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Tinea capitis in Europe: new perspective on an old problem.

R J Hay1, W Robles, G Midgley

  • 1Department of Infection and Immunity, St Johnś Institute of Dermatology (KCL), St Thomas' Hospital, London, UK. rod.hay@kcl.ac.uk

Journal of the European Academy of Dermatology and Venereology : JEADV
|October 31, 2001
PubMed
Summary

A survey on tinea capitis (scalp ringworm) revealed a significant rise in human-to-human fungal infections, particularly Trichophyton tonsurans, becoming dominant in urban areas and among African Caribbean children in Europe.

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Area of Science:

  • Medical Mycology
  • Dermatology
  • Infectious Disease Epidemiology

Background:

  • Tinea capitis, a fungal infection of the scalp, presents varying etiological patterns across Europe.
  • Previous understanding of tinea capitis prevalence was based on older data, potentially not reflecting current trends.

Purpose of the Study:

  • To investigate changes in the causative agents of tinea capitis in Europe between 1987 and 1997.
  • To identify shifts in infection patterns, particularly concerning anthropophilic versus zoophilic fungi.

Main Methods:

  • A postal questionnaire survey was distributed to 92 medical mycology laboratories across 19 European countries.
  • Data from 1987 and 1997 were compared to analyze trends in tinea capitis diagnoses.

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Main Results:

  • An overall increase in anthropophilic tinea capitis infections was observed, becoming dominant by 1997.
  • Trichophyton tonsurans showed the largest increase, becoming the second most common cause overall and the most prevalent in urban settings.
  • Increased rates were noted in urban populations and among African Caribbean children residing in Europe.

Conclusions:

  • The epidemiology of tinea capitis in Europe has shifted towards anthropophilic species, notably Trichophyton tonsurans.
  • Control strategies for tinea capitis need to adapt to the rise of anthropophilic infections.
  • Enhanced surveillance and updated guidance for healthcare professionals are crucial for managing these changing trends.