Concluded Case

CENTRAL CENTRIFUGAL CICATRICAL ALOPECIA with TINEA CAPITIS

8 years female Itching scaly lesions on scalp Loss of hairs Diagnosis? Treatment?

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Concluded answer
Visual shows multiple hair loss patches with inflammatory follicles throughout the scalp since long time indicates inflammatory type of ALOPECIA may be due to TINEA CAPITIS or Autoimmune disorders. So evaluate the case by doing investigations. Here ALOPECIA going to cicatrical type slowly may induce central centrifugal type of Alopecia or Lichen planus PILARIS. Simple antifungal treatment is not sufficient for this case. Treatment... Control the infection Antifungal treatment Restoration of hair growth. Hair growth serum and Minoxidil may be useful after fungal treatment.
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Tinea capitis Keto soap shampoo and lotion locally. Minoxidil lotion locally at hair loss areas. Levocet 5mg od. Itraconazole 100mg od. Rehydrate skin by applying moisturizer or emollient lotion locally. Keep area clean and covered with sterile gauge. Needs further investigation and evaluation.
Thanks Dr Dinesh Gupta
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Dear Dr. P. Kishore Kumar Sir, Advice for the case. Do Jalaukavacharan ( Leech Therapy). Tab. Dermo tab 1 tds. Sy. Shahi Johar Ushba 2 tsp BD Mixed with 1/2 glass of water before 1/2 an hour to meal.
T capitis.topical Terbinafine and oral Griseofulvin for 4-6 weeks.
Tenia capatis Ketazole shampo Antihistaminics
SUGGESTIVE. Of INFECTED TINEA CAPITIS
Tinea capitis Agree to Dr Ashok leel sir
Agreed with Dr.Kishore k
Visual shows multiple hair loss patches with inflammatory follicles throughout the scalp since long time indicates inflammatory type of ALOPECIA may be due to TINEA CAPITIS or Autoimmune disorders. So evaluate the case by doing investigations. Here ALOPECIA going to cicatrical type slowly may induce central centrifugal type of Alopecia or Lichen planus PILARIS. Simple antifungal treatment is not sufficient for this case. Treatment... Control the infection Antifungal treatment Restoration of hair growth. Hair growth serum and Minoxidil may be useful after fungal treatment.
Tinia capatis. It is a disease caused by superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicle. Tinea capitis is very contagious (spreads easily), especially within families. It is highly contagious infection that’s usually spread through person-to-person contact or by sharing combs, towels, hats, or pillows. Ringworm is most common in children, but can infect a person of any age.
Trichotillomania. Patchy hair loss.. Various length of hair fragments present.. Sign of hemorrhage over scalp due to manual pulling of hair. Patient complain- itching. History from parents- there may be psychiatric problem. Treatment: Minoxidil (2%). Antipsychotic. D/D: Tinea Capitis. Alopecia areata.
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