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Global Demographic Characteristics and Pathogen Spectrum of Tinea Capitis

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Abstract

Tinea capitis is an important superficial fungal infection with a global distribution. It mainly affects prepubertal children and is more common in males. Anthropophilic and zoophilic dermatophytes are responsible for most infections. The pathogen spectrum of tinea capitis varies across different regions and changes over time, and is influenced by multiple factors, such as economic development, changes in lifestyle, immigration and animal distribution. This review aimed to clarify the demographic and etiological characteristics of tinea capitis worldwide and determine the common trends of causative pathogens. By mainly analyzing the literature published from 2015 to 2022, we found that the incidence and demographic characteristics of tinea capitis remained generally stable. Zoophilic Microsporum canis, anthropophilic Trichophyton violaceum and Trichophyton tonsurans were the predominant pathogens. The pathogen spectra in different countries changed in different directions. In some countries, the main pathogen shifted to an anthropophilic dermatophyte, such as T. tonsurans, Microsporum audouinii or T. violaceum; in contrast, it shifted to a zoophilic agent, such as M. canis, in some other countries. Dermatologists are advised to continue monitoring the pathogen spectrum and implement preventive measures according to the reported changes.

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References

  1. Ferguson L, Fuller LC. Spectrum and burden of dermatophytes in children. J Infect. 2017;74(Suppl 1):S54–60. https://doi.org/10.1016/s0163-4453(17)30192-5.

    Article  PubMed  Google Scholar 

  2. Rodríguez-Cerdeira C, Martínez-Herrera E, Szepietowski JC, Pinto-Almazán R, Frías-De-León MG, Espinosa-Hernández VM, et al. A systematic review of worldwide data on tinea capitis: analysis of the last 20 years. J Eur Acad Dermatol Venereol. 2021;35(4):844–83. https://doi.org/10.1111/jdv.16951.

    Article  PubMed  Google Scholar 

  3. Wang HN, Shang CS, Yang SJ, Shih IH, Hui CR, Yang CY, et al. Clinical and epidemiological characteristics of tinea capitis in northern Taiwan during 2014–2019: an unusual bimodal distribution of patients and comparison of paediatric and adult cases. Mycoses. 2021;64(5):484–94. https://doi.org/10.1111/myc.13234.

    Article  CAS  PubMed  Google Scholar 

  4. Zhan P, Li D, Wang C, Sun J, Geng C, Xiong Z, et al. Epidemiological changes in tinea capitis over the sixty years of economic growth in China. Med Mycol. 2015;53(7):691–8. https://doi.org/10.1093/mmy/myv057.

    Article  PubMed  Google Scholar 

  5. Bassyouni RH, El-Sherbiny NA, Abd El Raheem TA, Mohammed BH. Changing in the epidemiology of tinea capitis among school children in Egypt. Ann Dermatol. 2017;29(1):13–9. https://doi.org/10.5021/ad.2017.29.1.13.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Farag AGA, Hammam MA, Ibrahem RA, Mahfouz RZ, Elnaidany NF, Qutubuddin M, et al. Epidemiology of dermatophyte infections among school children in Menoufia Governorate. Egypt Mycoses. 2018;61(5):321–5. https://doi.org/10.1111/myc.12743.

    Article  PubMed  Google Scholar 

  7. Shalaby MF, El-Din AN, El-Hamd MA. Isolation, identification, and in vitro antifungal susceptibility testing of dermatophytes from clinical samples at Sohag University Hospital in Egypt. Electr Phys. 2016;8(6):2557–67. https://doi.org/10.19082/2557.

    Article  Google Scholar 

  8. Gohar NM, El-Batal HM, Elawady BA, Samir N. Phenotypic methods versus PCR-RFLP for the identification of dermatophyte species isolated from patients with dermatophytosis in Egypt. Afr J Clin Exp Microbiol. 2019;20(2):117–26. https://doi.org/10.4314/ajcem.v20i2.5.

    Article  Google Scholar 

  9. Tartor YH, Abo Hashem ME, Enany S. Towards a rapid identification and a novel proteomic analysis for dermatophytes from human and animal dermatophytosis. Mycoses. 2019;62(12):1116–26. https://doi.org/10.1111/myc.12998.

    Article  CAS  PubMed  Google Scholar 

  10. Tawfik KM, Mohammed RR, Sobhy A, Shaltout AS. Conventional and molecular diagnostics for detection of causative fungi in clinical samples of human dermatomycosis. J Egypt Women Dermatol Soc. 2022;19(1):21–30. https://doi.org/10.4103/jewd.jewd_38_21.

