Summary:
Tinea capitis is a common skin disease found predominantly in children. The clinical manifestations range from
mild scaling lesions to widespread alopecia or highly inflammatory suppurating lesions. The author presents
a case-record of two children (7-, and 9-year old girls) with kerion Celsi. The causative organisms were Microspo-
rum canis and Trichophyton verrucosum, respectively. The patients were successfully treated by oral itraconazole
pulsated regimen. The dosage regimen was 5 mg/kg per day administered once daily. Each pulse lasted 1 week
with 2 weeks off between consecutive pulses. There were no associated clinical adverse effects with itraconazole
therapy. The author stresses the importance of early diagnosis followed by early and effective treatment to prevent
scarring and permanent hair loss.
Key words:
Tinea capitis, kerion Celsi, Microsporum canis, Trichophyton verrucosum, itraconazole pulsated
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