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Tinea capitis mimicking dissecting cellulitis in three children
Authors:Jennifer Shastry MD  Heather Ciliberto MD  Dawn Marie Davis MD
Affiliation:1. Presence Resurrection Medical Center, Chicago, IL, USA;2. Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA;3. Department of Dermatology, Mayo Clinic, Rochester, MN, USA
Abstract:Tinea capitis mimicking dissecting cellulitis is a rare presentation, and there is a paucity of information regarding this presentation in the literature. Three children 10‐14 years of age who presented with an unusual clinical manifestation of tinea capitis that clinically resembled dissecting cellulitis are reported. The patients were treated with systemic antifungals for 3‐4 months. Treatment success was measured according to repeat fungal cultures and clinical assessment of hair regrowth at follow‐up visits. All three patients had resolution of infection, with negative repeat fungal cultures and complete hair regrowth without scarring. These cases highlight a rare inflammatory subtype of tinea capitis that can be easily misdiagnosed and therefore improperly treated, prolonging the duration of infection.
Keywords:alopecia  hair disorders  infection‐ fungal
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