Trichorrhexis Invaginata in Tinea Capitis: A Rare Occurrence

An 8-year-old male with a 5 cm × 5 cm alopecic patch on the scalp was diagnosed with trichorrhexis invaginata (TI) in the context of tinea capitis, a rare occurrence. Trichoscopic examination revealed features such as black dots, broken hairs, and the golf-tee sign, while light microscopy showed the characteristic invagination of the hair shaft. Fungal culture identified Trichophyton verrucosum as the causative agent. The patient was treated with oral micronized griseofulvin, resulting in significant improvement. This case highlights the rare association of TI with tinea capitis, expanding the understanding of TI's etiology.