Multiple Scaly Patches on the Scalp

    November 2025 in “ JEADV Clinical Practice
    Fengli Xu, Li‐wen Zhang
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    Studysummary In this case report, a 28-year-old woman's tinea capitis, diagnosed using a Wood's lamp, was successfully treated with oral itraconazole and ketoconazole shampoo over eight weeks.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 28-year-old female experienced rapidly progressive scaly patches on her scalp with hair loss, diagnosed as tinea capitis, likely due to her new cat. Diagnosis was confirmed using a Wood's lamp, which showed bright blue-green fluorescence, indicating infection by Microsporum canis. The patient was successfully treated with oral itraconazole and 2% ketoconazole shampoo, resolving symptoms after 8 weeks. The study highlights the effectiveness of itraconazole over terbinafine for treating tinea capitis and emphasizes the Wood's lamp as a cost-effective diagnostic tool.
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