Elongated Corkscrew Hairs as a Possible Novel Trichoscopic Sign in Endothrix Tinea Capitis Affecting Adults with Immunosuppression - Report - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

Persistent Elongated Corkscrew Hairs: A Potential New Trichoscopic Indicator in Endothrix Tinea Capitis in Immunocompromised Adults

  • By

  • Asmahane Souissi

  • Raquel de Melo Carvalho

  • Malek Ben Slimane

  • Mohammad Jafferany

  • Daniel Fernandes Melo

  • August 28, 2026

Share

Clinical Report: Persistent Elongated Corkscrew Hairs in Tinea Capitis

Background

Tinea capitis is a fungal infection of the scalp primarily affecting children but also seen in adults, particularly those who are immunocompromised. Characteristic trichoscopic features, such as corkscrew hairs, are crucial for diagnosis.

Data Highlights

No numerical data or trial data were presented in the article.

Key Findings

  • Two immunosuppressed patients with endothrix tinea capitis showed elongated corkscrew hairs.
  • Trichoscopy revealed no short corkscrew hairs in either patient.
  • Both cases were confirmed to be caused by Trichophyton violaceum.
  • Elongated corkscrew hairs were observed in these two cases.
  • Trichoscopy serves as a valuable noninvasive diagnostic tool for tinea capitis.

Clinical Implications

The identification of elongated corkscrew hairs in immunosuppressed patients may assist in recognizing atypical presentations of tinea capitis.

Conclusion

The observation of elongated corkscrew hairs in these cases contributes to the understanding of trichoscopic features in tinea capitis.

Related Resources & Content

  1. Open Forum Infectious Diseases, 2023 -- Pulmonary Infections Associated with Trametes elegans and Peniophora incarnata
  2. Contact Lens Spectrum, 2017 -- DRY EYE DX AND TX
  3. Frontiers in Medicine, 2026 -- Differentiating superficial fungal infection from eczema using a heated dynamic-headspace skin VOC sampler: a hypothesis
  4. Tinea capitis in Older Adults: A Neglected and Misdiagnosed Scalp Infection—A Systematic Review of Reported Cases, 2023
  5. Consensus‐based Guideline on tinea capitis, 2026 -- JDDG: Journal der Deutschen Dermatologischen Gesellschaft
  6. Treatment of Ringworm | Ringworm | CDC, 2026
  7. the pathologist — Image of the Month
  8. Tinea capitis in Older Adults: A Neglected and Misdiagnosed Scalp Infection—A Systematic Review of Reported Cases - PMC
  9. Consensus‐based Guideline on tinea capitis - Mayser - JDDG: Journal der Deutschen Dermatologischen Gesellschaft - Wiley Online Library
  10. Treatment of Ringworm | Ringworm | CDC

Original Source(s)

Elongated Corkscrew Hairs as a Possible Novel Trichoscopic Sign in Endothrix Tinea Capitis Affecting Adults with Immunosuppression

  • by Asmahane Souissi, Raquel de Melo Carvalho, Malek Ben Slimane, Mohammad Jafferany, Daniel Fernandes Melo

  • August 28, 2026

Related Content

AI Scribes: Efficiency for Whom?

Unresolved safety, privacy, and regulatory concerns may limit benefits of AI scribes for physicians and patients.

Does TYK2/JAK1 Show Potential in Inflammatory Diseases?

Investigational inhibitor was not associated with treatment-related serious adverse events and produced biomarker changes consistent with pathway inhibition in healthy volunteers.

Afro-Textured Hair: Clinical Framework for Care

Investigators examine clinician communication, updated hair classification, and culturally informed care in Afro-textured hair.