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Elongated Corkscrew Hairs as a Possible Novel Trichoscopic Sign in Endothrix Tinea Capitis Affecting Adults with
Asmahane Souissi1,2, Raquel de Melo Carvalho3, Malek Ben Slimane1,2
1Dermatology Department, La Rabta Hospital, Tunis, Tunisia.
Introduction:
Tinea capitis is a fungal infection of the scalp in which trichoscopy plays an important role by allowing early identification of characteristic hair shaft alterations before mycological confirmation.
Methods:
We describe two adult women who are immunosuppressed with endothrix tinea capitis caused by Trichophyton violaceum.
Results:
Both patients presented with diffuse scalp alopecia and scaling. Trichoscopic examination revealed unusually elongated corkscrew hairs, and fungal cultures confirmed the diagnosis.
Conclusions:
Elongated corkscrew hairs represent a previously unreported trichoscopic pattern in chronic endothrix tinea capitis. Awareness of this finding may facilitate earlier diagnostic suspicion and prompt targeted mycological investigation in patients who are immunosuppressed.
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