Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment
<i>Microsporum canis</i>, a zoophilic dermatophyte, infects the stratum corneum and keratinized tissues like hair and nails in cats and dogs, with cats serving as the primary reservoir. Most human infections arise from animal contact. We present the case of a girl aged 8 with skin scalp...
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MDPI AG
2025-01-01
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| author | Justyna Putek Danuta Nowicka Alina Jankowska-Konsur |
| author_facet | Justyna Putek Danuta Nowicka Alina Jankowska-Konsur |
| author_sort | Justyna Putek |
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| description | <i>Microsporum canis</i>, a zoophilic dermatophyte, infects the stratum corneum and keratinized tissues like hair and nails in cats and dogs, with cats serving as the primary reservoir. Most human infections arise from animal contact. We present the case of a girl aged 8 with skin scalp lesions persisting for two months. Several scalp lesions, with a maximum diameter of 4 cm, presented as erythematous plaques with superficial scaling, yellow crusts, and edematous areas with purulent exudate. Dermoscopy revealed yellow crusts on an erythematous background, along with white scales, pustules, broken hairs, and comma hairs. Ultraviolent-enhanced fluorescence dermoscopy (UEFD) showed slight celadon green fluorescence, which enhanced the diagnosis and further helped to monitor the treatment. The PCR test confirmed the presence of <i>M. canis</i>. Treatment included topical ciclopirox and oral terbinafine. Lesions on the scalp and noticeable hair regrowth were observed in the areas of hair loss after two months. <i>Kerion celsi</i> can result in severe alopecia. To prevent scarring associated with hair loss in children, early mycological diagnostics, supported by dermoscopy and UEFD, is recommended. |
| format | Article |
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| institution | Kabale University |
| issn | 2309-608X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Journal of Fungi |
| spelling | doaj-art-0c10339c0e9949bf80f68aebb0bdfa2b2025-01-24T13:37:22ZengMDPI AGJournal of Fungi2309-608X2025-01-011115210.3390/jof11010052Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> TreatmentJustyna Putek0Danuta Nowicka1Alina Jankowska-Konsur2University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-368 Wroclaw, PolandDivision of Aesthetic Dermatology and Regenerative Medicine of the Skin, Wroclaw Medical University, 50-368 Wroclaw, PolandUniversity Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-368 Wroclaw, Poland<i>Microsporum canis</i>, a zoophilic dermatophyte, infects the stratum corneum and keratinized tissues like hair and nails in cats and dogs, with cats serving as the primary reservoir. Most human infections arise from animal contact. We present the case of a girl aged 8 with skin scalp lesions persisting for two months. Several scalp lesions, with a maximum diameter of 4 cm, presented as erythematous plaques with superficial scaling, yellow crusts, and edematous areas with purulent exudate. Dermoscopy revealed yellow crusts on an erythematous background, along with white scales, pustules, broken hairs, and comma hairs. Ultraviolent-enhanced fluorescence dermoscopy (UEFD) showed slight celadon green fluorescence, which enhanced the diagnosis and further helped to monitor the treatment. The PCR test confirmed the presence of <i>M. canis</i>. Treatment included topical ciclopirox and oral terbinafine. Lesions on the scalp and noticeable hair regrowth were observed in the areas of hair loss after two months. <i>Kerion celsi</i> can result in severe alopecia. To prevent scarring associated with hair loss in children, early mycological diagnostics, supported by dermoscopy and UEFD, is recommended.https://www.mdpi.com/2309-608X/11/1/52fungal infection<i>Kerion celsi</i>alopecia<i>Microsporum canis</i>dermatophytezoonosis |
| spellingShingle | Justyna Putek Danuta Nowicka Alina Jankowska-Konsur Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment Journal of Fungi fungal infection <i>Kerion celsi</i> alopecia <i>Microsporum canis</i> dermatophyte zoonosis |
| title | Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment |
| title_full | Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment |
| title_fullStr | Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment |
| title_full_unstemmed | Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment |
| title_short | Dermoscopy and Ultraviolet-Enhanced Fluorescence Dermoscopy (UEFD) Increase the Accuracy of Diagnosis and Are Useful in Assessing the Effectiveness of <i>Kerion celsi</i> Treatment |
| title_sort | dermoscopy and ultraviolet enhanced fluorescence dermoscopy uefd increase the accuracy of diagnosis and are useful in assessing the effectiveness of i kerion celsi i treatment |
| topic | fungal infection <i>Kerion celsi</i> alopecia <i>Microsporum canis</i> dermatophyte zoonosis |
| url | https://www.mdpi.com/2309-608X/11/1/52 |
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