Tinea Capitis Mimicking Folliculitis Decalvans

    December 2010 in “ Mycoses ”
    Chinmanut Tangjaturonrusamee, Bianca Maria Piraccini, Colombina Vincenzi, Michela Starace, Antonella Tosti
    TLDR A scalp infection was treated successfully, leading to full hair regrowth.
    An adult patient with tinea capitis caused by Microsporum canis presented with diffuse alopecia and follicular pustules, resembling folliculitis decalvans. The scalp showed severe alopecia, erythema, pustules, and brownish crusts, particularly on the frontal and vertex areas. Videodermoscopy identified follicular ostia, pustular lesions, and comma hairs. Treatment with fluconazole 150 mg weekly for 8 weeks and ketoconazole shampoo cleared the inflammation and resulted in complete hair regrowth.
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