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Tinea capitis mimicking dissecting cellulitis: a distinct variant

Authors

  • Joy M. Twersky MD,

    1. From the Department of Dermatology, University of Cincinnati, Division of Pediatric Dermatology, Cincinnati Children's Hospital, and Department of Dermatology, University of Cincinnati School of Medicine, Cincinnati, OH
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  • Anita P. Sheth MD

    Corresponding author
    1. From the Department of Dermatology, University of Cincinnati, Division of Pediatric Dermatology, Cincinnati Children's Hospital, and Department of Dermatology, University of Cincinnati School of Medicine, Cincinnati, OH
      Correspondence Anita P. Sheth, md Director of Pediatric Dermatology Cincinnati Children's Hospital SEC 3rd Floor 3333 Burnet Avenue Cincinnati OH 45229, USA E-mail: ShetA0@CHMCC.org
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Correspondence Anita P. Sheth, md Director of Pediatric Dermatology Cincinnati Children's Hospital SEC 3rd Floor 3333 Burnet Avenue Cincinnati OH 45229, USA E-mail: ShetA0@CHMCC.org

Abstract

Background  Tinea capitis is a common scalp dermatosis with several clinical patterns. Only two patients with a presentation of tinea capitis mimicking dissecting cellulitis have been described in the English literature.

Observation  We report a patient with tinea capitis mimicking dissecting cellulitis who did not respond to griseofulvin therapy at 16 mg/kg/day but eventually cleared after a protracted course of higher dose griseofulvin.

Conclusion  Recognition of a dissecting cellulitis-like pattern of tinea capitis will increase clinical suspicion and avoid inappropriate management of a recalcitrant “dissecting cellulitis” in favor of prompt antifungal therapy of appropriate dosage and duration for patients with this unusual variant of tinea capitis.

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