Tinea Capitis Questions & Answers

Updated: Jun 13, 2018
  • Author: Marc Zachary Handler, MD; Chief Editor: Dirk M Elston, MD  more...
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Questions & Answers

Overview

What is tinea capitis (ringworm of the scalp)?

What are the types of dermatophytosis?

How does the clinical presentation of tinea capitis vary?

When were the causes and treatment of tinea capitis (scalp ringworm) first identified?

What is the pathophysiology of tinea capitis (scalp ringworm)?

What causes tinea capitis (scalp ringworm)?

What is the role of dermatophytes in the pathophysiology of tinea capitis (scalp ringworm)?

How is in vivo hair invasion characterized in the pathophysiology of tinea capitis (scalp ringworm)?

How are dermatophytes transmitted in tinea capitis (scalp ringworm)?

How does the causative agent of tinea capitis (scalp ringworm) vary by geographic location?

How are the dermatophytic fungi that cause tinea capitis (scalp ringworm) classified?

How is dermatophytosis characterized?

What are the common causes of tinea capitis (scalp ringworm)?

What is the incidence of tinea capitis (scalp ringworm) in the US?

What is the global incidence of tinea capitis (scalp ringworm)?

How does the incidence of tinea capitis (scalp ringworm) vary by sex?

How does the incidence of tinea capitis (scalp ringworm) vary by age?

What is the prognosis of tinea capitis (scalp ringworm)?

How is the classification and severity of tinea capitis (scalp ringworm) determined?

How is ectothrix infection in tinea capitis (scalp ringworm) defined?

What is the prognosis of endothrix infections in tinea capitis (scalp ringworm)?

What are the AAP recommendations for children during tinea capitis (scalp ringworm) treatment?

Presentation

What is the disease course of tinea capitis (scalp ringworm)?

Which presentations are characteristic of tinea capitis (scalp ringworm)?

What is favus?

Which physical findings suggest tinea capitis (scalp ringworm)?

How is tinea capitis (scalp ringworm) diagnosed?

What should be included in the physical exam of tinea capitis (scalp ringworm)?

Which physical findings of skin lesions suggest tinea capitis (scalp ringworm)?

What are the physical findings of dermatophyte id reactions in tinea capitis (scalp ringworm)?

What is the distribution of tinea capitis (scalp ringworm) lesions?

What increases the risk of cervical lymphadenopathy in tinea capitis (scalp ringworm)?

What are possible complications of tinea capitis (scalp ringworm)?

DDX

Which conditions should be included in the differential diagnoses of tinea capitis (scalp ringworm)?

How is seborrheic dermatitis differentiated from tinea capitis (scalp ringworm)?

How is impetigo differentiated from tinea capitis (scalp ringworm)?

How is secondary syphilis differentiated from tinea capitis (scalp ringworm)?

What are the differential diagnoses for Tinea Capitis?

Workup

What is the role of serology in the diagnosis of tinea capitis (scalp ringworm)?

How is tinea capitis (scalp ringworm) diagnosed?

What is the proper procedure prior to specimen collection for the diagnosis of tinea capitis (scalp ringworm)?

How are infected hairs collected for diagnosis of tinea capitis (scalp ringworm)?

What is needed to definitively diagnosis tinea capitis (scalp ringworm)?

How are hair samples handled before evaluation for tinea capitis (scalp ringworm)?

What is the role of kerion sampling in the diagnosis of tinea capitis (scalp ringworm)?

What can be determined by microscopic exam of infected hairs in tinea capitis (scalp ringworm)?

What is the role of cultures in the diagnosis of tinea capitis (scalp ringworm)?

What is the role of Wood lamp exam in the diagnosis of tinea capitis (scalp ringworm)?

When is Wood lamp exam indicated in the workup of tinea capitis (scalp ringworm)?

What findings on videodermatoscopy suggest tinea capitis (scalp ringworm)?

What is the role of skin biopsy in the diagnosis of tinea capitis (scalp ringworm)?

Which histologic findings are characteristic of tinea capitis (scalp ringworm)?

Treatment

What is the basis for treatment selection for tinea capitis (scalp ringworm)?

What is the role of griseofulvin in the treatment of tinea capitis?

Which medications are effective for treatment of tinea capitis (scalp ringworm)?

How can tinea capitis (scalp ringworm) be prevented?

Why should asymptomatic tinea capitis (scalp ringworm) be treated?

What is the efficacy of shampoo and oral antimycotic therapy for the treatment of tinea capitis (scalp ringworm)?

Who must be evaluated for tinea capitis (scalp ringworm)?

How may tinea capitis (scalp ringworm) spread among children?

Medications

What is the treatment of choice for tinea capitis (scalp ringworm)?

What agents are effective and safe for treatment of tinea capitis (scalp ringworm)?

What is the role of itraconazole in the treatment of tinea capitis (scalp ringworm)?

What is the role of terbinafine for the treatment of tinea capitis (scalp ringworm)?

What is the role of fluconazole for the treatment of tinea capitis (scalp ringworm)?

What may be required for treatment of ectothrix infections of tinea capitis (scalp ringworm)?

What is the role of ketoconazole for the treatment of tinea capitis (scalp ringworm)?

How are steroids used in the treatment of tinea capitis (scalp ringworm)?

Which medications in the drug class Antifungal agents are used in the treatment of Tinea Capitis?