A 10-Year-Old Boy with an Itchy Scalp and Patches of Hair LossIdentify and Treat Tinea Capitis Pearls of Wisdom Q&A Case
Tinea capitis is a dermatological condition most common in children. It is caused by a fungal infection of the hair and scalp caused by dermatophyte fungi. Let's take a look at this tinea capitis case and see if you can correctly treat it.
A 10-year-old boy presents with an itchy scalp and patches of hair loss. He has no chronic conditions and uses no medications regularly and is up to date on his immunizations. He lives with both parents, a younger sister, and the family dog. No other family members have had similar scalp issues. His parents had tried topical hydrocortisone on the patches with no effect
On examination, he has patchy alopecia with black dots in the areas of alopecia. There are erythema and moderate scale in the patches as well. He has some cervical lymphadenopathy. The remainder of the physical examination is normal. Under fluorescent light, the patches of alopecia fluoresce greenish-yellow.
Which is the most appropriate treatment for tinea capitis in this patient case?
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