Document Detail


Randomized controlled trial of intralesional corticosteroid and griseofulvin vs. griseofulvin alone for treatment of kerion.
MedLine Citation:
PMID:  3324039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied 30 children with tinea capitis and kerion to define the epidemiology of the disease and to compare the efficacy of intralesional steroid injection and griseofulvin to griseofulvin alone for treatment of this disorder. Patients ranged in age from 1 year to 12 years, 1 month (mean, 5 years, 7 months). All patients were black and 23 (77%) were female. (The racial composition of our clinic population is 45% black, 18% Latin American, 34% Caucasian and 3% Asian.) Fungus cultures were positive in all but one patient and Trichophyton tonsurans was isolated from 26 of 30 (87%) of the pretreatment hair cultures. Direct microscopic examinations of KOH-treated hair samples were negative in 13 of 29 (43%) culture-positive patients. Patients were randomly assigned to receive intralesional steroid injection (2.5 mg) and griseofulvin (14 patients) or griseofulvin only (16 patients). The treatment groups were comparable with regard to age, sex, duration of lesions before treatment and type of lesions. There were no significant differences between the two treatment groups in the time to negative culture, time of onset of new hair growth, complete regrowth of hair and time to scalp clearing. We conclude that intralesional injection of corticosteroid is an unnecessary adjunct to therapy for patients with tinea capitis with kerion.
Authors:
C M Ginsburg; V N Gan; M Petruska
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  6     ISSN:  0891-3668     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-03-14     Completed Date:  1988-03-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1084-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Texas Health Science Center at Dallas, Southwestern Medical School 75235.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Clinical Trials as Topic
Drug Therapy, Combination
Female
Griseofulvin / administration & dosage*
Humans
Infant
Injections, Intradermal
Male
Random Allocation
Tinea Capitis / drug therapy*
Triamcinolone Acetonide / administration & dosage*
Chemical
Reg. No./Substance:
126-07-8/Griseofulvin; 76-25-5/Triamcinolone Acetonide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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