    Article  Google Scholar 

  11. Kallel A, Hdider A, Fakhfakh N, Belhadj S, Belhadj-Salah N, Bada N, et al. Tinea capitis: main mycosis child. Epidemiological study on 10 years. J Mycol Med. 2017;27(3):345–50. https://doi.org/10.1016/j.mycmed.2017.02.009.

    Article  CAS  PubMed  Google Scholar 

  12. Hamroune Z, Mazouz A, Benelmouffok AB, Kellou D. Evolution of tinea capitis observed in mycology laboratory of institute Pasteur of Algeria from 1995 to 2015. J Mycol Med. 2016;26(4):337–44. https://doi.org/10.1016/j.mycmed.2016.06.005.

    Article  CAS  PubMed  Google Scholar 

  13. Litaiem N, Jabeur K, Kaabi W, El Khalifa J, Dhaoui MR, Youssef S, et al. Epidemiology of tinea capitis in northern Tunisia. J Mycol Med. 2014;24(2):175–6. https://doi.org/10.1016/j.mycmed.2014.03.002.

    Article  CAS  PubMed  Google Scholar 

  14. Kheffache H, Seklaoui N, Bouchara JP, Boukhemza-Zemmouri N, Boukhemza M. Tinea capitis at the University Hospital of Tizi-Ouzou, Algeria, and first isolation of Trichophyton tonsurans. J Mycol Med. 2020;30(4):101040. https://doi.org/10.1016/j.mycmed.2020.101040.

    Article  CAS  PubMed  Google Scholar 

  15. Moubasher AH, Abdel-Sater MA, Soliman Z. Incidence and biodiversity of yeasts, dermatophytes and non-dermatophytes in superficial skin infections in Assiut. Egypt J Mycol Med. 2017;27(2):166–79. https://doi.org/10.1016/j.mycmed.2017.01.005.

    Article  CAS  PubMed  Google Scholar 

  16. Doss RW, El-Rifaie A-A, Radi N, El-Sherif AY. Antimicrobial susceptibility of tinea capitis in children from Egypt. Indian J Dermatol. 2018;63(2):155–9. https://doi.org/10.4103/ijd.IJD_519_17.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mourad B, Ismail M, Hawwam S, Msseha M, Hassan R. Evaluation of the efficacy of fluorescent staining and Chicago sky blue staining as methods for diagnosis of dermatophytosis in hair and nails. Clin Cosmet Investig Dermatol. 2019;12:751–8. https://doi.org/10.2147/CCID.S215661.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Genedy RM, Sorour OA, Elokazy MAW. Trichoscopic signs of tinea capitis: a guide for selection of appropriate antifungal. Int J Dermatol. 2021;60(4):471–81. https://doi.org/10.1111/ijd.15289.

    Article  CAS  PubMed  Google Scholar 

  19. Boudaya S, Chaabouni R, Miladi S, Bahloul E, Masmoudi A, Turki H. The epidemiological and clinical profile of tinea capitis in infants in the South of Tunisia. J Dermatol Nurses’ Assoc. 2020;12(2):1.

    Google Scholar 

  20. Pérez-Tanoira R, Marín I, Berbegal L, Prieto-Pérez L, Tisiano G, Cuadros J, et al. Mycological profile of tinea capitis in schoolchildren in rural southern Ethiopia. Med Mycol. 2017;55(3):262–8. https://doi.org/10.1093/mmy/myw061.

    Article  PubMed  Google Scholar 

  21. Teklebirhan G, Bitew A. Prevalence of dermatophytic infection and the spectrum of dermatophytes in patients attending a tertiary hospital in Addis Ababa Ethiopia. Int J Microbiol. 2015;2015:653419. https://doi.org/10.1155/2015/653419.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Bitew A. Dermatophytosis: prevalence of dermatophytes and non-dermatophyte fungi from patients attending Arsho advanced medical laboratory, addis ababa. Ethiopia Dermatol Res Pract. 2018;2018:8164757. https://doi.org/10.1155/2018/8164757.

    Article  PubMed  Google Scholar 

  23. Araya S, Abuye M, Negesso AE. Epidemiological characterization of dermatomycosis in Ethiopia. Clin Cosmet Investig Dermatol. 2021;14:83–9. https://doi.org/10.2147/CCID.S292286.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Araya S, Tesfaye B, Fente D. Epidemiology of dermatophyte and non-dermatophyte fungi infection in Ethiopia. Clin Cosmet Investig Dermatol. 2020;13:291–7. https://doi.org/10.2147/CCID.S246183.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Ali Dawa M, Tesfa T, Weldegebreal F. Mycological profile and its associated factors among patients suspected of dermatophytosis at Bisidimo Hospital. Eastern Ethiopia Clin Cosmet Investig Dermatol. 2021;14:1899–908. https://doi.org/10.2147/CCID.S344846.

