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CASE REPORT
Year : 1991  |  Volume : 57  |  Issue : 1  |  Page : 43-44

Favus from South India - A case report




Correspondence Address:
B Siddaramappa


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  Abstract 

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 Aug 9];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 [1] 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 Top


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 Top


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. [2] Recently, Nigam et al [1] 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 [3] 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 [5] from Delhi and Pankaj Laxmi and Subramanian [6] from Madras also have reported isolation of T. schoenleinii from tinea corporis and tinea cruris cases.


  Acknowledgement Top


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 Top

1.Nigam P K, Pasricha J S and Uma Banerjee Favus in a Haryana village, Ind J Dermatol Venereol Leprol, 1990; 56 : 137-138.  Back to cited text no. 1    
2.Marquis L : Fungi, fragile, fastidious, fascinating, Ind J Dermatol Venereol Leprol, 1986; 52 : 251­261.  Back to cited text no. 2    
3.Dey N C, Grueber H L E and Dey T K : Medical Mycology, 2nd Ed, Allied Agency, Calcutta, 1973; P 267.  Back to cited text no. 3    
4.Khan M Q, Buch B M, Dabhi B J et al Dermatophytoses in Jamnagar, J Ind Med Assoc; 1978; 70 : 8-11.  Back to cited text no. 4    
5.Kandhari K C and Sethi K K : Dermatophytosis in Delhi area. J Ind Med Assoc, 1964; 42 : 324-326.  Back to cited text no. 5    
6.Pankajlaxmi V V and Subramnian S : Mycoses in Madras (superficial) Ind J Dermatol Venereol, 1974; 40 : 228-235.  Back to cited text no. 6    


    Figures

[Figure - 1], [Figure - 2]



 

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