Division of Dermatology, Department of Medicine, University of Toronto School of Medicine, Toronto, Ontario, Canada.
Mediprobe Research Inc., London, Ontario, Canada.
Pediatr Dermatol. 2022 Mar;39(2):167-172. doi: 10.1111/pde.14925. Epub 2022 Jan 24.
Tinea capitis is an important superficial infection and affects children globally. A literature review was conducted to identify recent findings and the current understanding of this fungal infection. Here, we highlight updates on important aspects of tinea capitis including advances in dermatophyte detection and diagnosis and comparing these new methods to more traditional techniques. Additionally, aspects of treating tinea capitis are discussed, including the importance of mycological confirmation and current means of treatment, and the treatment of asymptomatic carriers are reviewed. This review also examines the subject of laboratory monitoring of patients undergoing treatment with systemic antifungals; we discuss the opinions of prominent researchers and currently accepted guidelines. Lastly, we provide answers to several common questions that practitioners may encounter when treating a child with tinea capitis.
头癣是一种重要的浅部真菌感染，影响全球儿童。我们进行了文献复习，以确定该真菌感染的最新发现和当前认识。在此，我们重点介绍头癣的一些重要方面的最新进展，包括在检测和诊断方面的最新进展，并将这些新方法与更传统的技术进行比较。此外，还讨论了治疗头癣的各个方面，包括真菌学确认的重要性以及目前的治疗方法，还回顾了无症状携带者的治疗。本综述还研究了接受系统抗真菌药物治疗的患者进行实验室监测的问题；我们讨论了著名研究人员的观点和目前公认的指南。最后，我们回答了临床医生在治疗儿童头癣时可能遇到的几个常见问题。
