<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Tinea capitis (TC) is a worldwide health problem and a specific therapeutic challenge. The objective of this study was to establish the causative agents and clinical types and to present management options for TC. From 1993 to 2002, we treated 354 children (61% were boys) with TC. The data for the period 1998-2002, were analyzed in detail. After clinical and Wood's light examination, specimens were directly microscopically analyzed and cultivated. Superficial TC was diagnozed in 230 (65%), and kerion in 124 patients (35%), respectively. Of 51 kerion patients, 3 children (6%) had erythema nodosum. Griseofulvin was given at a dose of 15 to 25 mg/kg (average: 18 mg/kg). A 100% cure rate was achieved. In the period 1998-2002, M. audouinii was predominantly found in superficial TC. Oral griseofulvin therapy should be accompanied by shaving the hair from the scalp and topical imidazole creams, which provides 100% cure rate of superficial TC (in 6.5 weeks) and of kerion (in 5.4 weeks).</p></abstract>

Tinea capitis (TC) is a worldwide health problem and a specific therapeutic challenge. The objective of this study was to establish the causative agents and clinical types and to present management options for TC. From 1993 to 2002, we treated 354 children (61% were boys) with TC. The data for the period 1998-2002, were analyzed in detail. After clinical and Wood's light examination, specimens were directly microscopically analyzed and cultivated. Superficial TC was diagnozed in 230 (65%), and kerion in 124 patients (35%), respectively. Of 51 kerion patients, 3 children (6%) had erythema nodosum. Griseofulvin was given at a dose of 15 to 25 mg/kg (average: 18 mg/kg). A 100% cure rate was achieved. In the period 1998-2002, M. audouinii was predominantly found in superficial TC. Oral griseofulvin therapy should be accompanied by shaving the hair from the scalp and topical imidazole creams, which provides 100% cure rate of superficial TC (in 6.5 weeks) and of kerion (in 5.4 weeks).

Tinea Capitis in Belgrade 1998-2002 / Tinea Capitis u Beogradu 1998-2002. Godine

Institute of Dermatovenereology, Pediatric Dermatology Unit, Clinical Center of Serbia. Department of Dermatovenereology, School of Medicine, University of Belgrade, Belgrade, Serbia

Serbian Journal of Dermatology and Venereology

{"article-title":"Tinea Capitis in Belgrade 1998-2002 / Tinea Capitis u Beogradu 1998-2002. Godine"}

Tinea capitis (TC) is a worldwide health problem and a specific therapeutic challenge. The objective of this study was to establish the causative agents and...

Tinea Capitis in Belgrade 1998-2002 / Tinea Capitis u Beogradu 1998-2002. Godine

Publié en ligne: 12 févr. 2013

Pages: 11 - 16

DOI: https://doi.org/10.2478/v10249-011-0002-3

This content is open access.