An Infectious Scalp Disorder: A Case of Gray Patch Tinea Capitis in a 7-Year-Old Girl

January 2022 in “ Clinical Cases in Dermatology ”

Purwita Sari, ; Mónica, Yosep Ferdinand Rahmat Sugianto, Holy Ametati, Novi Kusumaningrum, Liza Afriliana

gray patch tinea capitis Microsporum canis alopecia Wood lamp examination KOH prep hyphae spores micronized griseofulvin ketoconazole shampoo tinea capitis griseofulvin Nizoral

TLDR A 7-year-old girl's scalp infection was cured with oral medication and medicated shampoo.

A 7-year-old girl was diagnosed with gray patch tinea capitis, a scalp infection caused by the fungus Microsporum canis. The patient had a 2-month history of itching and a round scaly patch on her scalp, along with alopecia and visible short, dull hairs. The infection was confirmed through a Wood lamp examination, which showed blue-green fluorescence, and a KOH prep of the scalp and infected hair that revealed hyphae and spores. The patient was treated with oral micronized griseofulvin 375 mg daily and topical ketoconazole 2% shampoo three times a week for 8 weeks, which resulted in complete clearance of the infection both clinically and microscopically.

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