Trichoscopic Evaluation of Tinea Capitis

Tinea capitis is a widespread fungal infection that is even more common in rural areas of the world predominantly among children. The diagnosis of the infection and the identification of the responsible dermatophyte are determined by potassium hydroxide mount microscopy, Wood’s lamp examination and...

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Bibliographic Details
Published in:Mycopathologia (1975) 2023-10, Vol.188 (5), p.553-561
Main Author: Güleç, A. Tülin
Format: Article
Language:English
Subjects:
Biomedical and Life Sciences
Diagnosis
Eukaryotic Microbiology
Fungal infections
Fungi
Hair
Health aspects
Hydroxides
Infection
Inflammation
Life Sciences
Medical Microbiology
Medical research
Medicine, Experimental
Microbial Ecology
Microbiology
Plant Sciences
Potassium hydroxide
Review
Ringworm
Tinea capitis
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Summary:Tinea capitis is a widespread fungal infection that is even more common in rural areas of the world predominantly among children. The diagnosis of the infection and the identification of the responsible dermatophyte are determined by potassium hydroxide mount microscopy, Wood’s lamp examination and mycological culture of the skin scrapings and hair samples. Nevertheless, this conventional setting has several limitations such as lack of availability, low sensitivity and specifity, and particularly prolonged turnaround time for fungal culture. Trichoscopy is a well-proven practical and beneficial aid to faciliate the diagnosis of scalp and hair disorders. Studies performed during the last 15 years revealed several characteristic trichoscopic findings of non-inflammatory tinea capitis namely comma hairs, corkscrew hairs, Morse code-like hairs and zigzag hairs. Thereby, trichoscopy has proved itself in the establishment of prompt diagnosis of TC, identification of the responsible fungus enabling to appropiate treatment on time, and evaluating treatment response by screening the clearance of the trichoscopic features.
ISSN:0301-486X
1573-0832
DOI:10.1007/s11046-022-00678-x