Related Experiment Video
Updated: Jun 18, 2026

Author Spotlight: Three-Dimensional Cephalometric Landmark Annotation Demonstration on Human Cone Beam Computed Tomography Scans
Published on: September 8, 2023
Tinea Capitis and Down Syndrome: A Multi-Center Retrospective Cohort Study
Khaled Seetan1, Almu'atasim Khamees1,2, Raghad Yousef Yassin3
1Department of Clinical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan.
Insights
Children with Down syndrome (DS) experience more severe tinea capitis infections, including increased inflammation and unique fungal profiles. These children also show poorer treatment response and higher recurrence rates for this common scalp infection.
Area of Science:
- Dermatology
- Pediatrics
- Infectious Diseases
Background:
- Tinea capitis is a common fungal infection in children.
- Limited data exists on tinea capitis in children with Down syndrome (DS).
- This study compares tinea capitis presentation and treatment in children with and without DS.
Purpose of the Study:
- To describe and compare clinical presentation, mycological findings, and treatment response of tinea capitis in children with and without Down syndrome (DS).
Main Methods:
- Retrospective cohort study of 1320 pediatric tinea capitis cases (112 with DS) across three Jordanian dermatology centers (2015-2024).
- Multivariate regression and time-to-event analyses compared clinical symptoms, causative dermatophytes, and treatment outcomes between groups.
- Data included demographics, clinical signs, fungal species, treatment regimens, and resolution times.
Main Results:
- Children with DS had a higher incidence of inflammatory tinea capitis, particularly kerion (42.9% vs. 18.5%).
- Trichophyton violaceum was more prevalent in children with DS (58.9% vs. 42.1%), while Microsporum canis was less frequent (13.4% vs. 25.6%).
- Clinical cure rates at 8 weeks were lower in children with DS (61.6% vs. 78.9%), with a longer median resolution time (10.4 vs. 7.3 weeks). DS was an independent predictor of treatment failure and recurrence.
Conclusions:
- Tinea capitis in children with Down syndrome presents with increased inflammation and distinct mycological characteristics.
- Children with DS exhibit poorer treatment response and higher recurrence rates for tinea capitis.
- Findings aid healthcare providers in optimizing management of tinea capitis in pediatric patients with DS.
Background:
Tinea capitis is a prevalent dermatophyte disorder among children, yet little is known about its occurrence and treatment in children with Down syndrome (DS). This retrospective cohort study aimed to describe and compare the clinical presentation, mycological findings, and treatment response of tinea capitis in children with and without DS.
Methods:
A multicenter retrospective cohort study was conducted using medical records from three clinical dermatology centers in Jordan (2015-2024). Multivariate regression analysis and time-to-event statistics were used to compare clinical symptoms, the causative dermatophyte, treatment regimens, and outcomes between children with DS (n = 112) and control children (n = 1208).
Results:
A total of 1320 pediatric tinea capitis cases were included, of which 112 (8.5%) had DS. Children with DS had an increased incidence of inflammatory presentations, especially the development of kerion (42.9% vs. 18.5%, p < 0.001). When comparing the causative dermatophyte in children with DS and the control group, Trichophyton violaceum was prevalent in DS (58.9% vs. 42.1%, p = 0.009), unlike Microsporum canis, which was less frequent in DS (13.4% DS vs. 25.6% control, p = 0.004). At 8 weeks, the clinical cure rate was significantly lower among children with DS (61.6% vs. 78.9% control, p < 0.001), and the median time to resolution was longer, 10.4 weeks (95% CI [8.9-12.1]) versus 7.3 weeks in control group (95% CI [6.8-7.9], p < 0.001). DS remained an independent predictor of treatment failure (aOR = 2.15, 95% CI [1.43-3.23], p < 0.001) and recurrence within 6 months after initial cure (aOR = 2.71, 95% CI [1.58-4.65], p < 0.001) after controlling for age, sex, dermatophyte species, and comorbidities.
Conclusions:
Tinea capitis in children with DS is more inflammatory, has unique mycological characteristics, and has a poorer response to treatment compared to children without DS. These findings may help health care providers more effectively manage this infection in patients with DS.
More Related Videos
07:01A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
Published on: February 7, 2025
08:03Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
Published on: November 4, 2025
Related Concept Videos
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Cryptococcal Meningitis
Alzheimer Disease l: Introduction