    Article  CAS  PubMed  Google Scholar 

  26. Wiegand C, Mugisha P, Mulyowa GK, Elsner P, Hipler UC, Gräser Y, et al. Identification of the causative dermatophyte of tinea capitis in children attending Mbarara Regional Referral Hospital in Uganda by PCR-ELISA and comparison with conventional mycological diagnostic methods. Med Mycol. 2017;55(6):660–8. https://doi.org/10.1093/mmy/myw112.

    Article  CAS  PubMed  Google Scholar 

  27. Sy O, Diongue K, Ba O, Ahmed CB, Elbechir MA, Abdallahi MSM, et al. Tinea capitis in school children from Mauritania: a comparative study between urban and rural areas. J Mycol Med. 2021;31(2):101048. https://doi.org/10.1016/j.mycmed.2020.101048.

    Article  CAS  PubMed  Google Scholar 

  28. Dogo J, Afegbua SL, Dung EC. Prevalence of tinea capitis among school children in Nok community of Kaduna State. Nigeria J Pathog. 2016;2016:9601717. https://doi.org/10.1155/2016/9601717.

    Article  PubMed  Google Scholar 

  29. Diongue K, Diallo MA, Ndiaye M, Badiane AS, Seck MC, Diop A, et al. Causative agents of superficial mycoses isolated in Dakar, Senegal: retrospective study from 2011 to 2015. J Mycol Med. 2016;26(4):368–76. https://doi.org/10.1016/j.mycmed.2016.08.003.

    Article  CAS  PubMed  Google Scholar 

  30. Badiane AS, Diongue K, Seck MC, Ndiaye M, Ndiaye D. Epidemiological aspects of superficial fungal infections in Koranic schools in two localities of Senegal (Thies and Touba). Mycoses. 2021;64(9):1132–6. https://doi.org/10.1111/myc.13330.

    Article  PubMed  Google Scholar 

  31. Ndiaye M, Diongue K, Seck MC, Badiane AS, Diallo MA, Deme AB, et al. Epidemiological profile of tinea capitis in Dakar (Senegal). A 6-year retrospective study (2008–2013). J Mycol Med. 2015;25(2):169–76. https://doi.org/10.1016/j.mycmed.2015.03.004.

    Article  CAS  PubMed  Google Scholar 

  32. Olarinoye GM, Katibi OS, Ilesanmi ON, Fayemiwo SA, Ogunbiyi AO, George AO. Trichoscopic features of tinea capitis among primary school children in north central Nigeria. Int J Dermatol. 2020;59(11):1346–52. https://doi.org/10.1111/ijd.15130.

    Article  PubMed  Google Scholar 

  33. Adesiji YO, Omolade FB, Aderibigbe IA, Ogungbe O, Adefioye OA, Adedokun SA, et al. Prevalence of tinea capitis among children in Osogbo, Nigeria, and the associated risk factors. Diseases. 2019;7(1):1–10. https://doi.org/10.3390/diseases7010013.

    Article  Google Scholar 

  34. Getso MI, Hashemi SJ, Ghazvini RD, Yusuf SM, Khodavaisy S, Gerami-Shoar M, et al. Determination of dermatophytes isolated from tinea capitis using conventional and ITS-based sequencing methods in Kano, Nigeria. J Mycol Med. 2021;31(3):101157. https://doi.org/10.1016/j.mycmed.2021.101157.

  35. Ayodele EH, Nwabuisi C, Abayomi F. Prevalence, identification and antifungal susceptibility of dermatophytes causing tinea capitis in a locality of north central Nigeria. Afr J Infect Dis. 2021;15(1):1–9. https://doi.org/10.21010/ajid.v15i1.1.

    Article  PubMed  Google Scholar 

  36. Ndiaye M, Sacheli R, Diongue K, Adjetey C, Darfouf R, Seck MC, et al. Evaluation of the multiplex real-time PCR DermaGenius® assay for the detection of dermatophytes in hair samples from Senegal. J Fungi (Basel). 2021;8(1):11. https://doi.org/10.3390/jof8010011.

    Article  CAS  PubMed  Google Scholar 

  37. Diop A, Ly F, Diagne F, Ndiaye MT, Seck B, Ndiaye M, et al. Epidemiological, clinical and etiological profile of tinea capitis in adult patients in Dakar Senegal. Ann Dermatol Venereol. 2019;146(2):100–5. https://doi.org/10.1016/j.annder.2018.11.007.

