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Tinea capitis in eastern Nepal.

Bibeka Nand Jha1, Vijay Kumar Garg, Sudha Agrawal

  • 1Department of Dermatology and Venereology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

International Journal of Dermatology
|February 1, 2006
PubMed
Summary
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Tinea capitis, a fungal infection, is prevalent in children under 11 in eastern Nepal. Trichophyton violaceum is the most common cause, with "gray patch" being the most frequent clinical presentation.

Area of Science:

  • Mycology
  • Dermatology
  • Public Health

Background:

  • Tinea capitis is a growing global health concern.
  • Etiological agents and clinical presentations of tinea capitis vary geographically and over time.
  • This study investigated tinea capitis in eastern Nepal.

Purpose of the Study:

  • To identify the etiological agents of tinea capitis in eastern Nepal.
  • To determine the correlation between clinical types and etiological agents of tinea capitis.
  • To understand the epidemiology of tinea capitis in the region.

Main Methods:

  • Sixty-nine clinically diagnosed cases of tinea capitis were included.
  • Hair roots and skin scrapings were collected for analysis.
  • Microscopy and fungal culture were used for identification.

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Main Results:

  • Tinea capitis represented 4.6% of dermatophyte infections.
  • The majority of cases (68.1%) were in children under 11, with a 1:1.9 male to female ratio.
  • Trichophyton violaceum (48.71%) was the most common isolate, and "gray patch" (52.2%) was the most frequent clinical type.

Conclusions:

  • Trichophyton violaceum is the predominant pathogen causing tinea capitis in eastern Nepal.
  • Clinical manifestations of tinea capitis are diverse.
  • "Gray patch" is the most common clinical presentation in this region.