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Abstract

Tinea capitis is a superficial fungal infection of the scalp and hair, which is seen
predominantly in children. In adults, it is usually related to immunocompromised
patients and have an atypical features. In patients with end stage renal disease (ESRD),
uremia is associated with immune suppression due to the impact of uremic milieu. All
specimens of tinea capitis should be examined for microscopy, wood’s lamp and
culture. Reported a case of 50–year-old male, animal husbandry, presented with itchy
papules, pustules, patch alopecia and a hair loss for 6 months. Dermatologic features
showed papules, pustules, patch alopecia and black dot. The patient treated with
ketoconazole shampoo for 3 weeks without any improvement. He had an ESRD for 2
years. Gram stain examination and culture showed no bacteri. Wood’s lamp
examination showed no fluorescent. Potassium hydroxide (KOH) 10% from scalp
scrapings and KOH 20% from hair showed a fungal elements, which support diagnosis
of black dot tinea capitis. The patient treated with griseofulvin tablet 500 mg twice a
day for 8 weeks, cetirizine tablet 10 mg once daily and 3x/week of ketoconazole
shampoo 2% showed improvement in clinical features and microscopic evaluation.

Keywords

Black dot Bacterial Folliculitis Tinea Capitis

Article Details

How to Cite
Ayu Pranata, R. M., Rusmawardiana, & Fifa Argentina. (2020). Black Dot Type Capitis Tinea Appreciates Bacterial Foliculitis. Jurnal RSMH Palembang, 1(1), 20-24. https://doi.org/10.37275/jrp.v1i1.3

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