    Article  CAS  PubMed  Google Scholar 

  38. Kabtani J, Diongue K, Dione JN, Delmas A, L’Ollivier C, Amoureux MC, et al. Real-time PCR assay for the detection of dermatophytes: comparison between an in-house method and a commercial kit for the diagnosis of dermatophytoses in patients from Dakar, Senegal. J Fungi (Basel). 2021;7(11):949. https://doi.org/10.3390/jof7110949.

    Article  CAS  PubMed  Google Scholar 

  39. Marcoux D, Dang J, Auguste H, McCuaig C, Powell J, Hatami A, et al. Emergence of African species of dermatophytes in tinea capitis: a 17-year experience in a Montreal pediatric hospital. Pediatr Dermatol. 2018;35(3):323–8. https://doi.org/10.1111/pde.13446.

    Article  PubMed  Google Scholar 

  40. Nguyen CV, Collier S, Merten AH, Maguiness SM, Hook KP. Tinea capitis: a single-institution retrospective review from 2010 to 2015. Pediatr Dermatol. 2020;37(2):305–10. https://doi.org/10.1111/pde.14092.

    Article  PubMed  Google Scholar 

  41. Aranibar Duran L, Stevens González J, Palma Ducommun C, Zapata Manque S, Pizarro OJ. Epidemiological study of tinea capitis in a population of Santiago de Chile. The appearance of Trichophyton tonsurans as an etiological agent. Piel. 2017;32(10):604–9. https://doi.org/10.1016/j.piel.2017.06.007.

    Article  Google Scholar 

  42. Messina F, Walker L, Romero MLM, Arechavala AI, Negroni R, Depardo R, et al. Tinea capitis: clinical features and therapeutic alternatives. Rev Argent Microbiol. 2021;53(4):309–13. https://doi.org/10.1016/j.ram.2021.01.004.

    Article  PubMed  Google Scholar 

  43. Veasey JV, Miguel BAF, Mayor SAS, Zaitz C, Muramatu LH, Serrano JA. Epidemiological profile of tinea capitis in São Paulo City. An Bras Dermatol. 2017;92(2):283–4. https://doi.org/10.1590/abd1806-4841.20175463.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Peixoto RRGB, Meneses OMS, da Silva FO, Donati A, Veasey JV. Tinea capitis: correlation of clinical aspects, findings on direct mycological examination, and agents isolated from fungal culture. Int J Trichol. 2019;11(6):232–5. https://doi.org/10.4103/ijt.ijt_88_19.

    Article  Google Scholar 

  45. Veasey JV, Muzy GSC. Tinea capitis: correlation of clinical presentations to agents identified in mycological culture. An Bras Dermatol. 2018;93(3):465–6. https://doi.org/10.1590/abd1806-4841.20187435.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Takenaka M, Murota H, Nishimoto K. Epidemiological survey of 42403 dermatophytosis cases examined at Nagasaki University Hospital from 1966 to 2015. J Dermatol. 2020;47(6):615–21. https://doi.org/10.1111/1346-8138.15340.

    Article  PubMed  Google Scholar 

  47. Lee WJ, Lee EH, Bang YJ, Jun JB. Retrospective two-centre study on prepubertal children with tinea capitis in Korea. Mycoses. 2020;63(1):52–7. https://doi.org/10.1111/myc.13014.

    Article  CAS  PubMed  Google Scholar 

  48. Lee HJ, Kim JY, Park KD, Jang YH, Lee SJ, Bang YJ, et al. Analysis of adult patients with tinea capitis in southeastern Korea. Ann Dermatol. 2020;32(2):109–14. https://doi.org/10.5021/ad.2020.32.2.109.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. He M, Zeng J, Mao Y, Zheng Y, Lian X, Chen H. Aetiological changes of tinea capitis in the Hubei area in 60 years: focus on adult tinea capitis. Mycoses. 2021;64(12):1527–34. https://doi.org/10.1111/myc.13305.

    Article  PubMed  Google Scholar 

  50. Li L, Fang J, Liu J. The distribution features of pathogenic fungi of 127 cases of tinea capitis in Jingzhou. Chin J Mycol. 2016;11(1):41–4. https://doi.org/10.3969/j.issn.1673-3827.2016.01.010.

    Article  Google Scholar 

  51. Wang X, Hadiliya H, Dong X, Zhou S, Liu X, Paride A. Retrospective analysis of 122 patients with tinea capitis in a third-grade class-A hospital in Xinjiang from 2010 to 2018. Chin J Dermatol. 2020;53(4):290–2. https://doi.org/10.35541/cjd.20190363.

