دورية أكاديمية
أعرض في EDS

Trichoscopic signs of tinea capitis: a guide for selection of appropriate antifungal.

التفاصيل البيبلوغرافية
العنوان: Trichoscopic signs of tinea capitis: a guide for selection of appropriate antifungal.
المؤلفون: Genedy RM; Department of Dermatology and Venereology, Alexandria University, Alexandria, Egypt., Sorour OA; Department of Dermatology and Venereology, Alexandria University, Alexandria, Egypt., Elokazy MAW; Department of Dermatology and Venereology, Alexandria University, Alexandria, Egypt.
المصدر: International journal of dermatology [Int J Dermatol] 2021 Apr; Vol. 60 (4), pp. 471-481. Date of Electronic Publication: 2020 Nov 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 0243704 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-4632 (Electronic) Linking ISSN: 00119059 NLM ISO Abbreviation: Int J Dermatol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Science
Original Publication: Philadelphia, Lippincott.
مواضيع طبية MeSH: Antifungal Agents*/therapeutic use , Tinea Capitis*/diagnosis , Tinea Capitis*/drug therapy, Child ; Egypt ; Griseofulvin/therapeutic use ; Hair ; Humans ; Trichophyton
مستخلص: Background: Tinea capitis is the most common pediatric dermatophyte infection. Optimal treatment regimen differs according to the type of the dermatophyte involved.
Objectives: The aim of this work was to study the trichoscopic signs in relation to isolated organism in a sample of Egyptian patients with tinea capitis and the possibility of using them as a guide for selection of appropriate antifungal.
Methods: This study was carried out on 60 subjects with tinea capitis. Patients were mycologically examined, both direct microscopy with KOH preparation and culture of the scraped hair materials on Sabouraud dextrose agar. Culture mounts were used for identification of the organism. Trichoscopic examination of all patients was performed using the Dermlite DLIII dermoscope.
Results: There was significant higher prevalence of both comma and corkscrew hair in endothrix infection and T. violaceum-infected cases. On the other hand, there was significant higher prevalence of zigzag, barcode hairs, and white sheaths in ectothrix infection and M. canis-infected cases.
Conclusion: While some trichoscopic findings are nonspecific, others were found to be more specific. Finding zigzag hairs and barcode hairs points to ectothrix infection (M. canis), and it is recommended to start treatment with griseofulvin. On the other hand, finding comma hairs and corkscrew hairs without zigzag hairs and barcode hairs points to endothrix infection (T. violaceum), and it is recommended to start treatment with terbinafine in the usual dose.
(© 2020 the International Society of Dermatology.)
References: Fuller LC, Barton RC, Mohd Mustapa MF, et al. British Association of Dermatologists' guidelines for the management of tinea capitis 2014. Br J Dermatol 2014; 171: 454-463.
Gupta AK, Summerbell RC. Tinea capitis. Med Mycol 2000; 38: 255-287.
Mirmirani P, Tucker LY. Epidemiologic trends in pediatric tinea capitis: a population-based study from Kaiser Permanente Northern California. J Am Acad Dermatol 2013; 69: 916-921.
Patel GA, Schwartz RA. Tinea capitis: still an unsolved problem? Mycoses 2011; 54: 183-188.
Omar AA. Ringworm of the scalp in primary-school children in Alexandria: infection and carriage. East Mediterr Health J 2000; 6: 961-967.
Buckley DA, Fuller LC, Higgins EM, du Vivier AW. Lesson of the week. Tinea capitis in adults. BMJ 2000; 320: 1389-1390.
Ziemer A, Kohl K, Schroder G. Trichophyton rubrum-induced inflammatory tinea capitis in a 63-year-old man. Mycoses 2005; 48: 76-79.
Ziegler W, Lempert S, Goebeler M, et al. Tinea capitis: temporal shift in pathogens and epidemiology. J Dtsch Dermatol Ges 2016; 14: 818-825.
del Boz J, Crespo V, Rivas-Ruiz F, et al. A 30-year survey of paediatric tinea capitis in southern Spain. J Eur Acad Dermatol Venereol 2011; 25: 170-174.
