An Undetected Case of Tinea Capitis in an Elderly Woman Affected by Dermatomyositis: How Trichoscopy Can Guide to the Right Diagnosis

被引:4
作者
Vastarella, Maria [1 ]
Gallo, Lucia [1 ]
Cantelli, Mariateresa [1 ]
Nappa, Paola [1 ]
Fabbrocini, Gabriella [1 ]
机构
[1] Univ Naples Federico II, Div Dermatol, Dept Clin Med & Surg, Via Pansini 5, IT-80131 Naples, Italy
来源
SKIN APPENDAGE DISORDERS | 2019年 / 5卷 / 03期
关键词
Alopecia; Dermatomycosis; Tinea capitis; Trichoscopy; HAIRS; FEATURES; SCALP; COMMA;
D O I
10.1159/000495805
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Dermatomyositis (DM) is an autoimmune disease that primarily affects the skin and muscles, but may also have a systemic involvement. The frequency of scalp involvement in DM varies from 28 to 82% and is often encountered as part of a DM flare. However, it frequently presents as a treatment-resistant disease, and patients reporting no improvement with conventional therapies require further investigation. We report a case of tinea capitis (TC) in a 79-year-old woman affected by DM with scalp involvement which did not respond to conventional therapies. Thanks to trichoscopy we could detect "comma hairs," "zigzag hairs," and "pigtail hairs" at scalp examination, made the right diagnosis of TC, and instituted the best treatment without delay. (c) 2019 S. Karger AG, Basel
引用
收藏
页码:186 / 188
页数:3
相关论文
共 10 条
[1]   Dermatomyositis: Current concepts [J].
Bogdanov, Ivan ;
Kazandjieva, Jana ;
Darlenski, Razvigor ;
Tsankov, Nikolai .
CLINICS IN DERMATOLOGY, 2018, 36 (04) :450-458
[2]  
Calabrò G, 2015, GIORN ITAL DERMAT V, V150, P363
[3]  
Elghblawi Ebtisam, 2016, Int J Trichology, V8, P180, DOI 10.4103/ijt.ijt_92_15
[4]  
Jasso-Olivares JC, 2017, SKIN APPENDAGE DISOR, V3, P119, DOI 10.1159/000464469
[5]   Newly Described Features Resulting From High-Magnification Dermoscopy of Tinea Capitis [J].
Lacarrubba, Francesco ;
Verzi, Anna Elisa ;
Micali, Giuseppe .
JAMA DERMATOLOGY, 2015, 151 (03) :308-310
[6]   The dermoscopic comma, zigzag, and bar code-like hairs: Markers of fungal infection of the hair follicles [J].
Lin, Yu-Ting ;
Li, Yu-Chuan .
DERMATOLOGICA SINICA, 2014, 32 (03) :160-163
[7]   Tinea Capitis in Elderly Women: A Report of 4 Cases [J].
Morell, L. ;
Fuente, M. J. ;
Boada, A. ;
Carrascosa, J. M. ;
Ferrandiz, C. .
ACTAS DERMO-SIFILIOGRAFICAS, 2012, 103 (02) :144-148
[8]   Comma hairs: A dermatoscopic marker for tinea capitis A rapid diagnostic method [J].
Slowinska, Monika ;
Rudnicka, Lidia ;
Schwartz, Robert A. ;
Kowalska-Oledzka, Elzbieta ;
Rakowska, Adriana ;
Sicinska, Justyna ;
Lukomska, Malgorzata ;
Olszewska, Malgorzata ;
Szymanska, Elzbieta .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2008, 59 (05) :S77-S79
[9]  
Tilstra JS, 2009, ARCH DERMATOL, V145, P1062, DOI 10.1001/archdermatol.2009.194
[10]   Dermoscopic corkscrew hairs dissolve after successful therapy of Trichophyton violaceum tinea capitis: A case report [J].
Vazquez-Lopez, Francisco ;
Palacios-Garcia, Laura ;
Argenziano, Giuseppe .
AUSTRALASIAN JOURNAL OF DERMATOLOGY, 2012, 53 (02) :118-119