    Article  Google Scholar 

  52. Wang X, Ding C, Xu Y, Yu H, Zhang S, Yang C. Analysis on the pathogenic fungi in patients with superficial mycosis in the Northeastern China during 10 years. Exp Ther Med. 2020;20(6):281. https://doi.org/10.3892/etm.2020.9411.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Zhi H, Shen H, Zhong Y, Sang B, Lv W, Li Q, et al. Tinea capitis in children: a single-institution retrospective review from 2011 to 2019. Mycoses. 2021;64(5):550–4. https://doi.org/10.1111/myc.13243.

    Article  PubMed  Google Scholar 

  54. Park SK, Park SW, Yun SK, Kim HU, Park J. Tinea capitis in adults: a 18-year retrospective, single-centre study in Korea. Mycoses. 2019;62(7):609–16. https://doi.org/10.1111/myc.12916.

    Article  PubMed  Google Scholar 

  55. Lee WJ, Eun DH, Jang YH, Bang YJ, Jun JB. The incidences of dermatophytosis and cutaneous candidiasis infection in southeastern Korea between 2013 and 2016. J Mycol Infect. 2018;23(1):1–8. https://doi.org/10.17966/jmi.2018.23.1.1.

    Article  Google Scholar 

  56. Cheon S-J, Lee JH, Lee YW, Park J, Suh MK, Kim H, et al. Epidemiology and identification of organisms causing superficial dermatomycoses at tertiary hospitals in Korea: a prospective multicenter study. J Mycol Infect. 2018;23(2):45–53. https://doi.org/10.17966/jmi.2018.23.2.45.

    Article  Google Scholar 

  57. Liang G, Zheng X, Song G, Zhang M, Liu J, Zang X, et al. Adult tinea capitis in China: a retrospective analysis from 2000 to 2019. Mycoses. 2020;63(8):876–88. https://doi.org/10.1111/myc.13102.

    Article  CAS  PubMed  Google Scholar 

  58. Chen XQ, Zheng DY, Xiao YY, Dong BL, Cao CW, Ma L, et al. Aetiology of tinea capitis in China: a multicentre prospective study. Br J Dermatol. 2022;186(4):705–12. https://doi.org/10.1111/bjd.20875.

    Article  PubMed  Google Scholar 

  59. Shimoyama H, Sei Y. 2016 epidemiological survey of dermatomycoses in Japan. Med Mycol J. 2019;60(3):75–82. https://doi.org/10.3314/mmj.19.007.

    Article  PubMed  Google Scholar 

  60. Sohng C, Kim JY, Park KD, Jang YH, Lee S-J, Bang YJ, et al. Epidemiological and mycological characteristics of teenagers with tinea capitis in Southeastern Korea: Trichophyton tonsurans as the main causative fungus in recent 10 years. J Mycol Inf. 2019;24(3):79–84. https://doi.org/10.17966/JMI.2019.24.3.79.

    Article  Google Scholar 

  61. Venitarani SA, Handayani S, Ervianti E. Profile of patients with tinea capitis. Dermatol Rep. 2019;11(s1):62–4. https://doi.org/10.4081/dr.2019.8042.

    Article  Google Scholar 

  62. Jerasutus S, Vejjabhinanta V, Prapapan O. Treatment of tinea capitis with topical 1% encapsulated terbinafine hydrochloride gel: a pilot study. Pediatr Dermatol. 2020;37(6):1090–3. https://doi.org/10.1111/pde.14377.

    Article  PubMed  Google Scholar 

  63. Tan CW, Foong AY, Liew HM, Koh MJ. A review of tinea capitis in a cohort of Asian children. Ann Acad Med Singap. 2018;47(4):156–8.

    Article  PubMed  Google Scholar 

  64. Norrenberg S, Monod M, Christen-Zaech S. Outbreak of Trichophyton soudanense causing tinea capitis in an orphanage in Myanmar. J Mycol Med. 2020;30(4):101013. https://doi.org/10.1016/j.mycmed.2020.101013.

    Article  CAS  PubMed  Google Scholar 

  65. Allahdadi M, Hajihossein R, Kord M, Rahmati E, Amanloo S, Didehdar M. Molecular characterization and antifungal susceptibility profile of dermatophytes isolated from scalp dermatophyte carriage in primary school children in Arak city. Center of Iran J Mycol Med. 2019;29(1):19–23. https://doi.org/10.1016/j.mycmed.2019.01.002.

    Article  CAS  PubMed  Google Scholar 

  66. Zareshahrabadi Z, Totonchi A, Rezaei-Matehkolaei A, Ilkit M, Ghahartars M, Arastehfar A, et al. Molecular identification and antifungal susceptibility among clinical isolates of dermatophytes in Shiraz, Iran (2017–2019). Mycoses. 2021;64(4):385–93. https://doi.org/10.1111/myc.13226.

