[Treatment of 2 cases of kerions with griseofulvin and oral steroids].
We report on 2 cases of kerions in children: one of them was located on the pubis, an exceptional location; the second one was located on the scalp and presented like multiple abscess of the scalp, for which surgical drainage was performed. In both cases, Trichophyton mentagrophytes was involved. This dermatophyte is zoophilic, contrary to the dermatophytes usually involved in tinea capitis, which could explain the poor adaptation of the dermatophyte to the human host, who would therefore react by generating a severe inflammatory reaction. Antifungal drugs are recommended for the treatment of kerions, especially griseofuline for 6 to 8 weeks. The value of oral steroids and surgery continues to be debated.
Université François-Rabelais de Tours, CHRU de Tours, Tours, France; Service de dermatologie, hôpital Trousseau, CHRU de Tours, avenue de la République, Tours cedex 9, France. annabel.maruani@univ-tours.fr
M
M
Annabel
L
L
Hubert
C
C
Jacques
L
L
Fabienne
L
L
Emmanuelle
L
L
Gérard
D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy*; D000284:Administration, Oral; D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D000935:Antifungal Agents / Q000008:administration & dosage*; D002648:Child; D003881:Dermatomycoses / Q000175:diagnosis / Q000188:drug therapy*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006118:Griseofulvin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage / Q000031:analogs & derivatives*; D014006:Tinea Capitis / Q000175:diagnosis / Q000188:drug therapy*; D014007:Tinea Favosa / Q000175:diagnosis / Q000188:drug therapy*; D014845:Vulvar Diseases / Q000175:diagnosis / Q000188:drug therapy*
D000893:Anti-Inflammatory Agents; D000935:Antifungal Agents; D006118:Griseofulvin; C013218:prednisolone 21-3-sulfobenzoate; D011239:Prednisolone