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Case Description: A patient presented with a pruritic, scaly eruption on her palms and soles unresponsive to topical steroids for 1 month.

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Article Synopsis
  • A 6-year-old Hispanic girl experienced itchy patches on her scalp, leading to hair loss and prompting treatment that included ketoconazole shampoo and later hospitalization for intravenous fluconazole, but her condition worsened.
  • After further evaluation at the University Pediatric Hospital, dermatology consultations revealed she had tinea capitis with kerion formation caused by Trichophyton tonsurans, along with head lice infestation.
  • Effective treatment included a course of griseofulvin for the fungal infection, permethrin for lice, and prednisolone for inflammation, emphasizing the need for better communication among healthcare professionals to prevent complications from untreated pediatric skin conditions.
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A 29-year-old female presented to a rheumatology-dermatology clinic with a pruritic rash that began 6 months prior, after a viral illness. She had previously been diagnosed with eczema and treated with antihistamines and topical steroids without improvement. She also noted fatigue, hair loss, and severe scalp pruritus.

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