+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Management of tinea capitis in childhood

Management of tinea capitis in childhood

Clinical Cosmetic and Investigational Dermatology 3: 89-98

Tinea capitis (TC) is a common dermatophyte infection affecting primarily prepubertal children. The causative pathogens belong to only two genera: Trichophyton and Microsporum. Although there is a great local variation in the epidemiology of TC worldwide, T. tonsurans is currently the most common cause of TC with M. canis second. Even though there is an emerging number of anthropophilic scalp infections, M. canis remains the predominant causative organism in many countries of the Mediterranean basin, the most important dermatophyte carriers being stray cats and dogs as well as pet puppies, kittens and rabbits. TC always requires systemic treatment because topical antifungal agents do not penetrate down to the deepest part of the hair follicle. Since the late 1950s, griseofulvin has been the gold standard for systemic therapy of TC. It is active against dermatophytes and has a long-term safety profile. The main disadvantage of griseofulvin is the long duration of treatment required which may lead to reduced compliance. The newer oral antifungal agents including terbinafine, itraconazole, ketokonazole, and fluconazole appear to have efficacy rates and potential adverse effects similar to those of griseofulvin in children with TC caused by Trichophyton species, while requiring a much shorter duration of treatment. They may, however, be more expensive.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054247657

Download citation: RISBibTeXText

PMID: 21437064

DOI: 10.2147/ccid.s7992

Related references

Increasing importance of Trichophyton tonsurans in childhood tinea in New South Wales. The pattern of childhood tinea in New South Wales, Australia 1979-1988: the emergence of Trichophyton tonsurans as an important pathogen in tinea capitis in white children. Australasian Journal of Dermatology 34(1): 5-8, 1993

Follow-up study of patients treated by X-ray epilation for tinea capitis. III. Dose to organs of the head from the X-ray treatment of tinea capitis. Archs envir. Hlth. 17: 6, 935-950, 1968

Follow-up study of patients treated by x-ray epilation for tinea capitis. 3. Dose to organs of the head from the x-ray treatment of tinea capitis. Archives of Environmental Health 17(6): 935-950, 1968

Tinea capitis in a 17 year old soldier (residual infection?); alopecia areata associated with tinea capitis?. A.M.A. Archives of Dermatology and Syphilology 62(5): 764-765, 1950

Comma hairs in tinea capitis: a useful dermatoscopic sign for diagnosis of tinea capitis. Pediatric Dermatology 29(2): 223-224, 2012

Contribution to the epidemiology of tinea capitis. III. Some diagnostic problems in tinea capitis. Mycologia 36(6): 598-626, 1944

Childhood tinea capitis in Tunis. Journal of Pediatric Infectious Diseases 02(4): 215-218, 2015

Epidemiology of tinea capitis. I. study of tinea capitis in a dispensary. Arch. Derm. Syph, Chicago, 49: 2, 123 p, 1944

Surgical treatment of tinea capitis in childhood. Mycoses 46(8): 351-354, 2003

Prevalence of tinea pedis, tinea unguium of toenails and tinea capitis in school children from Barcelona. Revista Iberoamericana de Micologia 26(4): 228-232, 2009

The predictive value of symptoms in diagnosing childhood tinea capitis. Archives of Pediatrics & Adolescent Medicine 153(11): 1150-1153, 1999

Mycological observations on tinea capitis, tinea corporis and tinea ungium in Guayaquil. Revista Ecuatoriana de Higiene Y Medicina Tropical 17: 149-153, 1960

Optimizing the therapeutic approach in tinea capitis of childhood with itraconazole. British Journal of Dermatology 143(5): 1011-1015, 2000

Tumors and other diseases following childhood x-ray treatment for ringworm of the scalp (Tinea capitis). Health Physics 85(4): 404-408, 2003