Tinea capitis in adults: misdiagnosis or reappearance?
BACKGROUND
According to the literature, tinea capitis in adults is supposed to be rare; we have recently observed a significant increase in cases.


METHODS
Epidemiological, clinical and mycological features were studied in all adult tinea capitis diagnosed over 1 year in our department.


RESULTS
Eight cases were observed: 75% of them were women, 50% never traveled and 62.5% had an underlying immunosuppressive disease. Scalp scaling and alopecia were the most frequent clinical features. A zoophilic dermatophyte was recovered in 50% of cases.


CONCLUSIONS
These cases represent 11% of all tinea capitis observed in the same period of time (higher than the 3-5% observed in the literature). Secretion of sebum and colonization by Pityrosporon orbiculare are supported to protect the scalp against dermatophytic invasion after puberty, but an immune defect may also facilitate hair invasion. The erroneous notion of the disease being uncommon and the frequent atypical clinical presentation require a high degree of clinical suspicion.
Cremer
G
G
Laboratoire de Parasitologie-Mycologie, Hôpital Henri-Mondor, Créteil, France.
Bournerias
I
I
Vandemeleubroucke
E
E
Houin
R
R
Revuz
J
J
D000328:Adult; D000367:Age Factors; D000368:Aged; D000505:Alopecia / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006197:Hair / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D008290:Malassezia / Q000502:physiology; D008297:Male; D008864:Microsporum / Q000302:isolation & purification; D008875:Middle Aged; D012535:Scalp / Q000473:pathology; D012629:Sebum / Q000378:metabolism; D014006:Tinea Capitis / Q000175:diagnosis* / Q000473:pathology; D014249:Trichophyton / Q000302:isolation & purification