Tinea Capitis in Older Adults: A Neglected and Misdiagnosed Scalp Infection—A Systematic Review of Reported Cases

This systematic review examines Tinea capitis in individuals aged 65 and older, analyzing 91 cases from 63 studies across 19 countries. The condition is often misdiagnosed, with a 37.4% misdiagnosis rate, commonly mistaken for seborrheic dermatitis or erosive pustular dermatosis. The review highlights a female predominance and identifies diabetes mellitus and hypertension as common comorbidities. Microsporum canis is the predominant causative agent. Systemic antifungal therapy is highly effective, achieving a clinical cure in 91.2% of cases. The study underscores the need for increased awareness and systematic mycological assessment to prevent scarring alopecia and ensure timely treatment in the elderly.