TLDR Griseofulvin is still the best treatment for tinea capitis.
The document discussed a case of an 8-year-old girl with a tinea capitis favus-like appearance, characterized by thick crusts and alopecia, but without typical signs of inflammation or positive fungal culture results. Despite the negative culture, the diagnosis was based on clinical findings and history. The patient was treated with griseofulvin, wet dressing, and ketoconazole shampoo, showing good clinical improvement after 10 weeks. The study highlighted that griseofulvin remained the preferred treatment for tinea capitis, even with the availability of newer antifungal medications.
156 citations,
September 2014 in “British journal of dermatology/British journal of dermatology, Supplement” Accurate diagnosis and effective oral treatment are key to managing tinea capitis and preventing its spread.
13 citations,
December 2012 in “Medical mycology case reports” Misdiagnosis led to permanent hair loss, stressing the need for proper scalp tests.
3 citations,
April 2021 in “Berkala ilmu kedokteran/Journal of the medical sciences” A fungus called Epidermophyton floccosum can cause scalp infections.
December 2020 in “Jurnal RSMH Palembang (Online)” A man with a fungal scalp infection got better after treatment with griseofulvin, cetirizine, and ketoconazole shampoo.
6 citations,
November 1977 in “Archives of Dermatology” A 6-year-old girl in the U.S. had a rare scalp infection caused by *Trichophyton soudanense*.
