Dermoscopic findings noted in cases of tinea corporis included diffuse erythema, follicular micropustules, and brown spots surrounded by a white-yellowish halo, broken hair, wavy hair, and rare, morse code hair. Mapelli ET, Gualandri L, Cerri A, et al. Tinea capitis is a common dermatophyte infection of the scalp in children. Dermoscopic features of Tinea Capitis were comma hair, corkscrew hair, zigzag hair, morsecode hair, black dots. Tinea capitis is a frequent dermatophytosis of childhood. Corkscrew hair: a new dermoscopic sign for diagnosis of tinea capitis tially described corkscrew hairs in black children with TC. of hair scalp (Trichoscopy) shows comma hairs (Figure 2, circles) and corkscrew hair (Figure 2, squares) suggesting the diagnosis of Tinea Capitis (TC). Spiral or corkscrew-shaped bacteria that cause diseases such as syphilis and Lyme disease. The Symptoms of Tinea Capitis. ... Tinea capitis (ringworm of scalp) Woolly hair. Affecting primarily pre- pubertal children between 6 and 10 years, it is more common in males than females; rarely does the disease persist past age sixteen. Corkscrew hairs are typical of Trichophyton infection and are seen less commonly in infection due to M. canis. 2012;29:223-224. Fig. Tinea capitis (TC) is the most prevalent pediatric superficial dermatophyte infection. spiral shaped or corkscrew-shape. Black dots, vellus hair, exclamation mark hair, yellow dots, pigtail regrowing hair, tulip hair were observed in Alopecia Areata. Several synonyms are employed, including ringworm of the scalp and tinea tonsurans. The presence of Microsporum canis, the most preval. Comma and corkscrew hairs are two specific dermoscopic patterns of tinea capitis. To the Editor: Tinea capitis (TC) is a common superficial fungal infection of the scalp, and the pathogens vary with geography and socioeconomic status. This study was aimed to explain the formation mechanisms of corkscrew hairs and cigarette‐ash‐shaped hairs observed by dermoscopy of tinea capitis. Trichoscopy (hair dermoscopy) is a non-invasive and very useful technique for the diagnosis and follow-up of hair and scalp disorders. 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. Mace hair sign and burnt matchstick sign are newer findings of trichotillomania. Ringworm of the scalp, also known as tinea capitis, is an infection caused by fungi. Morse-code like hairs, zigzag hairs and bent hair are specific for tinea capitis. On the other hand, Slowinska et al. Dermoscopy findings in tinea capitis: case report and literature review Achados dermatoscópicos na tinea capitis: relato de caso e revisão da literatura Comma hair, corkscrew hair, and pigtail hair were all observed only in patients with TC, thus embodying the characteristic features . dren with endothrix tinea capitis. Idiosyncratic Findings in Trichoscopy of Tinea Capitis: Comma, Zigzag Hairs, Corkscrew, and Morse Code-like Hair. Black dots were reported in our study in .% ( out of patients) of tinea capitis cases, as conducted by Sandoval et al. Diagnosis is made by microscopic examination of tonsured hair with potassium hydroxide (KOH), in which parasitation of the hair can be observed, or by isolation of the dermatophyte in Sabouraud agar. In some cases, trichoscopy has demonstrated higher sensitivity than culture in diagnosing tinea capitis. The culprit species differ across the continents; for instance, Microsporum canis prevails in Europe, whereas Trichophyton tonsurans dominates in North America. It is often observed in young adults, adolescents and children. Symptoms Of Tinea Capitis. However, it is not always possible to perform this test due to lack of availability. 13 They identified another dermoscopic pattern of tinea capitis in a black population: «corkscrew hairs», described as hairs that showed a more exaggerated corkscrew or coiled appearance than comma hairs. Dermoscopy of microsporic tinea capitis showed Tinea capitis is a scalp infection caused by different fungi. It should be kept in mind that endothrix organisms do not fluoresce. Scurvy, chronic disease increasing turnover of vitamin C (i.e. In tinea capitis, specific aspects of the hair shaft have been described, with the main ones being: comma hair, corkscrew hair, bar code-like hair (BCH) and zigzag hair (ZZH). Treatment with griseofulvine leads to complete clinical (Figure 3) and dermoscopic (Figure 4) resolution of alopecia. The differential diagnosis of tinea capitis is extensive and encompasses all conditions that may cause patchy hair loss, scaling, or scalp inflammation. A fungal infection of the scalp characterized by red papules, or spots, at the opening of the hair