[A baby with progressive skin lesions on the scalp]

E A van der Rhee1, M A Middelkamp-Hup, R Hoekzema

  • 1Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Dermatologie, Amsterdam.

Insights

A deep fungal scalp infection called kerion celsi can cause hair loss. Early diagnosis and antifungal treatment are crucial for young children to prevent permanent damage.

Area of Science:

  • Dermatology
  • Mycology

Background:

  • Kerion celsi is a deep inflammatory fungal infection affecting the scalp.
  • It commonly occurs in children and can lead to significant dermatological issues.

Observation:

  • An eight-month-old infant presented with a progressive, pustular, and scaling scalp eruption.
  • Clinical presentation suggested a severe inflammatory process on the scalp.

Findings:

  • Laboratory tests confirmed the diagnosis of kerion celsi.
  • The infant was successfully treated with an antimycotic medication.

Implications:

  • Prompt diagnosis of kerion celsi is vital in pediatric dermatology.
  • Timely intervention with antifungal therapy is essential to prevent irreversible alopecia and scarring.

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