Seebacher C, Bouchara JP, Mignon B. Updates on the epidemiology of dermatophyte infections. Mycopathologia 2008; 166: 335-352.
Pihet M, Le Govic Y. Reappraisal of conventional diagnosis for dermatophytes. Mycopathologia 2017; 182: 169-180.
Olszewska M, Rudnicka L, Rakowska A, et al. Trichoscopy. Arch Dermatol 2008; 144: 1007.
Elghblawi E. Frontier in hair loss and trichoscopy: a review. J Surg Dermatol 2016; 1: 80-96.
Rudnicka L, Rakowska A, Olszewska M. Trichoscopy: how it may help the clinician. Dermatol Clin. 2013; 31: 29-41.
Robert R, Pihet M. Conventional methods for the diagnosis of dermatophytosis. Mycopathologia 2008; 166: 295-306.
Aly R. Culture media for growing dermatophytes. J Am Acad Dermatol 1994; 31(3 Pt 2): S107-S108.
Kirkpatrick LA, Feeney BC. A simple guide to IBM SPSS statistics for version 20.0, Student edn. Belmont, Calif: Wadsworth, Cengage Learning, 2013.
Michaels BD, Del Rosso JQ. Tinea capitis in infants: recognition, evaluation, and management suggestions. J Clin Aesthet Dermatol 2012; 5: 49-59.
Čeburkovas O, Schwartz RA, Janniger CK. Tinea capitis: current concepts. J Dermatol 2000; 27: 144-148.
Bennassar A, Grimalt R. Management of tinea capitis in childhood. Clin Cosmet Investig Dermatol 2010; 3: 89-98.
Panasiti V, Borroni RG, Devirgiliis V, et al. Comparison of diagnostic methods in the diagnosis of dermatomycoses and onychomycoses. Mycoses 2006; 49: 26-29.
Wiegand C, Mugisha P, Mulyowa GK, et al. Identification of the causative dermatophyte of tinea capitis in children attending Mbarara Regional Referral Hospital in Uganda by PCR-ELISA and comparison with conventional mycological diagnostic methods. Med Mycol 2017; 55: 660-668.
Elewski BE, Caceres HW, DeLeon L, et al. Terbinafine hydrochloride oral granules versus oral griseofulvin suspension in children with tinea capitis: results of two randomized, investigator-blinded, multicenter, international, controlled trials. J Am Acad Dermatol 2008; 59: 41-54.
Lorch Dauk KC, Comrov E, Blumer JL, et al. Tinea capitis: predictive value of symptoms and time to cure with griseofulvin treatment. Clin Pediatr (Phila). 2010;49:280-286.
Fuller LC. Changing face of tinea capitis in Europe. Curr Opin Infect Dis 2009; 22: 115-118.
Zaki SM, Ibrahim N, Aoyama K, et al. Dermatophyte infections in Cairo, Egypt. Mycopathologia 2009; 167: 133-137.
Saghrouni F, Bougmiza I, Gheith S, et al. Mycological and epidemological aspects of tinea capitis in the Sousse region of Tunisia. Ann Dermatol Venereol 2011; 138: 557-563.
Coloe JR, Diab M, Moennich J, et al. Tinea capitis among children in the Columbus area, Ohio, USA. Mycoses. 2010; 53: 158-162.
Sidat MM, Correia D, Buene TP. Tinea capitis among children at one suburban primary school in the City of Maputo, Mozambique. Rev Soc Bras Med Trop 2007; 40: 473-475.
Perez-Tanoira R, Marin I, Berbegal L, et al. Mycological profile of tinea capitis in schoolchildren in rural southern Ethiopia. Med Mycol 2017; 55: 262-268.
Nweze EI, Eke I. Dermatophytosis in northern Africa. Mycoses 2016; 59: 137-144.
