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Case Report: Diagnosing Dermatophytoses in Children

Barbara Bulińska, Dorota Purzycka-Bohdan, Katarzyna Rychlik

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |January 2, 2024
    PubMed

    Insights

    Pediatric fungal infections (dermatophytoses) of the skin and scalp can mimic other conditions, complicating diagnosis. This study highlights three pediatric cases, confirming fungal presence and suggesting diagnostic and treatment strategies for these common childhood skin disorders.

    Area of Science:

    • Pediatric Dermatology
    • Mycology
    • Infectious Diseases

    Background:

    • Dermatophytoses are prevalent in children, affecting the skin and scalp.
    • Clinical presentation often overlaps with other dermatoses, posing diagnostic challenges.
    • Accurate diagnosis is crucial for effective management of pediatric fungal infections.

    Purpose of the Study:

    • To present three distinct cases of dermatophytoses in pediatric patients.
    • To illustrate diagnostic difficulties due to similar clinical appearances with other skin conditions.
    • To propose diagnostic pathways and treatment recommendations for childhood dermatophytoses.

    Main Methods:

    • Case study approach detailing three pediatric patients with confirmed fungal infections.
    • Clinical examination and mycological confirmation of fungi within skin lesions.
    • Review of existing literature and clinical experience to inform diagnostic and treatment strategies.

    Main Results:

    • Confirmed fungal presence in skin lesions across all three cases.
    • Diagnoses included "id" reaction (Trichophyton tonsurans), Kerion celsi (Microsporum canis), and hair loss from microsporosis.
    • Demonstrated varied clinical presentations of pediatric dermatophytoses.

    Conclusions:

    • Dermatophytoses in children require careful diagnostic consideration due to overlapping symptoms.
    • Prompt identification and appropriate treatment are essential for favorable outcomes.
    • The proposed diagnostic and treatment guidelines can aid clinicians in managing pediatric fungal skin and scalp infections.
    Keywords:
    Kerion celsiMycosescase reportchildrendermatophytesid reaction

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