|Year : 1991 | Volume
| Issue : 1 | Page : 43-44
Favus from South India - A case report
B Siddaramappa, MB Hemashettar, SC Patil
Source of Support: None, Conflict of Interest: None
A typical case of favus of the scalp in a South Indian man is described. The etiological agents was demonstrated in the scrapings and Trichophyton schoenleinii was isolated in culture. The case is presented for its rarity in this part of the country.
Keywords: Favus, Trichophyton schoenleinii, South India
|How to cite this article:|
Siddaramappa B, Hemashettar M B, Patil S C. Favus from South India - A case report. Indian J Dermatol Venereol Leprol 1991;57:43-4
|How to cite this URL:|
Siddaramappa B, Hemashettar M B, Patil S C. Favus from South India - A case report. Indian J Dermatol Venereol Leprol [serial online] 1991 [cited 2020 May 27];57:43-4. Available from: http://www.ijdvl.com/text.asp?1991/57/1/43/3620
Favus is a rare clinical condition in most parts of India, except Kashmir valley, which is considered to be an endemic focus of the infection. Recently Nigam et al  reported a case of favus from Haryana. A typical case of favus of the scalp in an elderly man from which T.schoenleinii was isolated is presented. To the best of our knowledge this is the first report from south India.
| Case report|| |
A 60 year old farmer, was admitted to the District Hospital, Belgum for the treatment of cor-pulmonale. He also had extensive skin lesions on the scalp since his childhood, for which he was referred to the dermatologist.
The lesions were multiple, of varying sizes with yellowish crusts and matted hairs. The lesions were distributed on the occipital region with cicatricial alopecia. Removal of the crusts left behind red and raw area [Figure - 1]. No other part of the body had such lesions.
Routine haematology and urine examination were normal. Wood's lamp examination showed dull-green fluorescence. KOH preparation of the scrapings and the affected hairs showed plenty of fungal elements with endothrix type of hair invasion and air tunnels in the hair shaft. Culture on the Sabouraud's Dextrose Agar (SDA) with Chloramphenicol and Cycloheximide grew a slow growing glabrous, off white colony with gentle folds on the surface Slide culture preparation on SDA showed no spores but many hyphae were showing nail heads or favic chandeliers [Figure - 2]. The isolate was identified as T. schoenleinii. The patient was put on Tab. Griseofulvin 250mg twice daily and topical application of clotrimazole nitrate 1%. The patient was asked to come for followup after 1 month. However, the patient was lost for follow-up.
| Comments|| |
Several studies have been published on the clinical and mycological aspects of dermatophytoses from different parts of India. But most of them do not consist of favic lesions, except studies from Kashmir.  Recently, Nigam et al  reported a case of favus from Haryana. T.schoenleinii is a rare dermatophyte in India. It is believed to be endemic in Kashmir, Rajasthan and Punjab  Khan et a1[ 4] from Jamnagar reported 6 isolations of T. schoenleinii, two of which were from tinea corporis and four from tinea capitis cases. It is not clear whether these isolations from tinea capitis cases are from favus cases. It is well known that in some individuals T. schoenleinii may produce very mild Seborrhoeic type of tinea capitis instead of favus. Kandhari and Sethi  from Delhi and Pankaj Laxmi and Subramanian  from Madras also have reported isolation of T. schoenleinii from tinea corporis and tinea cruris cases.
| Acknowledgement|| |
The authors are indebted to Dr. A. Thammayya, Professor of Medical Mycology, Calcutta School of Tropical Medicine, for confirming the identity of the fungus.
| References|| |
|1.||Nigam P K, Pasricha J S and Uma Banerjee Favus in a Haryana village, Ind J Dermatol Venereol Leprol, 1990; 56 : 137-138. |
|2.||Marquis L : Fungi, fragile, fastidious, fascinating, Ind J Dermatol Venereol Leprol, 1986; 52 : 251261. |
|3.||Dey N C, Grueber H L E and Dey T K : Medical Mycology, 2nd Ed, Allied Agency, Calcutta, 1973; P 267. |
|4.||Khan M Q, Buch B M, Dabhi B J et al Dermatophytoses in Jamnagar, J Ind Med Assoc; 1978; 70 : 8-11. |
|5.||Kandhari K C and Sethi K K : Dermatophytosis in Delhi area. J Ind Med Assoc, 1964; 42 : 324-326. |
|6.||Pankajlaxmi V V and Subramnian S : Mycoses in Madras (superficial) Ind J Dermatol Venereol, 1974; 40 : 228-235. |
[Figure - 1], [Figure - 2]