Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis in black children. Tinea capitis is a fungal infection of the scalp, involving both the skin and hair. from Tuberculid Jump navigation Jump search .mw parser output .hatnote font style italic .mw parser output div.hatnote padding left 1.6em margin bottom 0.5em .mw parser output .hatnote font style normal .mw parser output .hatnote link .hatnote. Tinea barbae is essentially the same condition involving the beard area. In 2011, Hughes described in six black children with FIGURE 1: Videodermoscopy 20x, comma and corkscrew hair FIGURE 2: Videodermoscopy 40x . Tinea capitis is an infection of the scalp caused by dermatophytic molds that may enter keratinized tissue, such as hair and nails. Hughes, Rosalind, et al. Both the cases responded well to fluconazole. However, we recently observed the same trichoscopic picture in an adult Italian white male. Enter the email address you signed up with and we'll email you a reset link. Trichophyton soudanensetinea capitis, showing comma hairs (red arrow), corkscrew hairs (blue arrow), and broken dystrophic hairs (yellow arrow). Ringworm of the scalp, also known as tinea capitis, is an infection caused by fungi. a study of seven patients with tinea capitis held by Sandoval demonstrated the presence of comma hair in all patients examined. 118-119. J Am Acad Dermatol2000;42 (1, pt 1) 1- 20PubMedGoogle ScholarCrossref 2. Scalp ringworm is an infection that can affect anyone, and it's easily transferred from person to person. Skin biopsy and culture were performed because of the longstanding nature of the lesions and to exclude systemic causes of alopecia; our differential diagnosis included tinea capitis, chronic discoid lupus lesions, lichen . Dermoscopic of hair scalp (Trichoscopy) shows comma hairs (Figure 2, circles) and corkscrew hair (Figure 2, squares) suggesting the diagnosis of Tinea Capitis (TC). It is also known as scalp ringworm. iii) Kerion - a swollen mass discharging pus onto the scalp. Summary This study was aimed to explain the formation mechanisms of corkscrew hairs and cigaretteashshaped hairs observed by dermoscopy of tinea capitis. We describe the "comma" and "corkscrew hair" dermoscopic aspects found in a child of skin type 4, with tinea capitis.A dermatoscopia um mtodo que ganha cada vez mais importncia na diagnose . Remember me on this computer. described for the first time the sign of comma hair in two children with TC [].In 2011, Hughes et al. The zigzag shaped hairs or corkscrew hair seems to be a variation of the comma hair, manifesting in black patients [16]. 355-6. Fungi that cause problems on the skin in animals and humans are called dermatophytes. FEDERAL SECURITY AGENCY Public Health Service, Communicable Disease Center Training Branch, Audio-Visual Services P, O. 2. 37 : Newly described features resulting from high-magnification dermoscopy of tinea capitis. Tinea capitis less commonly manifests as diffuse scaling, like dandruff, or in a . Tinea Capitis is a fungal infection that affects the scalp and hair. For the first time, CH have been identified in TC caused by Trichophyton violaceum and, interestingly, the disappearance of CH . SEM observation of the corkscrew hair revealed bent hair shaft and asymmetrically disrupted cuticle layer. In the present work, the ultrastructure of the involved hairs collected from a girl with tinea capitis caused by Trichophyton violaceum was observed by scanning electron microscope (SEM) and transmission electron microscope (TEM). ORCIDs linked to this article Balestri R, 0000-0002-0885-054X Read Paper. Tinea capitis is typically considered a disease of childhood or immunosuppressed patients, and postmenopausal women, yet healthy adults may also develop it [ 1 ]. A Biblioteca Virtual em Sade uma colecao de fontes de informacao cientfica e tcnica em sade organizada e armazenada em formato eletrnico nos pases da Regio Latino-Americana e do Caribe, acessveis de forma universal na Internet de modo compatvel com as bases internacionais. other clinical settings: Tinea capitis - Until the 1950s, low doses of . 36 : Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis in black children. i) Scaly patches with hair loss or broken hairshafts. Corkscrew hair: a trichoscopy marker of tinea capitis in an adult white patient. 1The presence of Microspo- rum canis, the most prevalent causative organism in. Epidemiology, pathology, clinical features, and diagnosis of meningioma. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. ii) Extensive lesions which may develop into a rash. Authors Iria Neri 1 . or. Another name for tinea capitis is scalp ringworm. SEM observation . 4 The tinea capitis was caused by Microsporum canisand Trichophyton tonsurans. Abbreviations CH corkscrew hairs TC tinea capitis Corkscrew hairs (CH) have been reported as a new and specific trichoscopic (dermoscopic) feature for the diagnosis of tinea capitis (TC). 