Putek Justyna, Nowicka Danuta, Jankowska-Konsur Alina
University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Division of Aesthetic Dermatology and Regenerative Medicine of the Skin, Wroclaw Medical University, 50-368 Wroclaw, Poland.
J Fungi (Basel). 2025 Jan 9;11(1):52. doi: 10.3390/jof11010052.
, 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 . 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. can result in severe alopecia. To prevent scarring associated with hair loss in children, early mycological diagnostics, supported by dermoscopy and UEFD, is recommended.
作为一种亲动物性皮肤癣菌，感染猫和狗的角质层以及毛发和指甲等角化组织，猫是主要储存宿主。大多数人类感染源于与动物的接触。我们报告一例8岁女孩，头皮皮肤损伤持续两个月。多个头皮损伤，最大直径4厘米，表现为红斑性斑块，伴有浅表鳞屑、黄色痂皮以及有脓性渗出物的水肿区域。皮肤镜检查显示红斑背景上有黄色痂皮，以及白色鳞屑、脓疱、断发和逗号状毛发。紫外线增强荧光皮肤镜检查（UEFD）显示轻微的青瓷绿色荧光，这有助于诊断并进一步监测治疗。聚合酶链反应（PCR）检测证实了……的存在。治疗包括外用环吡酮和口服特比萘芬。两个月后，在脱发区域观察到头皮损伤以及明显的毛发再生。……可导致严重脱发。为防止儿童脱发相关的瘢痕形成，建议在皮肤镜检查和UEFD的支持下进行早期真菌学诊断。
