Answer
1)Abnormal findings
a)Circumscribed area of alopecia
b)Present of thick crust
2)Diagnosis
Tinea capitis
3)Investigation to confirm
a)Skin scrapping for culture and sensitivity
b)Examination under wood lamp
4)Treatment
Oral + topical antifungal cream
-Oral (Griseofulvin)
-Topical (Ketoconazole, itraconazole, terbinafine, and fluconazole
Notes:
Tinea capitis is a disease caused by superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicles[Grace F Kao,eMEdicine]
Clinical presentation of tinea capitis varies from a scaly noninflamed dermatosis resembling seborrheic dermatitis to an inflammatory disease with scaly erythematous lesions and hair loss or alopecia that may progress to severely inflamed deep abscesses termed kerion, with the potential for scarring and permanent alopecia. The type of disease elicited depends on interaction between the host and the etiologic agents.[Grace F Kao,eMEdicine]
1)Abnormal findings
a)Circumscribed area of alopecia
b)Present of thick crust
2)Diagnosis
Tinea capitis
3)Investigation to confirm
a)Skin scrapping for culture and sensitivity
b)Examination under wood lamp
4)Treatment
Oral + topical antifungal cream
-Oral (Griseofulvin)
-Topical (Ketoconazole, itraconazole, terbinafine, and fluconazole
Notes:
Tinea capitis is a disease caused by superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicles[Grace F Kao,eMEdicine]
Clinical presentation of tinea capitis varies from a scaly noninflamed dermatosis resembling seborrheic dermatitis to an inflammatory disease with scaly erythematous lesions and hair loss or alopecia that may progress to severely inflamed deep abscesses termed kerion, with the potential for scarring and permanent alopecia. The type of disease elicited depends on interaction between the host and the etiologic agents.[Grace F Kao,eMEdicine]