Tinea capitis mimicking dissecting cellulitis: a distinct variant.
BACKGROUND
Tinea capitis is a common scalp dermatosis with several clinical patterns. Only two patients with a presentation of tinea capitis mimicking dissecting cellulitis have been described in the English literature.


METHODS
We report a patient with tinea capitis mimicking dissecting cellulitis who did not respond to griseofulvin therapy at 16 mg/kg/day but eventually cleared after a protracted course of higher dose griseofulvin.


CONCLUSIONS
recognition of a dissecting cellulitis-like pattern of tinea capitis will increase clinical suspicion and avoid inappropriate management of a recalcitrant "dissecting cellulitis" in favor of prompt antifungal therapy of appropriate dosage and duration for patients with this unusual variant of tinea capitis.
Twersky
Joy M
JM
Department of Dermatology, University of Cincinnati, Division of Pediatric Dermatology, Cincinnati Children's Hospital, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Sheth
Anita P
AP
D000935:Antifungal Agents / Q000008:administration & dosage; D002481:Cellulitis / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D003937:Diagnosis, Differential; D006118:Griseofulvin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D014006:Tinea Capitis / Q000175:diagnosis* / Q000188:drug therapy
D000935:Antifungal Agents; D006118:Griseofulvin