Tinea Capitis
摘要
Tinea capitis (TC) is a common superficial fungal hair infection caused by different dermatophytes of the genera Microsporum and Trichophyton that involves principally children, with variations in epidemiology, etiology, and distribution according to different countries. Among noninflammatory forms, Microsporum TC is characterized by the presence of well-defined, circular, patchy areas of alopecia, with broken-off hairs and fine scaling, while Trichophyton TC may appear either as multiple alopecic areas with fine scaling and follicles filled by broken-off hairs or black dots or as diffuse scaling resembling dandruff. Dermatoscopy may be very helpful for a rapid diagnosis of TC, although it does not allow the identification of the responsible agent. In noninflammatory TC, different dermatoscopic features due to the fungal invasion of the hair shaft have been described, such as broken hairs, bent hairs, comma hairs, corkscrew hairs, zigzag, and Morse code hairs. These features show a different prevalence in Microsporum and Trichophyton TC, so dermatoscopy may be helpful for the differentiation between the two forms.