Sarah Samiyah, Yasmeena Khan.
Tinea Capitis and Nutritional Rickets a case report.
J Pak Assoc Derma Jan ;8(4):38-9.

Tinea capitis is a superficial fungal scalp infection seen predominantly in children. It is caused by dermatophytes from either the Trichopytons or Microsporum species. Nutritional Rickets is a metabolic disorder of growing bones with impaired deposition of minerals bone matrix, usually due to primary deficiency of Vitamin D or its active metabolite.

CASE REPORT: A four year old boy presented at the Dermatology Clinic with an oval area of broken off hair 1-3 mm above scalp present since two weeks. He was the sixth child of unconsanguinous marriage born at term. Socioeconomic condition were poor. On examination, he had bow legs and swollen wrists and knees. His other systems were normal. Microscopic examination of hair from affected area confirmed the presence of dermatophytes. X-Ray of the wrist showed cupping and fraying of radius, ulna and carpal bones. The bones were hypodense with an increaseddistance between the epiphysis and bypophysis. Parathormone levels were normal. Kidney functions were normal. The patient responded favorably to Terbenafine 125mg daily for three weeks as regards the fungal infection. He was given injection vitamin D, three lac units I/M Stat for rickets and improved. Then oral vitamin D was given in a dose of 400 11J daily.

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