Tinea capitis in adults: A 18-year retrospective, single-centre study in Korea.

Authors:
Sang-Woo Park
Sang-Woo Park
Chonnam National University Medical School and Hospital
Seok-Kweon Yun
Seok-Kweon Yun
Chonbuk National University Medical School
South Korea
Han-Uk Kim
Han-Uk Kim
Chonbuk National University Medical School
South Korea
Jin Park
Jin Park
Seoul National University Hospital
United States

Mycoses 2019 Jul 1;62(7):609-616. Epub 2019 May 1.

Department of Dermatology, Chonbuk National University Medical School, Jeonju, Korea.

Background: Tinea capitis (TC) is a dermatophyte infection involving hair and scalp and occurs primarily in prepubertal children. However, data on adults are limited.

Objectives: The aim of this study was to evaluate epidemiological, clinical and mycological characteristics of TC in adults in Korea.

Patients/methods: We retrospectively evaluated 82 adults (44.3%) among 185 TC patients at a tertiary hospital during June 2000-2017.

Results: Mean patient age was 66.9 ± 15.8 (20-90) years with female predominance; mean disease duration until mycological diagnosis, 22.5 (1-144) weeks; and misdiagnosis rate, 65.9%. Most common presumptive initial diagnoses were seborrhoeic dermatitis (24.4%) and bacterial folliculitis (18.3%). Chronic systemic illness and accompanying alopecia were found in 61 (74.4%) and 46 (56.1%) patients, respectively. Pustular type was found in 26.8% patients, followed by seborrhoeic dermatitis-like 25.6%, grey patch 23.2%, kerion celsi 22.0% and black dot 2.4%. Forty-eight patients (58.5%) had tinea infection at other skin areas. Microsporum canis (56.5%) and Trichophyton rubrum (21.7%) were the most common causative organisms; 92.7% patients achieved complete resolution, and seven patients (9.2%) had a recurrence.

Conclusions: We report the largest, most recent series of case studies of adult TC. Adult TC is not an uncommon problem, especially in elderly women, and has distinctive epidemiological and clinicomycological characteristics compared to those in prepubertal children. Recognising adult TC profile will help clinicians avoid misdiagnosis and provide appropriate treatment.

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/myc.12916
Publisher Site
http://dx.doi.org/10.1111/myc.12916DOI Listing
July 2019
9 Reads

Publication Analysis

Top Keywords

prepubertal children
8
tinea capitis
8
patients
6
case studies
4
rate 659%
4
659% common
4
misdiagnosis rate
4
1-144 weeks
4
weeks misdiagnosis
4
studies adult
4
common presumptive
4
presumptive initial
4
seborrhoeic dermatitis
4
largest series
4
dermatitis 244%
4
dot 24%
4
diagnoses seborrhoeic
4
adult adult
4
series case
4
initial diagnoses
4

References

(Supplied by CrossRef)
Tinea capitis of adults in Taegu city for 11 years (1978~1988)
Oh SH et al.
Korean J Dermatol 1989
A multicenter clinicomycological study evaluating the spectrum of adult tinea capitis in Egypt
El‐Khalawany M et al.
Acta Dermatovenerol Alp Pannonica Adriat 2013
Tinea capitis in an adult
Goodman JM et al.
Arch Derm Syphilol 1946

Similar Publications