#MedicalCase

Tinea Capitis or Psoriasis? (General Medicine)

Dr. Albana Greca., MD, MMEDSC

 

Medical Case Details:

Hello, I want an opinion regarding my 11-year-old patient having patches on her head (at first, the patch was small and localized, now it has spread all over her head and starting to spread on the upper arm) for several months now—treatment with Ketoconazole shampoo, antifungal cream combined with a steroid. The mother says she is fine with treatment. Once she stops it, the lesions start again. Plus, her head skin gets fine when bathing, but immediately after bathing, it itches severely. No changes in detergents. She was suggested to use gentle baby shampoo-type Mustela gel shampoo. Also suggested running skin biopsy. I was thinking of starting oral antifungal but wanted a second opinion. Thank you in advance.

 


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    Discussions


    Dr. V. Srikanth Reddy
    Dermatologist

    It's tinea capitis and you can start oral antifungal and avoid using steroid combination creams as it will result in fungal resistance.

    09.Mar, 07:49pm

    Dr. Albana Greca
    General Practitioner

    Thank you Dr.Reddy

    The patient already run skin examination under microscope and resulted negative for fungal infection.

    The dermatologist confirmed psoriasis, and prescribed eosin solution and belosalic shampoo.

    We hope the best for her.
    Thank you.
    Regards

    09.Mar, 08:31pm

    Dr. Udaya Nath Sahoo
    General Practitioner

    Please continue medication for psoriasis and do these investigations -(Cbc with differential and stool examination)

    Thanks,
    Dr sahoo

    ▲ 2
    08.Apr, 11:03am

    Dr. Albana Greca
    General Practitioner

    Thank you Dr.Udaya

    08.Apr, 07:27pm



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