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

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  • 1

    Corkscrew hairs are short, spiraled hairs produced by fungal invasion in tinea capitis, with a reported incidence ranging from 14% to 100%.

  • 2

    Two immunosuppressed patients with endothrix tinea capitis exhibited persistently elongated corkscrew hairs during trichoscopic examination.

  • 3

    Trichophyton violaceum was identified as the causative agent in both cases, confirming the diagnosis of endothrix tinea capitis.

  • 4

    Elongated corkscrew hairs may indicate atypical presentations of tinea capitis and warrant further investigation into their associations.

  • 5

    The study highlights a potential new trichoscopic indicator that broadens the established spectrum of tinea capitis features.

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