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.

Pediatric Dermatology
|March 9, 2026
PubMed

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.
Abstract

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