A Case Report of Tinea Capitis in Children: Utility of Trichoscopy
Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with c...
Saved in:
| Published in: | Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology) Vol. 34; no. 1; pp. 66 - 72 |
|---|---|
| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English Indonesian |
| Published: |
Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga
30.03.2022
|
| Subjects: | |
| ISSN: | 1978-4279, 2549-4082 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with clinical findings suggestive of TC. Case: A 13-year-old boy was presented with a scaled plaque on his scalp that had appeared 1 month earlier. A physical examination revealed a scaly, nonerythematous, rounded lesion in the parietal area of the head. Wood’s lamp yielded a blue fluorescence. Microscopic morphology from fungal culture found the typical spindle-shaped macroconidia of Microsporum canis. Trichoscopy showed mainly comma hair, corkscrew hair, morse code hair, bent hair, and zig zag hair. The patient was started on oral griseofulvin 20 mg/kg/day and antifungal shampoo for 8 weeks. The patient was cured after two months of treatment and trichoscopy returned to normal. Discussion: Fungal culture remains the gold standard in TC diagnosis, but it needs time. Trichoscopy can be an additional tool to help evaluate the diagnosis, aetiology, and follow up of this disorder. The presence of characteristic trichoscopic features (comma hairs, corkscrew hairs, Morse code-like hairs, zigzag hairs, bent hairs, block hairs, and i-hairs) is predictive of TC. The present analysis confirmed that trichoscopy is a useful method in differentiating between Microsporum and Trichophyton TC, which is important from the perspective of a different therapeutic approach. Conclusion: Trichoscopy is not only of value in the diagnosis of TC but also for the etiologic agent and follow-up after treatment in this case. |
|---|---|
| AbstractList | Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable, noninvasive technique for the evaluation of patients with hair loss due to TC. Purpose: To characterize trichoscopic findings in children with clinical findings suggestive of TC. Case: A 13-year-old boy was presented with a scaled plaque on his scalp that had appeared 1 month earlier. A physical examination revealed a scaly, nonerythematous, rounded lesion in the parietal area of the head. Wood’s lamp yielded a blue fluorescence. Microscopic morphology from fungal culture found the typical spindle-shaped macroconidia of Microsporum canis. Trichoscopy showed mainly comma hair, corkscrew hair, morse code hair, bent hair, and zig zag hair. The patient was started on oral griseofulvin 20 mg/kg/day and antifungal shampoo for 8 weeks. The patient was cured after two months of treatment and trichoscopy returned to normal. Discussion: Fungal culture remains the gold standard in TC diagnosis, but it needs time. Trichoscopy can be an additional tool to help evaluate the diagnosis, aetiology, and follow up of this disorder. The presence of characteristic trichoscopic features (comma hairs, corkscrew hairs, Morse code-like hairs, zigzag hairs, bent hairs, block hairs, and i-hairs) is predictive of TC. The present analysis confirmed that trichoscopy is a useful method in differentiating between Microsporum and Trichophyton TC, which is important from the perspective of a different therapeutic approach. Conclusion: Trichoscopy is not only of value in the diagnosis of TC but also for the etiologic agent and follow-up after treatment in this case. |
| Author | Harningtyas, Citra Dwi Ervianti, Evy Widia, Yuri Astari, Linda Anggraeni, Sylvia |
| Author_xml | – sequence: 1 givenname: Citra Dwi surname: Harningtyas fullname: Harningtyas, Citra Dwi – sequence: 2 givenname: Evy surname: Ervianti fullname: Ervianti, Evy – sequence: 3 givenname: Linda surname: Astari fullname: Astari, Linda – sequence: 4 givenname: Sylvia surname: Anggraeni fullname: Anggraeni, Sylvia – sequence: 5 givenname: Yuri surname: Widia fullname: Widia, Yuri |
