Enlarging Alopecic Patch in an African American Woman with Central Centrifugal Cicatricial Alopecia: A Case of Concomitant Tinea Incognito
March 2022
in “
JAAD case reports
”
TLDR Accurate diagnosis is crucial for effective treatment of hair loss.
This case report discusses a 49-year-old African American woman with central centrifugal cicatricial alopecia (CCCA) who was initially treated with corticosteroids but showed worsening symptoms. A subsequent biopsy revealed a concomitant infection with Trichophyton tonsurans, leading to a diagnosis of tinea incognito. The patient was then treated with oral terbinafine, resulting in marked improvement. This case highlights the importance of considering multiple etiologies in patients with hair loss, especially when they do not respond to standard treatments, and underscores the need for accurate diagnosis to avoid exacerbating conditions with inappropriate therapies.
