Trichotillomania in a Young Male Complicated by Tinea Capitis Associated with Cryptococcus Laurentii and Candida Parapsilosis

    March 2013 in “ Clinical, cosmetic and investigational dermatology ”
    Michael J. Fellner
    TLDR The boy's hair loss was due to a hair-pulling disorder, not just a fungal infection.
    This case report described an 11-year-old male with tinea capitis complicated by Cryptococcus laurentii and Candida parapsilosis, who initially responded to treatments with griseofulvin, lamisil, and fluconazole. Despite these treatments, the patient experienced recurrent alopecia, which was eventually diagnosed as trichotillomania after a biopsy. The family admitted to knowing about the hair-pulling disorder for at least five years. The patient was referred for psychiatric evaluation but did not return for follow-up. This was the first reported case of tinea capitis associated with C. laurentii.
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