Inflammatory Tinea Capitis Mimicking Dissecting Cellulitis in a Healthy Woman.

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-07-07 DOI:10.1159/000530498
Faten Rabhi, Dorsaf Elinkichari, Latifa Mtibaa, Bouthaina Jemli, Kahena Jaber, Raouf Dhaoui
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Abstract

Introduction: Inflammatory tinea capitis (TC) is uncommon in adults.

Case presentation: A 29-year-old healthy woman presented with a 2-year history of scalp alopecia with purulent discharge. Clinical, trichoscopic, and histological features and the negativity of a first fungal sampling were consistent with the diagnosis of dissecting cellulitis of the scalp. A second mycological examination guided by trichoscopy was carried out, showing tinea endothrix. Fungal culture isolated trichophyton violaceum. The patient was treated with terbinafine with complete healing.

Conclusion: The diagnosis of adult TC is challenging, mainly the inflammatory form. An exhaustive trichoscopic examination of all alopecic plaques may help make a rapid diagnosis and provide a guide to the mycological examination.

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一名健康女性的炎症性耳廓炎模拟解剖性蜂窝组织炎
简介:炎症性头癣(TC)在成人中并不常见。病例介绍:一名29岁的健康女性,有2年的头皮脱发史,并有脓性分泌物。临床,绒毛镜,组织学特征和第一次真菌取样阴性与头皮解剖蜂窝织炎的诊断一致。第二次真菌学检查在毛镜引导下进行,显示股癣。真菌培养分离的紫毛癣菌。患者经特比萘芬治疗后完全愈合。结论:成人TC的诊断具有挑战性,以炎症形式为主。对所有秃斑进行彻底的毛发镜检查有助于快速诊断,并为真菌学检查提供指导。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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