Follow-up of tinea capitis with trichoscopy: a prospective clinical study

Abstract

Tinea capitis (TC) is a common pediatric dermatophytosis with an increasing incidence worldwide.¹ Although mycological examination remains the gold standard for the diagnosis of TC,² typical trichoscopic findings can support the diagnosis and expedite treatment, because culture results take weeks.³ Few studies have addressed the correlation between trichoscopic findings and the diagnosis of TC. Since 2008, comma hairs and corkscrew hairs have been described as specific markers for TC in isolated cases and small series of patients.^1,4-7 In fact, we previously reported that none of these trichoscopic signs, when observed alone, was a predictor of TC, however the association of perifollicular scaling with any type of dystrophic hair or with short broken hairs could represent a specific trichoscopic pattern of TC.⁸ In the present study, we expanded our initial population of TC patients, from 38 to 50, followed them up and correlated trichoscopic findings with response to systemic treatment.

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