Epidemiological, clinical and etiological profile of tinea capitis in adult patients in Dakar, Senegal
Copyright © 2018 Elsevier Masson SAS. All rights reserved..
OBJECTIVE: To determine the epidemiological and etiological profile of tinea capitis in adults in Dakar (Senegal).
PATIENTS AND METHODS: A 9-month prospective, multicenter, descriptive and analytic study. Patients included were aged over 18 years. Mycological tests were used to confirm the diagnosis.
RESULTS: 121 patients were included with a mean age of 36.1 years and a hospitalisation frequency of 0.8%. The age range of 64.4% of patients was between19 and 38 years. 51% of patients were housewives. A low socioeconomic level was found in 72.8% of cases. In 3.3% of patients, the disease began in childhood. 31.4% of patients had already consulted a traditional healer. Similar familial cases were noted in 60.3% of patients. Contact with a sheep was noted in 32.2% of cases, deliberate skin lightening in 64% of women, hair salon attendance in 46.7% of women, and immunosuppression in 17.3% of patients, while itching was present in 95.5%. Dermatologic examination showed scaled plaques and a diffuse form, with 92.6% and 64% (n=75) respectively. Wood's light examination was positive in 40.2% of patients. A positive culture test was found in 71%. The most frequently encountered species were: T. soudanense (65%), M. audouinii (21%), T. rubrum (4.7%), M. gypseum (3.5%), T. violaceum (2.3%), T. verrucosum (2.3%) and M. canis (1 case). The clinical course was favorable under treatment with griseofulvin or terbinafine.
CONCLUSION: Tinea capitis in adults mainly affects young women. The diffuse form is the most common. The most frequently encountered species was T. soudanense.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2019 |
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Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:146 |
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Enthalten in: |
Annales de dermatologie et de venereologie - 146(2019), 2 vom: 23. Feb., Seite 100-105 |
Sprache: |
Französisch |
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Weiterer Titel: |
Profil épidémio-clinique et étiologique des teignes du cuir chevelu chez l’adulte à Dakar (Sénégal) |
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Beteiligte Personen: |
Diop, A [VerfasserIn] |
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Links: |
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Anmerkungen: |
Date Completed 15.11.2019 Date Revised 15.11.2019 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.annder.2018.11.007 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM292669534 |
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245 | 1 | 0 | |a Epidemiological, clinical and etiological profile of tinea capitis in adult patients in Dakar, Senegal |
246 | 3 | 3 | |a Profil épidémio-clinique et étiologique des teignes du cuir chevelu chez l’adulte à Dakar (Sénégal) |
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500 | |a Date Revised 15.11.2019 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2018 Elsevier Masson SAS. All rights reserved. | ||
520 | |a OBJECTIVE: To determine the epidemiological and etiological profile of tinea capitis in adults in Dakar (Senegal) | ||
520 | |a PATIENTS AND METHODS: A 9-month prospective, multicenter, descriptive and analytic study. Patients included were aged over 18 years. Mycological tests were used to confirm the diagnosis | ||
520 | |a RESULTS: 121 patients were included with a mean age of 36.1 years and a hospitalisation frequency of 0.8%. The age range of 64.4% of patients was between19 and 38 years. 51% of patients were housewives. A low socioeconomic level was found in 72.8% of cases. In 3.3% of patients, the disease began in childhood. 31.4% of patients had already consulted a traditional healer. Similar familial cases were noted in 60.3% of patients. Contact with a sheep was noted in 32.2% of cases, deliberate skin lightening in 64% of women, hair salon attendance in 46.7% of women, and immunosuppression in 17.3% of patients, while itching was present in 95.5%. Dermatologic examination showed scaled plaques and a diffuse form, with 92.6% and 64% (n=75) respectively. Wood's light examination was positive in 40.2% of patients. A positive culture test was found in 71%. The most frequently encountered species were: T. soudanense (65%), M. audouinii (21%), T. rubrum (4.7%), M. gypseum (3.5%), T. violaceum (2.3%), T. verrucosum (2.3%) and M. canis (1 case). The clinical course was favorable under treatment with griseofulvin or terbinafine | ||
520 | |a CONCLUSION: Tinea capitis in adults mainly affects young women. The diffuse form is the most common. The most frequently encountered species was T. soudanense | ||
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