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Published on: November 6, 2019
[Frequent pathogen-induced diseases of the scalp]
1Gemeinschaftspraxis für Dermatologie-Allergologie, Renatastraße 72, 80639, München, Deutschland, professorabeck@mytum.de.
Background:
The scalp represents a special region for the manifestation of pathogen-induced diseases.
Objective:
This article describes practice-relevant pathogen-induced skin diseases caused by bacteria, fungi, viruses and parasites.
Material And Methods:
Currently available publications were evaluated with special reference to therapeutic developments.
Results:
Bacterial infections of the scalp must be treated consistently in the initial stages in order to avoid severe consequences. Skin diseases caused by fungi must be treated topically (e.g. neonatal cephalic pustulosis) or systemically and topically (e.g. tinea). Varicella zoster diseases in children and adults are treated differently. A safe and highly effective physically effective substance is now available for pediculosis capitis (head lice).
Conclusion:
Dermatologically relevant pathogen-induced diseases of the scalp can be well treated; however, tinea capitis still proves to be a special problem due to a lack of approved substances and long-term therapy.
Insights
Pathogen-induced scalp diseases from bacteria, fungi, viruses, and parasites are treatable. While most conditions have effective therapies, tinea capitis remains challenging due to limited approved treatments.
Area of Science:
- Dermatology
- Infectious Diseases
Context:
- The scalp is a common site for various pathogen-induced skin diseases.
- Understanding these conditions is crucial for effective clinical management.
Purpose:
- To review current literature on pathogen-induced scalp diseases.
- To highlight therapeutic developments and challenges in treatment.
Summary:
- Bacterial infections require early, consistent treatment to prevent complications.
- Fungal infections necessitate topical or combined systemic/topical treatments.
- Viral infections like varicella zoster have distinct pediatric and adult treatment protocols.
- Pediculosis capitis (head lice) now has a safe, highly effective physical treatment.
- Tinea capitis presents a persistent therapeutic challenge due to a lack of approved agents and the need for prolonged therapy.
Impact:
- Provides an overview of treatable scalp infections.
- Identifies tinea capitis as a significant unmet need in scalp disease management.
- Informs clinical practice regarding the diagnosis and treatment of common scalp pathogens.
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