An Unusual Case of Tinea Capitis Presented as Erythematous, Hyperkeratotic, Scaly Plaque with Alopecia

    Koushik Lahiri, Subhra Dhar, Abhijit Saha, Safia Bashir
    Studysummary In this case study, a 45-year-old immunocompetent woman with tinea capitis exhibited an unusual presentation of the infection with a scaly plaque and hair loss, which responded well to treatment with itraconazole.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 45-year-old immunocompetent woman presented with an unusual case of tinea capitis, characterized by a non-itchy, erythematous, hyperkeratotic, scaly plaque with partial alopecia on the scalp. Despite the rarity of tinea capitis in immunocompetent adults, especially with alopecia, the diagnosis was confirmed through histopathological examination revealing abundant fungal spores. The patient was successfully treated with itraconazole for 8 weeks. This case highlights the importance of considering tinea capitis in adults with inflammatory scalp disorders unresponsive to conventional treatments, as misdiagnosis can lead to unnecessary interventions.
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