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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
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Tinea capitis mimicking dissecting cellulitis in three children.

Jennifer Shastry1, Heather Ciliberto2, Dawn Marie Davis3

  • 1Presence Resurrection Medical Center, Chicago, IL, USA.

Pediatric Dermatology
|December 22, 2017
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Summary

Tinea capitis can rarely mimic dissecting cellulitis in children. Prompt treatment with antifungals led to successful outcomes, including hair regrowth and no scarring.

Keywords:
alopeciahair disordersinfection- fungal

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Area of Science:

  • Dermatology
  • Mycology
  • Pediatrics

Background:

  • Tinea capitis is a common pediatric fungal infection.
  • Dissecting cellulitis is a rare, severe scalp condition.
  • Atypical presentations of tinea capitis can be challenging to diagnose.

Observation:

  • Three pediatric cases (10-14 years) presented with tinea capitis mimicking dissecting cellulitis.
  • The clinical presentation included inflammatory scalp lesions resembling dissecting cellulitis.
  • This specific presentation is infrequently documented in medical literature.

Findings:

  • Patients received systemic antifungal therapy for 3-4 months.
  • Treatment success was confirmed by negative fungal cultures and clinical hair regrowth.
  • All three children achieved complete resolution of infection without scarring.

Implications:

  • Highlights a rare, inflammatory subtype of tinea capitis.
  • Emphasizes the risk of misdiagnosis and improper treatment.
  • Underscores the importance of considering fungal infections in inflammatory scalp conditions.