain cultures from children with suspected tinea capitis.


Author(s):  
Liat Hoffer ◽  
Netta Achdut ◽  
Shifra Shvarts ◽  
Dorit Segal-Engelchin

Recent studies have linked hair loss due to childhood irradiation for tinea capitis, a fungal infection of the scalp, to adverse psychosocial and health outcomes in women. However, no study to date has examined gender differences in the outcomes of this type of hair loss. The current study aimed to investigate gender differences in health and psychosocial outcomes of hair loss resulting from childhood irradiation for tinea capitis, and to identify the risk factors associated with depression in both men and women. Medical records held at the archives of the Israel National Center for Compensation of Scalp Ringworm Victims were retrospectively reviewed for 217 women and 105 men who received maximum disability compensation due to severe hair loss resulting from irradiation for tinea capitis. We found that women were at increased risk of developing psychosocial symptoms, including depression. Gender emerged as a significant predictor of depression, distinct from other predictors, such as marital status, age at radiation, exposure to verbal and physical bullying, low self-esteem, social anxiety, and physical health problems. Thus, the psychosocial needs of patients, particularly female patients, who were irradiated for tinea capitis during childhood need to be taken into account by the healthcare professionals treating them.


Author(s):  
Zvonimir Bosnić ◽  
Blaženka Šarić ◽  
Domagoj Vučić ◽  
Božidar Kovačević ◽  
Nikica Marinić ◽  
...  

2003 ◽  
Vol 127 (11) ◽  
pp. 1498-1500
Author(s):  
Melissa A. Pasquale-Styles ◽  
Clara Milikowski

Abstract We describe a rare case of apocrine adenoma of the breast in a 45-year-old man. The patient presented with a tender lump in his left breast that had been present for 6 months. A mammogram identified a 3-mm nodular density in the breast, which was described as a hypoechoic nodule on ultrasound. Microscopic examination of tissue from an excisional biopsy revealed a 3-mm group of benign glands with abundant granular, eosinophilic cytoplasm and apical luminal blebbing, consistent with an apocrine adenoma. After reviewing other reported apocrine adenomas in the literature, we determined that our case was the smallest detected apocrine adenoma to be reported to date.


2017 ◽  
Vol 24 (1) ◽  
pp. 61 ◽  
Author(s):  
A. Alghamdi ◽  
A. Lutynski ◽  
M. Minden ◽  
C. Rotstein

Mucormycosis has emerged as an important cause of invasive fungal infection in patients with hematologic malignancies. Gastrointestinal mucormycosis is an unusual presentation of this invasive fungal infection, and it causes considerable morbidity and mortality. Such outcomes are due in part to a nonspecific presentation that results in delays in diagnosis and treatment. Successful treatment of gastrointestinal mucormycosis involves surgical debridement and appropriate antifungal therapy.


2017 ◽  
Vol 37 (2) ◽  
pp. 237-239
Author(s):  
Manmeet Singh Jhawar ◽  
Jasmin Das ◽  
Pratish George ◽  
Anil Luther

Fungal infection is an extremely rare etiology of exit-site and tunnel infection in patients on continuous ambulatory peritoneal dialysis (CAPD). There are few data available regarding its management—especially choice of antifungals, duration of therapy, and removal of catheter. There are no guidelines pertaining to reinsertion of the CAPD catheter following fungal exit-site and tunnel infection. This case report highlights Candida albicans as a rare cause of exit-site and tunnel infection of the CAPD catheter. The catheter was removed and the patient received appropriate antifungal therapy followed by reinsertion of the CAPD catheter and re-initiation on CAPD.


2016 ◽  
Vol 33 (3) ◽  
pp. 175-178 ◽  
Author(s):  
M. Osman ◽  
M. D. McCauley

IntroductionMirtazapine is indicated in the treatment of major depressive disorder particularly in selective serotonin re-uptake inhibitors resistance. Its effect on hair loss is rare with no previous documented effect on hair colour.MethodReview of relevant literature and description of a case report of a 54-year-old male patient who developed alopecia and hair discoloration after initiation of mirtazapine treatment.ResultsUpon cessation of mirtazapine treatment full restoration of hair colour and regrowth of hair was attained within 10 weeks.DiscussionThere was clear temporal relationship between experiencing hair loss and commencing mirtazapine treatment. No other more likely medical reason to explain such experience was established. A noticeable restoration of the hair colour occurred following mirtazapine cessation.ConclusionMirtazapine is associated with hair discoloration and hair loss. The possibility of such distressing adverse effects needs to be conveyed to patients by clinicians and to be further explored by researchers.


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