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Epidemiologic features and therapeutic strategies of kerion: A nationwide multicentre study.

Mycoses

June 2024

Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, Beijing, China.

Background: Kerion is a severe type of tinea capitis that is difficult to treat and remains a public health problem.

Objectives: To evaluate the epidemiologic features and efficacy of different treatment schemes from real-world experience.

Methods: From 2019 to 2021, 316 patients diagnosed with kerion at 32 tertiary Chinese hospitals were enrolled.

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Article Synopsis
  • - Tinea capitis is a fungal infection of the scalp primarily affecting children but also seen in adults, with postmenopausal African American women at higher risk.
  • - Adults living in crowded conditions or with weakened immune systems, particularly those in households with infected children, are more prone to this condition.
  • - Diagnosis typically involves fungal cultures and trichoscopy, while treatment focuses on oral antifungals like griseofulvin and terbinafine; however, resistance to treatment is becoming a concern.
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Article Synopsis
  • The study investigated the prevalence and types of tinea capitis (a fungal infection of the scalp) in children and adults over a 25-year period at a Moroccan hospital.
  • Out of 594 cases, 247 were confirmed, showing a significant majority in children (86.23%), with a male-to-female ratio of 1.77.
  • Analyses revealed a rising trend in infections caused by animal-related fungi (zoophilic species), while those from human-related fungi (anthropophilic species) declined during the study.
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This case report describes a rare occurrence of tinea capitis kerion type caused by in three siblings. The clinical presentation included pseudo-alopecic plaques with a dirty appearance, erythema, and honey-like crusts. A direct examination revealed ecto-endothrix parasitization in the hair shaft.

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Introduction: Inflammatory tinea capitis (TC) is uncommon in adults.

Case Presentation: A 29-year-old healthy woman presented with a 2-year history of scalp alopecia with purulent discharge. Clinical, trichoscopic, and histological features and the negativity of a first fungal sampling were consistent with the diagnosis of dissecting cellulitis of the scalp.

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