Elewski BE. Tinea capitis: a current perspective. J Am Acad Dermatol 2000; 42(1 Pt 1): 1-20; quiz 1-4.
Bhanusali D, Coley M, Silverberg JI, et al. Treatment outcomes for tinea capitis in a skin of color population. J Drugs Dermatol 2012; 11: 852-856.
Gupta AK, Summerbell RC. Increased incidence of Trichophyton tonsurans tinea capitis in Ontario, Canada between 1985 and 1996. Med Mycol 1998; 36: 55-60.
Borman AM, Campbell CK, Fraser M, et al. Analysis of the dermatophyte species isolated in the British Isles between 1980 and 2005 and review of worldwide dermatophyte trends over the last three decades. Med Mycol 2007; 45: 131-141.
White JM, Higgins EM, Fuller LC. Screening for asymptomatic carriage of Trichophyton tonsurans in household contacts of patients with tinea capitis: results of 209 patients from South London. J Eur Acad Dermatol Venereol 2007; 21: 1061-1064.
Mapelli ET, Cerri A, Bombonato C, et al. Tinea capitis in the paediatric population in Milan, Italy: the emergence of Trichophyton violaceum. Mycopathologia 2013; 176: 243-246.
Hallgren J, Petrini B, Wahlgren CF. Increasing tinea capitis prevalence in Stockholm reflects immigration. Med Mycol 2004; 42: 505-509.
Rebollo N, Lopez-Barcenas AP, Arenas R. Tinea capitis. Actas Dermo-Sifiliogr 2008; 99: 91-100.
Rudnicka L, Ozewska M, Rakowska A, eds. Atlas of Trichoscopy: Dermoscopy in Hair and Scalp Disease, 2nd edn. London: Springer-Verlag, 2012.
Slowinska M, Rudnicka L, Schwartz RA, et al. Comma hairs: a dermatoscopic marker for tinea capitis: a rapid diagnostic method. J Am Acad Dermatol 2008; 59(5 Suppl): S77-S79.
Brasileiro A, Campos S, Cabete J, et al. Trichoscopy as an additional tool for the differential diagnosis of tinea capitis: a prospective clinical study. Br J Dermatol 2016; 175: 208-209.
El-Taweel AE, El-Esawy F, Abdel-Salam O. Different trichoscopic features of tinea capitis and alopecia areata in pediatric patients. Dermatol Res Pract 2014; 2014: 848763.
Moneib HA, El-Shiemy SM, Saudi WM, et al. Hair loss among a group of Egyptian children: a clinical and dermoscopic study. J Egypt Womens Dermatologic Soc 2017; 14: 9-24.
Ekiz O, Sen BB, Rifaioglu EN, et al. Trichoscopy in paediatric patients with tinea capitis: a useful method to differentiate from alopecia areata. J Eur Acad Dermatol Venereol 2014; 28: 1255-1258.
Hughes R, Chiaverini C, Bahadoran P, et al. Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis in black children. Arch Dermatol 2011; 147: 355-356.
Isa R, Amaya B, Pimentel M, et al. Dermoscopy in tinea capitis: a prospective study on 43 patients. Med Cutan Iber Lat Am 2014; 42: 18-22.
Amer M, Helmy A, Amer A. Trichoscopy as a useful method to differentiate tinea capitis from alopecia areata in children at Zagazig University Hospitals. Int J Dermatol 2017; 56: 116-120.
Shim WH, Jwa SW, Song M, et al. Dermoscopic approach to a small round to oval hairless patch on the scalp. Ann Dermatol 2014; 26: 214-220.
Lencastre A, Tosti A. Role of trichoscopy in children's scalp and hair disorders. Pediatr Dermatol 2013; 30: 674-682.
Rudnicka L, Olszewska M, Rakowska A. Atlas of trichoscopy: dermoscopy in hair and scalp disease. Springer Science & Business Media, 2012.
