Abstract In the states bordering Mexico there is a high incidence of Trichophyton tonsurans infection of the scalp.* Fortunately, this serious and often protracted type of tinea capitis is rare in the eastern part of the United States. In two series reported from New York † and totaling 3,169 cases, only 9 (0.28%) were due to T. tonsurans. During 1951, 1952, and 1953 we observed and treated 452 patients with tinea capitis. Four hundred twenty-five (94%) were caused by Microsporum audouini, 21 (4.6%) by Microsporum canis, 4 (0.95%) by Microsporum gypseum, 1 (0.22%) by Trichophyton schoenleini and 1 (0.22%) by Trichophyton tonsurans. The following case is reported in order to call attention to the possibility of an epidemic spread of T. tonsurans into the Baltimore area. G. B., a white girl aged 8 years, consulted us on Feb. 26, 1953, complaining of bald spots and painful pustules on the scalp. For the first five years of her life she lived in California. References 1. References 1 and 2. 2. References 3 and 4. 3. Howell, J. B.; Wilson, W., and Caro, M. R.: Tinea Capitis Caused by Trichophyton Tonsurans (Sulfureum or Cratenforme) , A. M. A. Arch. Dermat. & Syph. 65:194 ( (Feb.) ) 1952. 4. Pipkin, J. L.: Tinea Capitis in Adult and Adolescent , A. M. A. Arch. Dermat. & Syph. 66:9 ( (July) ) 1952. 5. Montgomery, R. M.; Heinlein, J. A., and Karpluk, F. E.: Ringworm of the Scalp in New York , New York J. Med. 48:629 ( (March 15) ) 1948. 6. Lewis, G. M.; Hopper, M. E., and Reiss, F.: Ringworm of the Scalp: Clinical Data on Recent Cases: Experiences with Local Endocrine Therapy , J. A. M. A. 132:62 ( (Sept. 14) ) 1946. 7. Malmsten, P. H.: Trichophyton Tonsurans , Arch. Anat. Physiol. u. Wissensch. 1848, p. 1.
A.M.A. Archives of Dermatology – American Medical Association
Published: Mar 1, 1955