Clinicomycologic Profile And Trichoscopic Findings In Tinea Capitis Among Pediatric Patients: A Study Of 21 Cases

Abstract

Background: Trichoscopy serves as a useful noninvasive approach for evaluating patients with tinea capitis hair loss, since it is rapid and simple to execute .
Aim: To study the trichoscopic features in patients with Tinea Capitis.
Materials and methods: Study included 21 children affected with Tinea capitis. Thorough examination of the scalp of all children with lesions were examined under a magnification using a digital trichoscope.
Results with discussion: Of the total children included, 13 were female (61.9%) and 8 male (38.1%) with tinea capitis. The patients' average age was 6.56 ±3.25 years (from 2 to 12 years) .The most prominent feature of Tinea Capitis in both inflammatory and non-inflammatory is presence of Black dot. In addition, comma hairs (57.8%), broken hairs (42.1%) and perifollicular scales (36.8%) were common findings seen in non-inflammatory type, whereas perifollicular scaling (100%) with crusting (100%) and discharge (100%) were seen commonly in inflammatory type.
Conclusion: Trichoscopy represents a very useful diagnostic tool in assessing patients with tinea capitis-related hair loss, as it helps in differentiating tinea capitis from other alopecias seen in children, even before mycological evidence can be obtained.