Hernandez-Bel P, Malvehy J, Crocker A, et al. Comma hairs: a new dermoscopic marker for tinea capitis. Actas Dermo-Sifiliogr 2012; 103: 836-837.
Mapelli ET, Gualandri L, Cerri A, et al. Comma hairs in tinea capitis: a useful dermatoscopic sign for diagnosis of tinea capitis. Pediatr Dermatol 2012; 29: 223-224.
Bourezane Y, Bourezane Y. Analysis of trichoscopic signs observed in 24 patients presenting tinea capitis: hypotheses based on physiopathology and proposed new classification. Ann Dermatol Venereol 2017; 144: 490-496.
Schechtman RC, Silva ND, Quaresma MV, et al. Dermatoscopic findings as a complementary tool in the differential diagnosis of the etiological agent of tinea capitis. An Bras Dermatol 2015; 90(3 Suppl 1): 13-15.
Vazquez-Lopez F, Palacios-Garcia L, Argenziano G. Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: a case report. Australas J Dermatol 2012; 53: 118-119.
Lu M, Ran Y, Dai Y, et al. An ultrastructural study on corkscrew hairs and cigarette-ash-shaped hairs observed by dermoscopy of tinea capitis. Scanning 2016; 38: 128-132.
Lin Y-T, Li Y-C. The dermoscopic comma, zigzag, and bar code-like hairs: markers of fungal infection of the hair follicles. Dermatol Sin 2014; 32: 160-163.
Lacarrubba F, Verzi AE, Micali G. Newly described features resulting from high-magnification dermoscopy of tinea capitis. JAMA Dermatol 2015; 151: 308-310.
Mohrenschlager M, Seidl HP, Ring J, et al. Pediatric tinea capitis: recognition and management. Am J Clin Dermatol 2005; 6: 203-213.
Roberts BJ, Friedlander SF. Tinea capitis: a treatment update. Pediatr Ann 2005; 34: 191-200.
Ghannoum MA, Wraith LA, Cai B, et al. Susceptibility of dermatophyte isolates obtained from a large worldwide terbinafine tinea capitis clinical trial. Br J Dermatol 2008; 159: 711-713.
Kakourou T, Uksal U. Guidelines for the management of tinea capitis in children. Pediatr Dermatol 2010; 27: 226-228.
Gupta AK, Williams JV, Zaman M, et al. In vitro pharmacodynamic characteristics of griseofulvin against dermatophyte isolates of Trichophyton tonsurans from tinea capitis patients. Med Mycol 2009; 47: 796-801.
Gonzalez U, Seaton T, Bergus G, et al. Systemic antifungal therapy for tinea capitis in children. Cochrane Database Syst Rev 2007(4): Cd004685.
Devliotou-Panagiotidou D, Koussidou-Eremondi TH. Efficacy and tolerability of 8 weeks' treatment with terbinafine in children with tinea capitis caused by Microsporum canis: a comparison of three doses. J Eur Acad Dermatol Venereol 2004; 18: 155-159.
Gupta AK, Cooper EA, Bowen JE. Meta-analysis: griseofulvin efficacy in the treatment of tinea capitis. J Drugs Dermatol 2008; 7: 369-372.
Chen X, Jiang X, Yang M, et al. Systemic antifungal therapy for tinea capitis in children: an abridged Cochrane Review. J Am Acad Dermatol 2017; 76: 368-374.
Mirhendi H, Motamedi M, Makimura K, et al. Development a diagnostic pan-dermatophyte TaqMan probe real-time PCR assay based on beta tubulin gene. Mycoses 2016; 59: 520-527.
المشرفين على المادة: 0 (Antifungal Agents)
32HRV3E3D5 (Griseofulvin)
تواريخ الأحداث: Date Created: 20201103 Date Completed: 20210617 Latest Revision: 20210617
رمز التحديث: 20221213
DOI: 10.1111/ijd.15289
PMID: 33141453
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-4632
DOI:10.1111/ijd.15289