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  Česky / Czech version Čes.-slov. Pediat., 55, 2000, No. 9, p. 568-573.
 
Two Cases of Tinea Capitis (Kerion Celsi) in Children Treated with Itraconazole Pulsated Regimen 
Baranová Z. 

Dermatovenerologická klinika LF UPJŠ, Košice,
 


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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