Kerion Kept at Bay with Use of Ketoconazole Shampoo
59 MDW San Antonio United States
Pagination or Media Count:
A 10-year-old male patient with a chromosomal translocation presented to the pediatric dermatology clinic with significant hair loss and multiple boggy nodules on his scalp. The mother of the patient notes that the patient had a small round patch of hair loss when he was adopted at age three and was subsequently given 2 ketoconazole shampoo. She notes that the patients focal patch of hair loss was maintained with 2 ketoconazole shampoo for seven years without progression until two months prior to his presentation to our clinic when he significantly worsened. On presentation, the patient demonstrated greater than 50 hair loss with a shiny erythematous patch of alopecia affecting his vertex scalp extending to his frontal and parietal scalp. On palpation multiple boggy nodules were present with sinus tracts and drainage of serosanguinous and purulent material. The patient did not exhibit lymphadenopathy but noted scalp tenderness. A 6mm punch biopsy was obtained from the patients right parietal scalp.
- Anatomy and Physiology
- Medicine and Medical Research