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When using selenium sulfide shampoo as adjunctive treatment of tinea capitis, there is no difference between the 2.5% and 1% preparations in time required to produce a negative surface culture. Because of the risk of hepatotoxicity, the expense of the drug, the lack of superiority to griseofulvin in controlled studies, and the emergence of other more promising antifungal agents, oral ketoconazole is not the preferred treatment choice. Īlthough oral ketoconazole is used occasionally in pediatrics, it is not recommended for treatment of tinea capitis.Īlthough kerions often heal with treatment of the underlying fungus, scarring alopecia is a possible complication if the inflammation is severe and diagnosis is delayed.
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Widespread tinea corporis, particularly when it is on the face, neck, or upper chest, can be a sign of occult scalp tinea infection or asymptomatic carriage. In this situation, diffuse or patchy dandruff‐like scaling is present, but alopecia or inflammation is minimal or absent. Tinea capitis may resemble seborrheic or atopic dermatitis and be misdiagnosed for months. 4.įavus: Production of scutula (hair matted together with dermatophyte hyphae and keratin debris), characterized by yellow cup-shaped crusts around hair shafts. E3): Inflamed, exudative, pustular, boggy, tender nodules exhibiting marked edema, and hair loss seen in severe tinea capitis. Hairs within the patches break at the surface of the scalp, leaving behind a pattern of swollen black dots.
#TINEA CAPITIS SCALP TREATMENT PATCH#
2.īlack dot: Early lesions with erythema and scaling patch are easily overlooked until areas of alopecia develop. One or several lesions may be present sometimes the lesions join to form larger ones. The hairs within the patch break off a few millimeters above the scalp. Gray patch: Lesions are scaly and well demarcated.