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Persistent Desquamation of the Scalp as a Manifestation of Tinea Capitis in Sub-Saharan Children
I Betlloch-Mas1, M P Albares-Tendero, M P Soro-Martínez
1Dermatology Service, University General Hospital of Alicante, Avenida Pintor Baeza 12, 03010, Alicante, Spain, betlloch_isa@gva.es.
Insights
Chronic scalp scaling in Sub-Saharan African children may indicate tinea capitis, a fungal infection. This study found a significant association, suggesting scaling can be the primary symptom of this condition.
Area of Science:
- Dermatology
- Mycology
- Pediatrics
Background:
- Scalp hyperkeratosis in children is commonly linked to atopic or seborrheic dermatitis.
- In Black children, scalp scaling can also be a sign of tinea capitis, a fungal infection.
Purpose of the Study:
- To investigate the association between chronic scalp scaling and tinea capitis in Sub-Saharan African children.
- To determine if persistent scalp scaling is a sole clinical manifestation of tinea capitis.
Main Methods:
- Retrospective study of Sub-Saharan children with chronic scalp scaling from June 2010 to June 2013.
- Diagnosis of tinea capitis confirmed by positive mycological (fungal) culture.
- Analysis of clinical presentation and culture results.
Main Results:
- Out of 23 Sub-Saharan African children, 12 (43.4%) presented with chronic scalp scaling.
- Mycological cultures were positive in 6 of 9 cases (26% of all children).
- Persistent scalp scaling showed a positive culture in 52.1% of cases.
Conclusions:
- Chronic scalp scaling can be the exclusive clinical presentation of tinea capitis in Sub-Saharan African children.
- Highlights the importance of considering tinea capitis in the differential diagnosis of pediatric scalp scaling in this population.
- Emphasizes the utility of mycological cultures for accurate diagnosis.
Abstract:
Scalp hyperkeratosis of childhood is most often associated with atopic or seborrheic dermatitis. However, in black children can be associated with tinea capitis. We undertook a retrospective study in all Sub-Saharan children presenting with chronic scalp scaling between June 2010 and June 2013, to determine whether chronic desquamation of the scalp is a clinical manifestation of tinea capitis. The criterion used to diagnose tinea capitis was a positive mycolological culture. Of the 23 Sub-Saharan African children attended, 12 (43.4%) presented with chronic scalp flaking. Mycological culture was performed in 9 of the 12 cases. The culture was positive in 6 out of 9, so 26% of the Sub-Saharan African children attended were diagnosed with tinea capitis. In 52.1% of the cases with persistent scalp scaling the culture was positive. In conclusion, chronic scaling of the scalp may well be the sole form of presentation of tinea capitis in Sub-Saharan children.
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