Polish Journal of Paediatrics
en POLSKI
eISSN: 2300-8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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abstract:
Case report

A case series on pediatric tinea capitis

Julia Borodacz
1
,
Katarzyna Tłustochowicz
1
,
Bartosz Zakrzewski
2
,
Justyna Ceryn
3
,
Dorota Sobolewska-Sztychny
3, 4
,
Joanna Narbutt
3
,
Aleksandra Lesiak
3, 4

  1. Students’ Scientific Association of Experimental, Clinical and Surgical Dermatology, Medical University of Lodz, Lodz, Poland
  2. Zakrzewscy Clinic sp. z o.o., Katowice, Poland
  3. Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Lodz, Poland
  4. Laboratory of Autoinflammatory, Genetic and Rare Skin Disorders, Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Lodz, Poland
Pediatr Pol 2026; 101 (1)
DOI: https://doi.org/10.5114/polp.2026.160337
Online publish date: 2026/03/24
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Tinea capitis, a dermatophyte infection of the scalp mainly caused by zoophilic and, less commonly, anthropophilic species, predominantly affects prepubertal children. Clinically, it presents with scalp scaling, hair loss, alopecia with scaly plaques, or alopecia with “black dots” from broken hairs at follicular openings. Severe forms, such as tinea profunda, may progress to suppurative lesions, pustules, and thick crusts. Standard systemic treatments include terbinafine, itraconazole, fluconazole, and griseofulvin (currently unavailable in Poland). The choice and duration of therapy depend on the infection severity and dermatophyte species. This case series of five pediatric patients illustrates the varied clinical presentations of tinea capitis and highlights the importance of early diagnosis and prompt systemic antifungal therapy to prevent irreversible outcomes, including permanent alopecia and scarring. The review of clinical cases and literature underscores that timely and adequate therapeutic intervention is essential to optimize outcomes in the affected children.
keywords:

dermatophytes, itraconazole, terbinafine, tinea capitis, kerion

  
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