TINEA AMIANTACEA

Benita Putri P

ABSTRACT

A condition which is :- Excessinve scalling of the scalp- Thick silvery-yellowish scales encircle the hair shaft

- May bind down tuft of hair

‘amiante’ is a french word for asbestos

INTRODUCTION

Tinea amiantacea also known as pityriasis amiantacea

Present as tenaciously adherent surrounding base of scalp hairs that can result in hair loss

In 1832 thus condition first described by Alibert as asbestos-like tinea

CASE REPORT

A 10 year old boy present with heavy scale onto hairs and separate and bind together their proximal portions

He was otherwise healty and did not take any medication. There were no other skin manifestations of psoriasis or seborrheic dermatitis. The patient was prescribed with grioseofulvin , the longest standing effective treatment for tinea capitis is griseofulvin given in a dose of 10mg/kg daily for a period of 6-8 weeks.

DISCUSSION

Tinea amiantacea or pityriasis amiantacea is a :

Asbestos like thick scales attacched to the hair shaft

The scales is an overlapping manner like flakes of asbestos

Long standing inflammatory can cause permanent hair loss

More common in female and younger age

The condition may be a reaction pattern to a number of inflammatory processes in scalp such as :

Psoriasis Seborheic dermatitis Tinea capitis Atopic dermatitis etc

A recent report also describe PA as manifestationof darier disease

The most common cause for PA is psoriasis and seborrheic dermatitis

Staphylococcus aureus has been documented to be present in the majority of patient with PA

Like present as a secondary infection or normal colonization

Responded well with : - combined regimen of systemic- topical antibiotic- Topical corticosteroids

Our patient was prescribed with Griseofulvin

10 mg/kg daily for a period of 6-8 weeks

Fungistatic in vitro Inhibition of the formation of intracellular microtubules

Effective timely treatment fo allopecia

Keratolitic Topical corticosteroids Shampoo containing ketokonazole, ciclopirox and zinc

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