    Article  CAS  PubMed  Google Scholar 

  67. Khodadadi H, Zomorodian K, Nouraei H, Zareshahrabadi Z, Barzegar S, Zare MR, et al. Prevalence of superficial-cutaneous fungal infections in Shiraz, Iran: a five-year retrospective study (2015–2019). J Clin Lab Anal. 2021;35(7):e73850.

    Article  Google Scholar 

  68. Ebrahimi M, Zarrinfar H, Naseri A, Najafzadeh MJ, Fata A, Parian M, et al. Epidemiology of dermatophytosis in northeastern Iran A subtropical region. Curr Med Mycol. 2019;5(2):16–21. https://doi.org/10.18502/cmm.5.2.1156.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Farokhipor S, Ghiasian SA, Nazeri H, Kord M, Didehdar M. Characterizing the clinical isolates of dermatophytes in Hamadan city, Central west of Iran, using PCR-RLFP method. J Mycol Med. 2018;28(1):101–5. https://doi.org/10.1016/j.mycmed.2017.11.009.

    Article  CAS  PubMed  Google Scholar 

  70. Kermani F, Moosazadeh M, Hedayati MT, Abastabar M, Haghani I, Aghili SR, et al. Molecular epidemiology of Tinea gladiatorum in contact sports in northern Iran. Mycoses. 2020;63(5):509–16. https://doi.org/10.1111/myc.13069.

    Article  CAS  PubMed  Google Scholar 

  71. Usman B, Rehman A, Naz I, Anees M. Prevalence and antifungal drug resistance of dermatophytes in the clinical samples from Pakistan. Acta Microbiol Immunol Hung. 2021;68(4):291–6. https://doi.org/10.1556/030.2021.01461.

    Article  CAS  Google Scholar 

  72. Kumar P, Pandhi D, Bhattacharya SN, Das S. Trichoscopy as a diagnostic tool for tinea capitis: a prospective, observational study. Int J Trichology. 2020;12(2):68–74. https://doi.org/10.4103/ijt.ijt_30_20.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Kumar P, Pandhi D, Bhattacharya SN, Das S. Trichoscopy as a monitoring tool in assessing treatment response in 98 children with tinea capitis: a prospective clinical study. Dermatol Ther. 2021;34(4):15010. https://doi.org/10.1111/dth.15010.

    Article  CAS  Google Scholar 

  74. Khosravi AR, Shokri H, Vahedi G. Factors in etiology and predisposition of adult tinea capitis and review of published literature. Mycopathologia. 2016;181(5–6):371–8. https://doi.org/10.1007/s11046-016-0004-9.

    Article  PubMed  Google Scholar 

  75. Sadeghi Tafti H, Falahati M, Kordbacheh P, Mahmoudi M, Safara M, Rashidian S, et al. A survey of the etiological agents of scalp and nail dermatophytosis in Yazd, Iran in 2014–2015. Curr Med Mycol. 2015;1(4):1–6. https://doi.org/10.18869/acadpub.cmm.1.4.1.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Mikaeili A, Kavoussi H, Hashemian AH, Shabandoost Gheshtemi M, Kavoussi R. Clinico-mycological profile of tinea capitis and its comparative response to griseofulvin versus terbinafine. Curr Med Mycol. 2019;5(1):15–20. https://doi.org/10.18502/cmm.5.1.532.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Khaled JM, Golah HA, Khalel AS, Alharbi NS, Mothana RA. Dermatophyte and non dermatophyte fungi in Riyadh City. Saudi Arabia Saudi J Biol Sci. 2015;22(5):604–9. https://doi.org/10.1016/j.sjbs.2014.12.006.

    Article  PubMed  Google Scholar 

  78. Friedland R, Reiss-Huss S, Sabbah F, Ben AD. Clinical clues and trends in epidemiology and pathogens in paediatric tinea capitis: a retrospective cohort study. Clin Exp Dermatol. 2022;47(1):50–6. https://doi.org/10.1111/ced.14831.

    Article  CAS  PubMed  Google Scholar 

  79. Mohsen AH, Mohsen IH, Al-Khafaji AN. Compared between the efficiency of chemotherapy and alcoholic extract of plant leaves Melia azedarch L. in the growth of many fungi that cause tinea capitis in humans in the laboratory. J Pharm Sci Res. 2019;11(2):393–7.

    CAS  Google Scholar 

  80. Alkhafaji FHM, Sallal HJ, Imran ZK. Genotyping tinea capitis fungi based on barcoding ITS rDNA marker. Med-Leg Update. 2020;20(3):564–8.

