[CIS PIDD] [cis-pidd] [CIS-PIDD] Severe Kerion Question

[Laura Hoyt]

I would be suspicious of inappropriate (i.e. not systemic) treatment or medication non-adherence.  I have also seen similar cases that resolve once the treatment is appropriate.  Is the diagnosis confirmed with biopsy?

Laura Hoyt MD
Infectious Disease and Immunology
Children's Hospitals and Clinics of Minnesota


>>> "Cooper, Megan" <Cooper_M at kids.wustl.edu> 6/11/13 09:29 AM >>>

Hi - I have seen scalp infections like this (and worse) while working in a pediatric clinic on a native American reservation.  The physician there told me that it is not uncommon in the kids he sees who come to medical attention late.  Did this develop while on oral therapy for tinea capitis or was this the first time she came to medical attention?

Best,
Megan

Megan A. Cooper, MD, PhD
Assistant Professor, Department of Pediatrics
Division of Rheumatology
Washington University School of Medicine
Cooper_m at kids.wustl.edu<mailto:Cooper_m at kids.wustl.edu>


From: Missy Dortman [mailto:mdortman at clinimmsoc.org] 
Sent: Tuesday, June 11, 2013 9:18 AM
To: CIS-PIDD
Subject: [cis-pidd] [CIS-PIDD] Severe Kerion Question


Posted on behalf of Dr. Cunningham-Rundles

I saw this 6 year old the other day, sent from a very experienced
dermatologist, who notes that this degree of a kerion is quite unusual for
him and asked if an immune defect was likely.

She has no family hx, no other issues, otherwise normal PE, non-related
arents. No sibs. Developed ringworm last summer and it has led to this.

Sorry the picture looks pretty bad.

[http://www.clinimmsoc.org/UserFiles/image/ccrpic.bmp]

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