| BookMark | eNo9kMtKw0AYRgdRsNa-guQFEueWubirwUuhIEjrdpjMxU4bM2Emm769aSuufjj_x1mcO3Ddx94B8IBghSHl5LENh0P1RWiFJoBxxVjJ8RWY4ZrKkkKBr8EMSS5Kirm8BYuc9xBCLCXiks3A87JodHbFpxtiGovoi03onZ7gEMaQi9AXzS50Nrn-qdiOoQvj8bxKwexiNnE43oMbr7vsFn93DravL5vmvVx_vK2a5bo0iCFccmegruvaQQK91RxR2zpkLMMtNdOPek8cgUZIyKQUziLWaiGxx0JAiRyZg9XFa6PeqyGFH52OKuqgziCmb6XTGEznFGHOEW4thoLSVtQt8ojXnkvjCUQWTy52cZkUc07O__sQVOew6hRWTWEVUqewijHFMfkFJPRtgw |
| Cites_doi | 10.1016/j.annder.2016.12.012 10.1111/jdv.15088 10.1111/bjd.18495 10.5021/ad.2014.26.2.214 10.1159/000495909 10.3390/diseases7010013 10.1111/pde.13102 10.1016/j.det.2013.06.007 10.1186/s13256-018-1914-6 10.1111/ajd.12830 10.1007/s13555-019-00350-1 10.1001/archdermatol.2011.31 10.5021/ad.2015.27.5.539 10.3315/jdcr.2011.1083 10.1007/978-1-4471-4486-1 10.1111/jdv.14322 10.1007/s11046-016-0058-8 10.1016/j.det.2018.05.009 10.1111/ijd.13453 10.1159/000369402 |
| ContentType | Journal Article |
| DBID | AAYXX CITATION DOA |
| DOI | 10.20473/bikk.V34.1.2022.66-72 |
| DatabaseName | CrossRef DOAJ Directory of Open Access Journals (WRLC) |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | CrossRef |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2549-4082 |
| EndPage | 72 |
| ExternalDocumentID | oai_doaj_org_article_36ee37dd20844b85b1f175f79cf301d2 10_20473_bikk_V34_1_2022_66_72 |
| GroupedDBID | AAYXX ALMA_UNASSIGNED_HOLDINGS CITATION GROUPED_DOAJ |
| ID | FETCH-LOGICAL-c1612-7ec0a555e030fda714dbe1cd62b4cec04ff3e30c8906998ed16ba892f288091e3 |
| IEDL.DBID | DOA |
| ISSN | 1978-4279 |
| IngestDate | Fri Oct 03 12:45:14 EDT 2025 Sat Nov 29 01:41:06 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Language | English Indonesian |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c1612-7ec0a555e030fda714dbe1cd62b4cec04ff3e30c8906998ed16ba892f288091e3 |
| OpenAccessLink | https://doaj.org/article/36ee37dd20844b85b1f175f79cf301d2 |
| PageCount | 7 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_36ee37dd20844b85b1f175f79cf301d2 crossref_primary_10_20473_bikk_V34_1_2022_66_72 |
| PublicationCentury | 2000 |
| PublicationDate | 2022-03-30 |
| PublicationDateYYYYMMDD | 2022-03-30 |
| PublicationDate_xml | – month: 03 year: 2022 text: 2022-03-30 day: 30 |
| PublicationDecade | 2020 |
| PublicationTitle | Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology) |
| PublicationYear | 2022 |
| Publisher | Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga |
| Publisher_xml | – name: Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga |
| References | Rudnicka (ref13) 2011; 5 ref15 Gupta (ref23) 2018; 32 Khunkhet (ref16) 2017; 5 Lacarrubba (ref18) 2015; 4 Rudnicka (ref10) 2013; 3 Alkeswani (ref22) 2019; 1 ref0 ref1 Adesiji (ref2) 2019; 7 Richarz (ref21) 2018; 1 Aqil (ref5) 2018; 1 Park (ref11) 2015; 27 ref19 Shim (ref17) 2014; 26 ref8 ref7 ref9 ref4 ref3 ref6 Rudnicka (ref14) 2018; 3 Hughes (ref12) 2011; 14 Campos (ref20) 2017; 31 |
| References_xml | – ident: ref15 doi: 10.1016/j.annder.2016.12.012 – ident: ref3 – volume: 32 start-page: 2264 issue: 12 year: 2018 ident: ref23 article-title: Tinea capitis in children: a systematic review of management publication-title: J Eur Acad Dermatol Venereol doi: 10.1111/jdv.15088 – ident: ref6 doi: 10.1111/bjd.18495 – volume: 26 start-page: 214 issue: 2 year: 2014 ident: ref17 article-title: Dermoscopic approach to a small round to oval hairless patch on the scalp publication-title: Ann Dermatol doi: 10.5021/ad.2014.26.2.214 – volume: 1 start-page: 1 issue: 1 year: 2019 ident: ref22 article-title: Treatment of tinea capitis publication-title: Skin Appendage Disord doi: 10.1159/000495909 – volume: 7 start-page: 1 issue: 13 year: 2019 ident: ref2 article-title: Prevalence of tinea capitis among children in Osogbo, Nigeria, and the associated risk factors publication-title: Diseases doi: 10.3390/diseases7010013 – ident: ref9 doi: 10.1111/pde.13102 – volume: 3 start-page: 695 issue: 1 year: 2013 ident: ref10 article-title: Hair shafts in trichoscopy: clues for diagnosis of hair and scalp diseases publication-title: Dermatol