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Tinea capitis in a paediatric population.

B C Hackett1, K O'Connell, M Cafferkey

  • 1Department of Dermatology, Mater Misericordiae University Hospital, Dublin. drchackett@gmail.com

Irish Medical Journal
|February 6, 2007
PubMed
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Tinea capitis, a fungal infection, is increasingly prevalent in Europe, predominantly caused by Trichophyton tonsurans. Children of African descent are at higher risk, indicating a need for greater public health awareness and diagnosis.

Area of Science:

  • Dermatology
  • Mycology
  • Public Health

Background:

  • Tinea capitis is a growing concern in Europe, with a shift towards anthropophilic dermatophytes like Trichophyton tonsurans.
  • Understanding the changing epidemiology and clinical presentation is crucial for effective management.

Purpose of the Study:

  • To determine the frequency of tinea capitis in pediatric dermatology outpatients.
  • To analyze the clinical spectrum and causative pathogens of tinea capitis in this population.

Main Methods:

  • Retrospective analysis of laboratory-proven tinea capitis cases over an 18-month period (January 2004 - June 2005).
  • Data collected included patient demographics, clinical signs, causative agents, and treatment history.

Main Results:

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  • Sixty-two pediatric cases were identified, with 85.5% of African descent.
  • Trichophyton tonsurans was the most common pathogen (75.8%), followed by Microsporum ferrugineum (12.9%).
  • Common presentations included scalp scaling and alopecia; average symptom duration was 8.38 months, with many patients receiving inadequate treatment.

Conclusions:

  • Tinea capitis prevalence is increasing, with Trichophyton tonsurans as the primary pathogen.
  • Children of African descent are disproportionately affected, highlighting a public health issue requiring improved diagnosis and awareness.
  • Further community-based prevalence studies are recommended.