Two Cases of Tinea Capitis (Kerion Celsi) in Children Treated with Itraconazole Pulsated Regimen
Dva prípady Tinea capitis (kerion Celsi) u detí liečených pulznouliečbou itrakonazolom
Tinea capitis je časté ochorenie, vyskytujúce sa prevažne u detí. Klinické prejavy sú veľmi rôznorodé, odmiernych deskvamujúcich sa lézií, cez alopécie až po zápalové suppuratívne lézie. Autorka prezentuje prípadydvoch detí (7- a 9-ročné dievčatá) s prejavmi kerion Celsi. Ochorenia boli vyvolané Microsporum canis a Trichop-hyton verrucosum. Pacienti boli úspešne liečení pulznou liečbou orálnym itrakonazolom v dávke 5 mg/kg denne.Každý pulz trval 1 týždeň s 2-týždňovou prestávkou medzi nimi. Počas liečby neboli zaznamenané žiadne vedľajšieúčinky. Autorka zdôrazňuje dôležitosť včasnej diagnózy s nasledujúcou vhodnou a účinnou liečbou na zabráneniezjazvovatenia a trvalej straty vlasov.
Klíčová slova:
Tinea capitis, kerion Celsi, Microsporum canis, Trichophyton verrucosum, pulzná liečba
Authors:
Z. Baranová
Authors‘ workplace:
Dermatovenerologická klinika LF UPJŠ, Košice
Published in:
Čes-slov Pediat 2000; (9): 568-573.
Category:
Overview
Tinea capitis is a common skin disease found predominantly in children. The clinical manifestations range frommild scaling lesions to widespread alopecia or highly inflammatory suppurating lesions. The author presentsa 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 itraconazolepulsated regimen. The dosage regimen was 5 mg/kg per day administered once daily. Each pulse lasted 1 weekwith 2 weeks off between consecutive pulses. There were no associated clinical adverse effects with itraconazoletherapy. The author stresses the importance of early diagnosis followed by early and effective treatment to preventscarring and permanent hair loss.
Key words:
Tinea capitis, kerion Celsi, Microsporum canis, Trichophyton verrucosum, itraconazole pulsated
Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2000 Issue 9
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
Most read in this issue
- Primary Sclerotizing Cholangitis in Children and Adolescents
- Thyroid Gland Surgery in Children and Adolescents - Indications, Results and Complications
- Clinical Action, Effectiveness and Safety of Ribomunyl Use in the Treatment of Relapsing Res-piratory and ENT Diseases in Children
- Changes in the Variability of the Heart Rate during Mental Stress