Black Dot Type Capitis Tinea Resembles Bacterial Folliculitis
December 2020
in “
Jurnal RSMH Palembang (Online)
”
New to Ketoconazole? There is a guide in the encyclopedia. Read the guide → Studysummary This case report described a 50-year-old male with end-stage renal disease who experienced improvement in his black dot tinea capitis after treatment with griseofulvin and ketoconazole shampoo.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
The document from December 2020 reported a case of a 50-year-old male with end stage renal disease (ESRD) who presented with itchy papules, pustules, patch alopecia, and hair loss for 6 months. The patient was initially treated with ketoconazole shampoo for 3 weeks without any improvement. Further examinations including Gram stain, culture, and Wood’s lamp showed no bacteria or fluorescence. However, Potassium hydroxide (KOH) 10% from scalp scrapings and KOH 20% from hair revealed fungal elements, leading to a diagnosis of black dot tinea capitis, a superficial fungal infection of the scalp and hair. The patient was then treated with griseofulvin tablet 500 mg twice a day for 8 weeks, cetirizine tablet 10 mg once daily, and ketoconazole shampoo 2% three times a week, which resulted in improvement in clinical features and microscopic evaluation.