    Google Scholar 

  81. Grunwald MH, Amichai B, Shemer A. Fingertip contamination after a brief touch of tinea capitis lesions caused by Microsporum canis. Br J Dermatol. 2015;172(1):291–2. https://doi.org/10.1111/bjd.13223.

    Article  CAS  PubMed  Google Scholar 

  82. Bar J, Samuelov L, Sprecher E, Mashiah J. Griseofulvin vs terbinafine for paediatric tinea capitis: when and for how long. Mycoses. 2019;62(10):949–53. https://doi.org/10.1111/myc.12970.

    Article  CAS  PubMed  Google Scholar 

  83. Shemer A, Gupta AK, Galili E, Daniel R, Kassem R, Farhi R, et al. Management of tinea capitis in Israel: a comparative study. Pediatr Dermatol. 2021;38(4):806–11. https://doi.org/10.1111/pde.14572.

    Article  PubMed  Google Scholar 

  84. Gawdzik A, Nowogrodzka K, Hryncewicz-Gwóźdź A, Maj J, Szepietowski J, Jankowska-Konsur A. Epidemiology of dermatomycoses in southwest Poland, years 2011–2016. Postepy Dermatol Alergol. 2019;36(5):604–8. https://doi.org/10.5114/ada.2018.80615.

    Article  PubMed  Google Scholar 

  85. Colosi IA, Cognet O, Colosi HA, Sabou M, Costache C. Dermatophytes and dermatophytosis in Cluj-Napoca, Romania—A 4-year cross-sectional study. J Fungi (Basel). 2020;6(3):154. https://doi.org/10.3390/jof6030154.

    Article  PubMed  Google Scholar 

  86. Baranová Z, Kampe T, Dorko E, Rimárová K. Epidemiological and clinical aspects of dermatophytoses in Eastern Slovakia: a retrospective three-year study. Cent Eur J Public Health. 2018;26:S72–5. https://doi.org/10.21101/cejph.a5279.

    Article  PubMed  Google Scholar 

  87. Lindsø Andersen P, Jemec GB, Saunte DML. Treatment adherence and psychosocial impact of tinea capitis in families: qualitative pilot study. Dermatol Ther. 2020;33(4):13570. https://doi.org/10.1111/dth.13570.

    Article  Google Scholar 

  88. Gits-Muselli M, Benderdouche M, Hamane S, Mingui A, de Feuilhade Chauvin M, Guigue N, et al. Continuous increase of Trichophyton tonsurans as a cause of tinea capitis in the urban area of Paris, France: a 5-year-long study. Med Mycol. 2017;55(5):476–84. https://doi.org/10.1093/mmy/myw107.

    Article  CAS  PubMed  Google Scholar 

  89. Lecerf P, Dangoisse C, Van Ooteghem A, Vujovic A, Vollono L, Richert B. Asymptomatic scalp carriage among household contacts of children affected by tinea capitis: a prospective study in the metropolitan area of Brussels. Belgium Skin Appendage Disord. 2022;8(3):200–5. https://doi.org/10.1159/000520107.

    Article  PubMed  Google Scholar 

  90. Sacheli R, Harag S, Dehavay F, Evrard S, Rousseaux D, Adjetey A, et al. Belgian national survey on tinea capitis: epidemiological considerations and highlight of terbinafine-resistant T. mentagrophytes with a mutation on SQLE gene. J Fungi (Basel). 2020;6(4):195.

    Article  CAS  PubMed  Google Scholar 

  91. Bourezane Y, Bourezane Y. Analysis of trichoscopic signs observed in 24 patients presenting tinea capitis: hypotheses based on physiopathology and proposed new classification. Ann Dermatol Venereol. 2017;144(8–9):490–6. https://doi.org/10.1016/j.annder.2016.12.012.

    Article  CAS  PubMed  Google Scholar 

  92. Gangneux J-P, Machouart M, Miossec C, Gits-Muselli M, Benderdouche M, Ranque S, et al. A national survey on tinea capitis in France: epidemiology and diagnostic procedures. Med Mycol. 2018;56:S55. https://doi.org/10.1093/mmy/myy036.

    Article  Google Scholar 

  93. Dhaille F, Dillies AS, Dessirier F, Reygagne P, Diouf M, Baltazard T, et al. A single typical trichoscopic feature is predictive of tinea capitis: a prospective multicentre study. Br J Dermatol. 2019;181(5):1046–51. https://doi.org/10.1111/bjd.17866.

    Article  CAS  PubMed  Google Scholar 

  94. Kromer C, Celis D, Hipler UC, Zampeli VA, Mößner R, Lippert U. Dermatophyte infections in children compared to adults in Germany: a retrospective multicenter study in Germany. J Dtsch Dermatol Ges. 2021;19(7):993–1001. https://doi.org/10.1111/ddg.14432.

