Julia Brigagão de Carvalho Sugai , Nayara Pelizaro Di Rito , Alexandre Lourenço , Ronei Luciano Mamoni , Ana Carolina Da Mota Falleiros , Celia Antonia Xavier de Moraes Alves , Glaucos Ricardo Paraluppi
{"title":"White piedra on pediatric scalp: A case report","authors":"Julia Brigagão de Carvalho Sugai , Nayara Pelizaro Di Rito , Alexandre Lourenço , Ronei Luciano Mamoni , Ana Carolina Da Mota Falleiros , Celia Antonia Xavier de Moraes Alves , Glaucos Ricardo Paraluppi","doi":"10.1016/j.idcr.2024.e02002","DOIUrl":null,"url":null,"abstract":"<div><p>This case report describes a rare fungal infection, piedra alba, in a 5-year-old female initially misdiagnosed. Treatment with 2 % ketoconazole shampoo led to significant regression within a week, without the need for hair cutting. We discuss the importance of early and accurate diagnosis, highlighting potential hair damage and complications in immunocompromised cases. Dermatoscopy aided diagnosis, and 2 % ketoconazole demonstrated efficacy, emphasizing the need for a multidisciplinary approach and dermatological follow-up.</p></div>","PeriodicalId":47045,"journal":{"name":"IDCases","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214250924000787/pdfft?md5=97a44a822528279e68498c672478fea3&pid=1-s2.0-S2214250924000787-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IDCases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214250924000787","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
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Abstract
This case report describes a rare fungal infection, piedra alba, in a 5-year-old female initially misdiagnosed. Treatment with 2 % ketoconazole shampoo led to significant regression within a week, without the need for hair cutting. We discuss the importance of early and accurate diagnosis, highlighting potential hair damage and complications in immunocompromised cases. Dermatoscopy aided diagnosis, and 2 % ketoconazole demonstrated efficacy, emphasizing the need for a multidisciplinary approach and dermatological follow-up.
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