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Tinea capitis in Brooklyn

T A Laude, B R Shah, Y Lynfield

    American Journal of Diseases of Children (1960)
    |December 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Tinea capitis, a common childhood fungal infection, is primarily caused by Trichophyton tonsurans in the US. Griseofulvin effectively treats this condition, with prednisone aiding inflammation management.

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    Area of Science:

    • Dermatology
    • Mycology
    • Pediatrics

    Background:

    • Tinea capitis is a prevalent pediatric fungal infection across the United States.
    • Understanding the causative agents and demographic distribution is crucial for effective management.

    Purpose of the Study:

    • To analyze the clinical and mycological features of tinea capitis cases.
    • To evaluate the efficacy of griseofulvin and other treatments for tinea capitis.

    Main Methods:

    • A 12-month study of 144 clinically diagnosed tinea capitis cases.
    • Fungal cultures were performed to identify causative organisms.
    • Treatment outcomes with griseofulvin, erythromycin, topical antifungals, and prednisone were assessed.

    Main Results:

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    • Trichophyton tonsurans (89%) was the predominant pathogen, followed by Microsporum (11%).
    • The infection predominantly affected black children aged 4-5 years, with equal gender distribution.
    • Griseofulvin achieved mycologic and clinical cure in a mean of 4.7 weeks; prednisone reduced inflammation in kerions.

    Conclusions:

    • Trichophyton tonsurans is the leading cause of tinea capitis in this pediatric cohort.
    • Griseofulvin remains a highly effective treatment for tinea capitis.
    • Systemic prednisone can significantly alleviate inflammation associated with kerions.