PEDIATRICS Vol. 92 No. 1 July 1993, pp. 155-157
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Prevalence of Undetected Tinea Capitis in Household Members of Children with Disease

KAREN VARGO MD1 and BERNARD A. COHEN MD2

1 Pittsburgh, PA
2 Department of Pediatrics, Division of Pediatric Dermatology, Johns Hopkins Medical Institutions, Baltimore, MD

The epidemiology of tinea capitis has changed over the past 40 years. The major organism responsible for tinea capitis today is Trichophyton tonsurans. This dermatophyte accounts for more than 90% of ringworm infections of the scalp in the United States and replaces Microsporum audouinii and to a lesser extent Microsporum canis, which were associated with the ringworm epidemics of the 1940s.1-4

Trichophyton tonsurans is an anthropophilic organism producing endothrix invasion of the hair shaft that does not fluoresce on Wood's light examination.5 Tinea capitis is epidemic in black school-age children, but only rarely in whites. The reason for this racial predilection is not known.1

Submitted on May 28, 1992
Accepted on January 12, 1993




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