follicles. comma hair and corkscrew are the main trichoscopic findings; they pointed out that corkscrew hair is a variant of comma hair in African patients and is a marker for endothrix tinea capitis [17-19]. Tinea capitis is a fungal infection of the scalp, involving both the skin and hair. It is also known as scalp ringworm. Symptoms of tinea capitis include hair loss, dry scaly areas, redness, and itch. Although comma hairs have been reported in both black and white patients with tinea capitis, corkscrew hairs were previously hypothesized to manifest exclusively in patients with curly or African hair types. Hair pull test was positive. But in our experience both patterns can be found in Caucasians, blacks and mestizo patients (Figures 4 & 5). It is more common in children but can affect adults too. Tinea capitis favosa does not affect the hair structure significantly. Tinea corporis Numerous papers have been published about dermoscopic findings in tinea capitis, but only a limited amount of novel information is now available about dermoscopy of tinea corporis. had affirmed that comma hair is a distinctive marker for TC followed by broken and black dots (dystrophic hair). This case highlights the salient trichoscopic features of non-inflammatory black dot tinea capitis. The infection is often contracted from another human or an animal through direct contact. Trichoscopy of the eyelashes in tinea blepharo-ciliaris shows the full spectrum of tinea capitis features Anna Elisa Verzı, MD, Francesco Lacarrubba, MD, and Giuseppe Micali, MD Catania, Italy INTRODUCTION Tinea capitis is a superficial infection of the scalp caused by dermatophytes that have predilection for hair shafts and follicles. We found that the comma and corkscrew appearance was found in microsporic tinea capitis, V-shaped hair was mainly seen in inflammatory tinea capitis, scales and follicular keratosis in non-inflammatory tinea capitis, and crusts and follicular pustules in inflammatory tinea capitis. Comma hairs in tinea capitis: a useful dermatoscopic sign for diagnosis of tinea capitis. The zigzag shaped hairs or corkscrew hair seems to be a variation of the comma hair, manifesting in black patients [16]. Tinea capitis is a disease caused by superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicles (see the image below). Typical trichoscopic features of tinea capitis are comma hairs and corkscrew hairs. In tinea capitis, fungal spores will be noted in most cases within the hair cells (endothrix). The most trichoscopic feature was comma hair, corkscrew hairs, and zigzag hairs, short broken hairs and spiral hairs. pediculosis capitis. - "Different Trichoscopic Features of Tinea Capitis and Alopecia Areata in Pediatric Patients" This infection is determined by circular marks on the scalp. 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]. Secondary Outcome Measures : Idiosyncratic findings in trichoscopy of tinea capitis: Comma, zigzag hairs, corkscrew, and morse code-like hair We confirm herein the observation of this trichoscopic sign in a child with TC. Dermoscopy of tinea capitis depicted comma hairs, corkscrew hairs, zigzag hairs, and morse code hairs. Tinea capitis is due to an infection of the hairs of the scalp caused by superficial fungi (dermatophytes) of the genera Microsporum or Trichophyton.Synonyms include scalp ringworm and ‘Tinea tonsurans’ [].Tinea capitis is characterised by hair loss, with accompanying scaling, hyperkeratosis, and at times inflammatory patches, pustules, and plaques. Hence a provisional diagnosis of tinea capitis was kept and biopsy was done. However, they may also be observed in ectodermal dysplasias [ 34, 35 ]. Gambaran black dots hair stubs dapat terlihat lebih jelas. Dermoscopy of tinea capitis depicted comma hairs, corkscrew hairs, zigzag hairs, and morse code hairs. Corkscrew hairs have been reported as a dermo-scopic marker for endothrix tinea capitis.14 13 They identified another dermoscopic pattern of tinea capitis in a black population: «corkscrew hairs», described as hairs that showed a more exaggerated corkscrew or coiled appearance than comma hairs. Corkscrew hairs were described as a specific trichoscopic feature of tinea capitis. lupus) Environmental. Topical antifungal monotherapy has not been successful in the treated of tinea capitis. [ ] stated that comma shaped hairs, The incidence of corkscrew hairs varied between 14% and 100% (mean value: 32%) of patients with tinea capitis [ 6, 9, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24 ]. Comma and corkscrew hairs are two specific dermoscopic patterns of tinea capitis.
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