2011 Mar;147(3):355-6. doi: 10.1001/archdermatol.2011.31. Alopecia (baldness) may develop. La Biblioteca Virtual en Salud es una coleccin de fuentes de informacin cientfica y tcnica en salud organizada y almacenada en formato electrnico en la Regin de Amrica Latina y el Caribe, accesible de forma universal en Internet de modo compatible con las bases internacionales. Tinea capitis may also affect your child's eyelashes and eyebrows. Vazquez-Lopez, F, Palacios-Garcia, L & Argenziano, G 2012, ' Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: A case report ', Australasian Journal of Dermatology, vol. Corkscrew Hair: A Trichoscopy Marker of Tinea Capitis in an Adult White Patient. Corkscrew hairs (CHs) were first described by Hughes et al1 as trichoscopy marker for diagnosis of tinea capitis (TC) in black children. Hugues R, Chiaverini C, Bahadoran P, Lacour JP (2011) Corkscrew Hair: A New Dermoscopic Sign for Diagnosis of Tinea Capitis in Black Children. 38 : Analysis of trichoscopic signs observed in 24 patients presenting tinea capitis: Hypotheses based on physiopathology and proposed new classification. Tinea capitis Tinea corporis Tinea cruris Tinea pedis Tinea faciei Tinea unguium; Psoriasis Dermatitis seborreica Lupus discoide Liquen plano capilar 2, pp. Email. Short broken hairs were observed in the present study in 90.0% (18 out of 20 patients) of tinea capitis cases; this finding was conducted with other studies [13,14]. Hair remains intact. Tinea capitis primarily occurs in children. Specific pill doses and names will be recommended by your physician but include drugs like terbinafine, itraconazole and sometimes grisoefulvin. 2, pp. In patients with tinea capitis, the most common trichoscopic feature (Figure 1) was short broken hairs seen in 18 patients, 90.0%, followed by black dots in 13 patients, 65.0%, comma shaped hairs in 11 patients, 55.0%, or corkscrew hairs in 9 patients, 45.0%, and zigzag shaped hair in 5 patients, 25.0% (Table 1). 1 M. canis is a dermatophyte fungus of which cats and dogs are natural hosts, which is easily transmitted to humans.. A four-year-old girl with no immunodeficiency was referred to our hospital with a four-month history . Tinea capitis is a fungal infection that affects your child's scalp and hair. 118-119. Tinea capitis must be treated with ORAL medications (pills) for 4-6 weeks. The rarity of the condition in this category of patients is often responsible for diagnostic delays or mistreatments [ 1 ]. If significant inflammation is present, oral corticosteroids may be prescribed. ), or their login data. strings of text saved by a browser on the user's device. Vazquez-Lopez, F, Palacios-Garcia, L & Argenziano, G 2012, ' Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: A case report ', Australasian Journal of Dermatology, vol. Fuller . 147, no. Tosti A (2011) Trichoscopy in clinical care. (2008) Comma Hairs: a dermatoscopic marker for tinea capitis: A rapid diagnostic method. This study was aimed to explain the formation mechanisms of corkscrew hairs and cigarette-ash-shaped hairs observed by dermoscopy of tinea capitis. We confirm herein the observation of this trichoscopic sign in a child with TC. Password. Erythema, crusts, follicularpustules, and V-shaped hair were significantly present in inflammatory tinea capitis, whereas scales and follicular keratosis were mostly seen in non-inflammatory tinea capitis. reported the sign of corkscrew hair in six black children, especially in cases of Trichophyton soudanense infection [].The authors suggested that corkscrew hair could be a variant of comma hair in black patients, or a specificity of TC due to Trichophyton soudanense []. The Infona portal uses cookies, i.e. It is sometimes referred to as ringworm of the scalp. Box 185, Chamblee, Ga. January 1, 1953 See thh: MOTICR NO. Comma hair, corkscrew hair, horse-shoe hair, and perifollicular scaling are trichoscopic signs of tinea capitis that were present in our cases. Each crust encircles a strand of hair, which pierces the centre and pokes out." "There appears to be 3 stages of the disease according to its severity. Similarly, finding the right treatment can prove challenging for the physician. Staphylococci (bacteria) may co-exist. Tinea Capitis: a contagious disease caused by the invasion of the scalp/hair by a fungus. Tinea capitis causes the gradual appearance of round patches of dry scale, alopecia, or both. Corkscrew hair: a trichoscopy marker of tinea capitis in an adult white patient. Tinea capitis is contagious, and can be contracted from other people, animals or even objects that have come in contact with the fungus. "Corkscrew Hair: a New Dermoscopic Sign for Diagnosis of Tinea Capitis in Black Children." Archives of Dermatology, vol. Topical lotion and shampoos are not effective. Dermatofit adalah jamur berfilamen yang membutuhkan substrate keratin seperti pada kulit, rambut, dan kuku, untuk pertumbuhannya 16 Trichoscopic features of tinea capitis among primary school children in north central Nigeria Stage 1: area around the hair follicles on the scalp becomes red and inflamed. Corkscrew Hair: A Trichoscopy Marker of Tinea Capitis in an Adult White Patient. TY - JOUR T1 - Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: a case report. J Am Acad Dermatol 59: S77-S79. Report of a Case A healthy, 58-year-old white man, with skin phototype III, presented with a 2-week history of an itchy and inflammatory patch of alopecia, clinically . Tinea capitis occurs when fungi enter your child's hair follicles and often hair shafts. Download PDF. Tinea capitis is reviewed in detail separately . Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis in black children Arch Dermatol . T. tonsurans infection causes black dot ringworm, in which hair shafts break at the scalp surface; M. audouinii infection causes gray patch ringworm, in which hair shafts break above the surface, leaving short stubs. Dear Editor, Tinea capitis is a cutaneous fungal infection of the scalp that is common among children. Elewski BE Tinea capitis: a current perspective. Tinea capitis is a fungal infection of the scalp that most often presents with pruritic, scaling areas of hair loss. Mycological cultures identified Trichophyton tonsurans . Corkscrew hairs (CHs) were first described by Hughes et al1 as trichoscopy marker for diagnosis of tinea capitis (TC) in black children. It is speculated that the formation of corkscrew hairs is a result of a combination of internal damage due to hair degradation by T. violaceum and external resistance due to scales covering the hair. While there are over 40 different species of dermatophytes, only a few are linked to tinea capitis. May be painful. Corkscrew hair: a trichoscopy marker of tinea capitis in an adult white patient JAMA Dermatol. Department of Specialistic, Diagnostic, and Experimental Medicine, Dermatology Unit, University of Bologna, Italy. T inea capitis (TC) is the most common dermato- phytosis of childhood and has an increasing in- cidence worldwide. 3. . Stage 2: yellow cup-shaped crusts (scutula) form and hair starts to fall out. Algunos autores consideran que las anomalas capilares son constantes, con ms pelos en forma de coma (comma hair) y en tirabuzn (corkscrew hair) . Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: A case report . Dermoscopy showed hairs curved around their longitudinal axis, known as comma hairs and corkscrew hairs (Fig. However, we recently observed the same trichoscopic picture in an adult Italian white male. JAMA Dermatology, 2013. 37 Full PDFs related to this paper. Hair and Scalp Treatments -- A Practical Guide, focuses on therapy with each chapter briefly describing the disease to the reader and then teaching the step-by-step therapeutic algorithm . 1B). Don't wash your hair and scalp often enough. or reset password. Conditions of the hair and scalp often cause significant psychological distress and sometimes physical discomfort for patients. 2013 Aug;149(8):990-1. doi: 10.1001/jamadermatol.2013.4352. This 6 years old female child, from Mayotte, presented a diffuse parietal alopecia with scaling since 2 months (Figure1). Log in with Facebook Log in with Google. Tinea capitis: what to expect. 1. 53, no. 3, 2011, pp. TC tinea capitis *Corkscrew hair was significantly present in girls (p <0.05). Symptoms of tinea capitis include hair loss, dry scaly areas, redness, and itch. 53, no. Dermoscopy of microsporic tinea capitis showed Close. Tinea capitis can be inflammatory or non-inflammatory. Hughes R, Chiaverini C, Bahadoran P, et al. Tinea capitis Tinea capitis Tinea capitis Tinea capitis Trichophyton and Microsporum species of dermatophyte fungi are the major causes of tinea capitis. Download Full PDF Package. It is mainly caused by Trichophyton tonsurans and Microsporum (M.) canis. Annalisa Patrizi. The signs and symptoms are variable, but most commonly include itchy, dry/flaky, bald patches on the scalp. Therefore, we recommend trichoscopy, especially when the disease is suspected in unusual age groups or has an atypical presentation INTRODUCTION In 2008, Slowinska et al. In the present work, the ultrastructure of the involved hairs collected from a girl with tinea capitis caused by Trichophyton violaceum was observed by scanning electron microscope (SEM) and transmission electron microscope (TEM). Tinea capitis, a dermatophyte infection of scalp hair, usually occurs in small children Oral antifungal therapy is the treatment of choice. The type of fungi that causes tinea capitis is mold, which multiplies on keratin. You're more likely to get tinea capitis if you: Have minor skin or scalp injuries. AU - Vazquez-Lopez,Francisco, AU - Palacios-Garcia,Laura, AU - Argenziano,Giuseppe, Y1 - 2011/12/29/ PY - 2012/5/11/entrez PY - 2012/5/11/pubmed PY - 2012/10/31/medline SP - 118 EP - 9 JF - The Australasian journal of dermatology JO - Australas J Dermatol VL - 53 . Also in some cases, ringworm can result in severe inflammation and lead to permanent hair loss. In the present work, the ultrastructure o. The infection is often contracted from another human or an animal through direct contact. Neri I1, Starace M, Patrizi A, Balestri R Author information Affiliations 1 author 1. Have wet skin for long periods or sweat often Close Log In. Arch Dermatol 147: 355-356.
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