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
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    Studysummary This case report describes successful treatment of a 7-year-old girl with gray patch tinea capitis using oral micronized griseofulvin and topical ketoconazole shampoo, resulting in complete clinical and microscopic clearance.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    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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