Tinea capitis

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A. Tinea capitis primarily affects school-aged children, appearing as one or more round patches of alopecia. Hair shafts broken off at the scalp may appear as black dots. Sometimes tinea capitis appears as non-specific dandruff, or gray patches of hair, or areas of scales, pustules and erythema. A localized, boggy, indurated granuloma called a "kerion" may develop.

B. Tinea capitis should be treated with oral therapy. Griseofulvin (Fulvicin PG, Gris-PEG, Grisactin Ultra). Itraconazole (Sporanox) and terbinafine (Lamisil) are effective options.

III. Tinea barbae. Tinea barbae affects the beard area of men who work with animals. It is often accompanied by bacterial folliculitis and inflammation secondary to ingrown hairs. Oral therapy with griseofulvin, itraconazole (Sporanox) or terbinafine (Lamisil) is preferred over topical therapy because the involved hair follicles do not respond well to topical therapy.

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