Clin doi: 10.1016/j.det.2013.06.007 – volume: 1 start-page: 383 issue: 2 year: 2018 ident: ref5 article-title: A prospective study of tinea capitis in children: making the diagnosis easier with a dermoscope publication-title: J Med Case Rep doi: 10.1186/s13256-018-1914-6 – volume: 1 start-page: 1 issue: 1 year: 2018 ident: ref21 article-title: trichoscopy helps to predict the time point of clinical cure of tinea capitis publication-title: Australas J Dermatol doi: 10.1111/ajd.12830 – ident: ref1 doi: 10.1007/s13555-019-00350-1 – volume: 14 start-page: 355 issue: 7 year: 2011 ident: ref12 article-title: Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis in black children publication-title: Arch Dermatol doi: 10.1001/archdermatol.2011.31 – ident: ref8 – ident: ref19 – volume: 27 start-page: 539 issue: 5 year: 2015 ident: ref11 article-title: Trichoscopic findings of hair loss in Koreans publication-title: Ann Dermatol doi: 10.5021/ad.2015.27.5.539 – volume: 5 start-page: 82 issue: 1 year: 2011 ident: ref13 article-title: Trichoscopy update 2011 publication-title: J Dermatol Case Rep doi: 10.3315/jdcr.2011.1083 – ident: ref7 doi: 10.1007/978-1-4471-4486-1 – volume: 31 start-page: 478 issue: 11 year: 2017 ident: ref20 article-title: Follow-up of tinea capitis with trichoscopy: a prospective clinical study publication-title: J Eur Acad Dermatol Venereol doi: 10.1111/jdv.14322 – ident: ref0 – ident: ref4 doi: 10.1007/s11046-016-0058-8 – volume: 3 start-page: 421 issue: 6 year: 2018 ident: ref14 article-title: Trichoscopy in hair shaft disorders publication-title: Dermatol Clin doi: 10.1016/j.det.2018.05.009 – volume: 5 start-page: 161 issue: 6 year: 2017 ident: ref16 article-title: Trichoscopic clues for diagnosis of alopecia areata and trichotillomania in Asians publication-title: Int J Dermatol doi: 10.1111/ijd.13453 – volume: 4 start-page: 21 issue: 7 year: 2015 ident: ref18 article-title: Scalp dermoscopy or trichoscopy publication-title: Curr Probl Dermatol doi: 10.1159/000369402 |
| SSID | ssj0002991796 |
| Score | 2.1768336 |
| Snippet | Background: Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. Scalp dermoscopy or “trichoscopy” represents a valuable,... |
| SourceID | doaj crossref |
| SourceType | Open Website Index Database |
| StartPage | 66 |
| SubjectTerms | infectious disease tinea capitis trichoscopy tropical disease |
| Title | A Case Report of Tinea Capitis in Children: Utility of Trichoscopy |
| URI | https://doaj.org/article/36ee37dd20844b85b1f175f79cf301d2 |
| Volume | 34 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2549-4082 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0002991796 issn: 1978-4279 databaseCode: DOA dateStart: 20140101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LSwMxEA4iHryIomJ9kYPXbTePTTbe2mLxIMVDK72FPLEU2lKq0H_vJLtKPXnxms3uJt9MZr6BzAxCD5IacKRGFpIEUXADAWvtWermzm3kIeU-5pL5L3I8rmcz9brX6ivdCWvKAzfA9ZgIgUnvaVnD63VlSQSPF6VyEXTTZ-sLrGcvmEo2GIwsaFpOLUphEqdSNenBtISf9-x8sei-Md5NESKlXSEKSX95pr0C_tnTjE7RSUsRcb9Z2hk6mPtzNOjjITgc3BBmvIp4AvzQwOA6VSXC8yUetnnZj3i6TTded3kW2Ln3Vco92V2g6ehpMnwu2v4HhQMeBsQ3uNJUVRXgIEZvJOHeBuK8oJY7eMZjZIGVrlalgKgpeCKsqRWNFA6lIoFdosPlahmuEDYsRhllxb033HliqecqWgHnGxiRiB3U-967XjdlLjSEBxktndDSgJYmOqGlhdCSdtAgQfQzO5WpzgMgPN0KT_8lvOv_-MgNOk7LyomC5S063G4-wh06cp-A_uY-68UXBKS4Bg |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+Case+Report+of+Tinea+Capitis+in+Children%3A+Utility+of+Trichoscopy&rft.jtitle=Berkala+Ilmu+Kesehatan+Kulit+dan+Kelamin+%28Periodical+of+Dermatology+and+Venerology%29&rft.au=Harningtyas%2C+Citra+Dwi&rft.au=Ervianti%2C+Evy&rft.au=Astari%2C+Linda&rft.au=Anggraeni%2C+Sylvia&rft.date=2022-03-30&rft.issn=1978-4279&rft.eissn=2549-4082&rft.volume=34&rft.issue=1&rft.spage=66&rft.epage=72&rft_id=info:doi/10.20473%2Fbikk.V34.1.2022.66-72&rft.externalDBID=n%2Fa&rft.externalDocID=10_20473_bikk_V34_1_2022_66_72 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1978-4279&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1978-4279&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1978-4279&client=summon |