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[Permanent hair loss after Kerion Celsi]
T F Bonven1, E Iversen, K Kragballe
1Hudafdelingen, Marselisborg Hospital, Arhus.
Ugeskrift for Laeger
|November 4, 1991
Summary
Kerion celsi, a deep fungal scalp infection, often leads to persistent alopecia, especially in young boys. Early, extensive infections predict poorer hair regrowth outcomes.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Context:
- Kerion celsi is a severe fungal infection affecting the scalp.
- Diagnosis relies on clinical presentation and fungal examination.
- Griseofulvin is the standard treatment at 10 mg/kg/day.
Purpose:
- To retrospectively analyze treatment outcomes and prognostic factors for kerion celsi.
- To investigate the relationship between clinical variables and hair regrowth.
- To evaluate the impact of treatment delay and systemic steroids on prognosis.
Summary:
- This study reviewed 18 kerion celsi cases (1978-1989), predominantly in children (16/18) and boys (12/16).
- Only 5 patients experienced normal hair growth post-treatment.
- Younger age and more extensive initial infections correlated with poorer hair regrowth prognosis; treatment delay and systemic steroids showed no significant impact.
Impact:
- Identifies key prognostic indicators for kerion celsi, aiding in patient counseling and management.
- Highlights the potential for long-term alopecia following deep fungal scalp infections.
- Informs clinical practice regarding treatment timing and the limited role of systemic steroids in predicting outcomes.