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White piedra on pediatric scalp: A case report
Julia Brigagão de Carvalho Sugai1, Nayara Pelizaro Di Rito1, Alexandre Lourenço1
1Faculdade de Medicina de, Jundiai, Dermatology, Rua Francisco Telles, 250, 13202-550, Brazil.
Idcases
|July 5, 2024
Summary
Piedra alba, a rare fungal infection, was successfully treated in a child using 2% ketoconazole shampoo. Early diagnosis and treatment prevented hair loss, showcasing effective management strategies.
Area of Science:
- Dermatology
- Mycology
- Pediatric Infectious Diseases
Background:
- Piedra alba is a rare superficial fungal infection affecting hair shafts.
- Accurate diagnosis is crucial to prevent complications and unnecessary treatments.
- This case highlights a pediatric presentation of piedra alba.
Observation:
- A 5-year-old female presented with symptoms initially misdiagnosed.
- Dermatoscopy was utilized as a diagnostic aid.
- The patient exhibited signs consistent with piedra alba.
Findings:
- Treatment with 2% ketoconazole shampoo resulted in rapid regression of the fungal infection.
- Significant clinical improvement was observed within one week.
- Hair cutting was not required for successful treatment.
Implications:
- Early and accurate diagnosis of piedra alba is essential, especially in pediatric cases.
- Ketoconazole shampoo is an effective topical treatment for piedra alba.
- A multidisciplinary approach and dermatological follow-up are recommended for managing fungal hair infections.