    Article  PubMed  Google Scholar 

  95. Müller VL, Kappa-Markovi K, Hyun J, Georgas D, Silberfarb G, Paasch U, et al. Tinea capitis et barbae caused by Trichophyton tonsurans: a retrospective cohort study of an infection chain after shavings in barber shops. Mycoses. 2021;64(4):428–36. https://doi.org/10.1111/myc.13231.

    Article  CAS  PubMed  Google Scholar 

  96. Gaviria Morales E, Iorizzo M, Martinetti Lucchini G, Mainetti C. Trichophyton violaceum: an emerging pathogen in Southern Switzerland. Dermatology. 2019;235(5):434–9. https://doi.org/10.1159/000501271.

    Article  PubMed  Google Scholar 

  97. Sacheli R, Cuypers L, Seidel L, Darfouf R, Adjetey C, Lagrou K, et al. Epidemiology of dermatophytes in Belgium: a 5 years’ survey. Mycopathologia. 2021;186(3):399–409. https://doi.org/10.1007/s11046-021-00542-4.

    Article  PubMed  Google Scholar 

  98. Bontems O, Fratti M, Salamin K, Guenova E, Monod M. Epidemiology of dermatophytoses in Switzerland according to a survey of dermatophytes isolated in Lausanne between 2001 and 2018. J Fungi (Basel). 2020;6(2):95. https://doi.org/10.3390/jof6020095.

    Article  PubMed  Google Scholar 

  99. Maraki S, Mavromanolaki VE. Epidemiology of dermatophytoses in Crete, Greece: a 5-year survey. Med Mycol J. 2016;57(4):E69–75. https://doi.org/10.3314/mmj.16-00008.

    Article  PubMed  Google Scholar 

  100. Antuori A, Fernández G, Fernández A, Alcaide M, Boada A, Bielsa MI, et al. Epidemiology of dermatophytic infections between 2008 and 2017 in Barcelona. Spain Enferm Infecc Microbiol Clin (Engl Ed). 2019;37(10):642–7. https://doi.org/10.1016/j.eimc.2019.02.010.

    Article  PubMed  Google Scholar 

  101. Duarte B, Galhardas C, Cabete J. Adult tinea capitis and tinea barbae in a tertiary Portuguese hospital: a 11-year audit. Mycoses. 2019;62(11):1079–83. https://doi.org/10.1111/myc.12991.

    Article  PubMed  Google Scholar 

  102. Lova-Navarro M, Gómez-Moyano E, Martínez Pilar L, Fernandez-Ballesteros MD, Godoy-Díaz DJ, Vera-Casaño A, et al. Tinea capitis in adults in southern Spain. A 17-year epidemiological study. Rev Iberoam Micol. 2016;33(2):110–3.

    Article  PubMed  Google Scholar 

  103. Cinelli E, Villani A, Fabbrocini G, Scalvenzi M, Gallo L. Tinea capitis in Campania: a 5-year retrospective study in childhood and adolescence (2013–2018). Skin Appendage Disord. 2019;5(6):359–61. https://doi.org/10.1159/000500273.

    Article  PubMed  PubMed Central  Google Scholar 

  104. Brasileiro A, Campos S, Cabete J, Galhardas C, Lencastre A, Serrão V. Trichoscopy as an additional tool for the differential diagnosis of tinea capitis: a prospective clinical study. Br J Dermatol. 2016;175(1):208–9. https://doi.org/10.1111/bjd.14413.

    Article  CAS  PubMed  Google Scholar 

  105. Fuller LC, Barton RC, Mohd Mustapa MF, Proudfoot LE, Punjabi SP, Higgins EM. British Association of Dermatologists’ guidelines for the management of tinea capitis 2014. Br J Dermatol. 2014;171(3):454–63. https://doi.org/10.1111/bjd.13196.

    Article  CAS  PubMed  Google Scholar 

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  1. Department of Dermatology and Venereology, National Clinical Research Center for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Peking University First Hospital, Beijing, China

    Xiao-Qing Chen & Jin Yu

  2. Department of Dermatology, Beijing Children’s Hospital, National Center for Children’s Health, Capital Medical University, Beijing, China

    Xiao-Qing Chen

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  1. Xiao-Qing Chen
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Conceptualization: JY; methodology: XC and JY; writing-original draft preparation: XC; writing-review and editing: JY; supervision: JY.

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Chen, XQ., Yu, J. Global Demographic Characteristics and Pathogen Spectrum of Tinea Capitis. Mycopathologia 188, 433–447 (2023). https://doi.org/10.1007/s11046-023-00710-8

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