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Tinea capitis in adults in southern Spain. A 17-year epidemiological study.
Rev Iberoam Micol 2016 Apr-Jun; 33(2):110-3RI

Abstract

BACKGROUND

Tinea capitis is an infection of the hair due to keratinophilic fungi, known as dermatophytes. Although the disease is common in children, several studies have also shown that it is far from unusual in adults, especially in post-menopausal women and immunocompromised persons.

AIMS

To determine the incidence of tinea capitis in adults in our area, as well as the predisposing factors (gender, immunity), and causative species.

MATERIALS AND METHODS

A retrospective study was conducted over a period of 17 years, from 1995 to 2011, collecting data on cases of tinea capitis diagnosed in our dermatology department. Information collected for all patients included age, gender, location of the lesions, results of direct examination and culture, immune status, cause of immunosuppression, and the prescribed treatment.

RESULTS

Thirty-three cases (11.4%) out of 289 cases of tinea capitis occurred in adults. Most of these adults (72%) were immunocompetent, and the rest were immunocompromised for different reasons. Three of the patients were men and 30 women, with 70% of the latter being post-menopausal. Trichophyton species were isolated in 76% of these adult patients, with Trichophyton violaceum being the most common. Treatment with oral terbinafine was successful in all these cases. Microsporum species were responsible for the other cases, all treated successfully with oral griseofulvin.

CONCLUSIONS

This series of tinea capitis in adults is one of the largest to date. It shows that tinea capitis is not uncommon among the immunocompetent adult population. In our geographical area, except for prepubescent patients, most cases affecting the adult population were caused by species of the genus Trichophyton. In these cases the treatment of choice was oral terbinafine, which considerably shortened the treatment time, and was associated with fewer side effects than the classical griseofulvin.

Authors+Show Affiliations

Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain. Electronic address: elisabeth.gomez.moyano@gmail.com.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.Department of Dermatology, Hospital Carlos Haya, Malaga, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26774593

Citation

Lova-Navarro, Miguel, et al. "Tinea Capitis in Adults in Southern Spain. a 17-year Epidemiological Study." Revista Iberoamericana De Micologia, vol. 33, no. 2, 2016, pp. 110-3.
Lova-Navarro M, Gómez-Moyano E, Martínez Pilar L, et al. Tinea capitis in adults in southern Spain. A 17-year epidemiological study. Rev Iberoam Micol. 2016;33(2):110-3.
Lova-Navarro, M., Gómez-Moyano, E., Martínez Pilar, L., Fernandez-Ballesteros, M. D., Godoy-Díaz, D. J., Vera-Casaño, A., & Crespo-Erchiga, V. (2016). Tinea capitis in adults in southern Spain. A 17-year epidemiological study. Revista Iberoamericana De Micologia, 33(2), pp. 110-3. doi:10.1016/j.riam.2015.02.007.
Lova-Navarro M, et al. Tinea Capitis in Adults in Southern Spain. a 17-year Epidemiological Study. Rev Iberoam Micol. 2016;33(2):110-3. PubMed PMID: 26774593.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tinea capitis in adults in southern Spain. A 17-year epidemiological study. AU - Lova-Navarro,Miguel, AU - Gómez-Moyano,Elisabeth, AU - Martínez Pilar,Leandro, AU - Fernandez-Ballesteros,María Dolores, AU - Godoy-Díaz,Daniel Jesus, AU - Vera-Casaño,Angel, AU - Crespo-Erchiga,Vicente, Y1 - 2016/01/13/ PY - 2013/07/17/received PY - 2015/01/20/revised PY - 2015/02/25/accepted PY - 2016/1/18/entrez PY - 2016/1/18/pubmed PY - 2017/10/7/medline KW - Adultos KW - Adults KW - Dermatofitos KW - Dermatophytes KW - Immunocompromised KW - Inmunodeprimidos KW - Mujeres posmenopáusicas KW - Post-menopausal women KW - Tinea capitis SP - 110 EP - 3 JF - Revista iberoamericana de micologia JO - Rev Iberoam Micol VL - 33 IS - 2 N2 - BACKGROUND: Tinea capitis is an infection of the hair due to keratinophilic fungi, known as dermatophytes. Although the disease is common in children, several studies have also shown that it is far from unusual in adults, especially in post-menopausal women and immunocompromised persons. AIMS: To determine the incidence of tinea capitis in adults in our area, as well as the predisposing factors (gender, immunity), and causative species. MATERIALS AND METHODS: A retrospective study was conducted over a period of 17 years, from 1995 to 2011, collecting data on cases of tinea capitis diagnosed in our dermatology department. Information collected for all patients included age, gender, location of the lesions, results of direct examination and culture, immune status, cause of immunosuppression, and the prescribed treatment. RESULTS: Thirty-three cases (11.4%) out of 289 cases of tinea capitis occurred in adults. Most of these adults (72%) were immunocompetent, and the rest were immunocompromised for different reasons. Three of the patients were men and 30 women, with 70% of the latter being post-menopausal. Trichophyton species were isolated in 76% of these adult patients, with Trichophyton violaceum being the most common. Treatment with oral terbinafine was successful in all these cases. Microsporum species were responsible for the other cases, all treated successfully with oral griseofulvin. CONCLUSIONS: This series of tinea capitis in adults is one of the largest to date. It shows that tinea capitis is not uncommon among the immunocompetent adult population. In our geographical area, except for prepubescent patients, most cases affecting the adult population were caused by species of the genus Trichophyton. In these cases the treatment of choice was oral terbinafine, which considerably shortened the treatment time, and was associated with fewer side effects than the classical griseofulvin. SN - 2173-9188 UR - https://www.unboundmedicine.com/medline/citation/26774593/Tinea_capitis_in_adults_in_southern_Spain__A_17_year_epidemiological_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1130-1406(15)00074-1 DB - PRIME DP - Unbound Medicine ER -