Tinea Capitis in Elderly Women: A Report of Four Cases

    March 2012 in “ Actas Dermo-Sifiliográficas ”
    L. Morell, M.J. Fuente, Aram Boada, J.M. Carrascosa, Carlos Ferrándiz
    TLDR Tinea capitis is increasingly common in elderly women and requires accurate diagnosis with fungal cultures for effective treatment.
    The report described 4 cases of tinea capitis in elderly women, noting its atypical clinical manifestations and the involvement of Trichophyton species. It highlighted that tinea capitis, traditionally a childhood disease, had become more common in adults, especially elderly women, due to factors like hormonal changes and hair-care practices. The study stressed the importance of considering tinea capitis in the differential diagnosis of scaly or inflammatory scalp conditions in elderly patients to avoid misdiagnosis and inappropriate treatments. Fungal cultures were essential for accurate diagnosis, and while itraconazole and terbinafine were effective treatments, the choice of antifungal therapy varied. The study concluded that routine fungal cultures should be conducted in cases with suboptimal treatment responses to ensure proper diagnosis and management.
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