Surgery of Kerion, a Nightmare for Nondermatologists
Kerion is an inflammatory type of tinea capitis characterized by swelling and alopecia of the scalp, which could be mistaken as bacterial infection. It occurs most frequently in children. We report a 10-year-old child whose kerion was misdiagnosed as bacterial abscess and unnecessarily incised. Late...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8825912 |
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| _version_ | 1832546971337883648 |
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| author | Vikash Paudel |
| author_facet | Vikash Paudel |
| author_sort | Vikash Paudel |
| collection | DOAJ |
| description | Kerion is an inflammatory type of tinea capitis characterized by swelling and alopecia of the scalp, which could be mistaken as bacterial infection. It occurs most frequently in children. We report a 10-year-old child whose kerion was misdiagnosed as bacterial abscess and unnecessarily incised. Later, her condition was rediagnosed as kerion based on clinical appearance and potassium hydroxide wet mount. The lesions resolved completely with systemic antifungal treatment, griseofulvin, leaving residual scarring alopecia. The delay in the proper diagnosis and inappropriate treatment of this patient resulted in permanent scarring alopecia. Thus, clinicians must have a high index of suspicion for tinea capitis when dealing with inflammatory scalp lesions. |
| format | Article |
| id | doaj-art-c28d3dc491ea4352915491fcf0eda322 |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-c28d3dc491ea4352915491fcf0eda3222025-02-03T06:46:35ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712020-01-01202010.1155/2020/88259128825912Surgery of Kerion, a Nightmare for NondermatologistsVikash Paudel0Department of Dermatology, National Medical College, Birgunj, Parsa, NepalKerion is an inflammatory type of tinea capitis characterized by swelling and alopecia of the scalp, which could be mistaken as bacterial infection. It occurs most frequently in children. We report a 10-year-old child whose kerion was misdiagnosed as bacterial abscess and unnecessarily incised. Later, her condition was rediagnosed as kerion based on clinical appearance and potassium hydroxide wet mount. The lesions resolved completely with systemic antifungal treatment, griseofulvin, leaving residual scarring alopecia. The delay in the proper diagnosis and inappropriate treatment of this patient resulted in permanent scarring alopecia. Thus, clinicians must have a high index of suspicion for tinea capitis when dealing with inflammatory scalp lesions.http://dx.doi.org/10.1155/2020/8825912 |
| spellingShingle | Vikash Paudel Surgery of Kerion, a Nightmare for Nondermatologists Case Reports in Dermatological Medicine |
| title | Surgery of Kerion, a Nightmare for Nondermatologists |
| title_full | Surgery of Kerion, a Nightmare for Nondermatologists |
| title_fullStr | Surgery of Kerion, a Nightmare for Nondermatologists |
| title_full_unstemmed | Surgery of Kerion, a Nightmare for Nondermatologists |
| title_short | Surgery of Kerion, a Nightmare for Nondermatologists |
| title_sort | surgery of kerion a nightmare for nondermatologists |
| url | http://dx.doi.org/10.1155/2020/8825912 |
| work_keys_str_mv | AT vikashpaudel surgeryofkerionanightmarefornondermatologists |