A Fidelity Coding Guide for Group Cognitive Behavioral Therapy for Depression

    August 2011
    Kimberly A. Hepner, Stefanie Howard, Susan M. Paddock, Sarah B. Hunter, Karen Chan Osilla, Katherine E. Watkins
    TLDR Prompt treatment of tinea capitis with oral antifungals leads to excellent recovery, but delayed care can cause permanent hair loss.
    The document discussed tinea capitis, a fungal infection of the scalp and hair, primarily affecting children but also adults, particularly postmenopausal African American or Black women. It highlighted that adults in crowded living conditions, close to animals, or immunosuppressed are at higher risk. Diagnosis typically involved fungal culture and potassium hydroxide preparations, with trichoscopy as an adjunct. Treatment relied on oral antifungal therapy, using medications like griseofulvin and terbinafine, as there were no specific adult guidelines. The prognosis was generally excellent with prompt treatment, but delayed care could lead to scarring alopecia. The document also noted emerging antifungal resistance, emphasizing the need for antifungal stewardship.
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