Scalp hyperkeratosis in children with skin of color: diagnostic and therapeutic considerations.
Scalp hyperkeratosis is common in childhood and adolescence. Diagnosis is affected by age, race, and history of infectious exposure, and associated symptoms including atopic features, alopecia, inflammatory nodules, presence and type of cutaneous lesions outside of the scalp, and nuchal lymphadenopathy. Tinea capitis is common in children with skin of color, especially black and Hispanic children. In adolescents, seborrheic dermatitis predominates as the cause of scalp hyperkeratosis, but tinea is still of concern. This article aims to help the practitioner comfortably diagnose and treat scalp hyperkeratosis in children with skin of color.
Department of Dermatology, 1090 Amsterdam Ave, Ste 11D, New York, NY 10025, USA. nsilverb@chpnet.org.
Nanette B
NB
Silverberg
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001741:Black or African American; D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D046508:Culture Techniques; D012628:Dermatitis, Seborrheic / Q000175:diagnosis* / Q000628:therapy; D046169:Dermoscopy; D003937:Diagnosis, Differential; D006630:Hispanic or Latino; D006801:Humans; D007642:Keratosis / Q000175:diagnosis* / Q000628:therapy; D011565:Psoriasis / Q000175:diagnosis* / Q000628:therapy; D012536:Scalp Dermatoses / Q000175:diagnosis* / Q000628:therapy; D018036:Selenium Compounds / Q000627:therapeutic use; D012867:Skin / Q000473:pathology*; D014006:Tinea Capitis / Q000175:diagnosis* / Q000188:drug therapy
D000305:Adrenal Cortex Hormones; D000935:Antifungal Agents; D018036:Selenium Compounds; C025698:selenium disulfide