4yrold boy brought to my consult with these lesions that acc | Figure 1

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Case Report

A 4-year-old boy was brought to my consult with lesions that, according to his mother, started 20 days ago after he used a hat from a school friend who had the same condition. He was seen by a doctor and given Ketoconazol shampoo and creams; also, his mother made all sorts of homemade remedies, but none had helped. My diagnosis: Tinea Capitis and I am treating him with Griseofulvin.

Discussion

Case 1

A young healthy 9-year-old male came to me with itching on his scalp. No loss of hair, no alopecia. They have no pets, no family history of psoriasis, eczema, or atopy. With the physical examination, I saw only a little bit of scaling but no redness. I thought of seborrheic eczema and treated it with selenium sulphide. The scaling disappeared after 2 weeks. But the itching is still there and it is 'killing' my patient. My question is: is there something I miss? What can I do? Any tips?

Case 2

What am I dealing with here and what's the best treatment? This patient has been having recurrent episodes of these yellowish exudates with intense scalp pruritus over the last few months. Only localized to the scalp. No new shampoos or hair products. This may be straightforward but it's new to me.

Conclusion

The greasy scale here is an excellent example of seborrheic dermatitis, or cradle cap in this 9-month-old girl. Mineral oil can temporarily remove the scale, and the condition usually improves with time.