A Current Diagnostic and Therapeutic Challenge: Tinea Capitis

Tinea capitis, a dermatophyte scalp infection prevalent in children, has seen changes in its epidemiology due to global migration. It presents with various clinical symptoms, from subtle hair loss and scalp scaling to severe forms like kerion celsi, which can lead to permanent scarring and alopecia if untreated. The infection's severity varies with the type of dermatophyte, with zoophilic infections causing more inflammation. Treatment typically involves systemic antifungal agents such as griseofulvin, terbinafine, itraconazole, and fluconazole, with therapy duration depending on the clinical presentation. Early recognition and treatment are crucial to minimize prolonged therapy, and regular liver enzyme tests are recommended during treatment to prevent adverse events.