Last Updated: 2019-08-27
Headgrind, fungal grind, lichengrind, tinea capitis favosa, tinea favosa, dermatycosis favosa.
Notifiable special form of tinea capitis.
- Endemic areas can be found in North Africa, Southeast Europe, Iran and in countries of the former Soviet Union.
- Children are often affected.
- Causative organism
- Trichophyton schoenleinii.
- Predisposition factors
- Poor hygiene.
- Wearing a headgear, especially by dividing hats with Favus-infected patients.
- The dermatophyte is transmitted by other people, although the contact sensitivity is rather low.
Erythematous, scaly, follicularly localized, yellowish encrusted papules. If it comes to an enlargement, it is called "Scutulae".
- Travel history.
- Erregernachweis (Epilation der Haare oder Gewinnung von Schuppen: dann Nativpräparat und Kultur; Biopsie).
- Wood light (green-greyish fluorescence).
Besides the hairy head, extremities and face can also be affected.
- Examination of other persons in the household.
- The therapy should be carried out with both topical and systemic antifungals!
- Removal of the crusts.
- Topical Therapy
- Clotrimazole Cream (Canesten® Cream)
- Terbinafin cream (Terbinafin® cream 1%)
- Ketoconazole cream (Nizoral® cream 2%)
- Amorolfine cream (Loceryl® 0.25% cream)
- Griseofulvin cream: not available in Switzerland
- Bifonazole cream: not available in Switzerland
- Econazole cream (Pevaryl® cream 1%)
- Ciclopirox Cream (Ciclocutan® Cream or similar)
- Ketoconazole-containing shampoo (Ketozol® shampoo, Keto-med® shampoo, Lur® shampoo, Nizoral® shampoo): leave on for 5-10 minutes. Repeat on the following 2 days.
- Shampoo containing Ciclopirox (Sebiprox®-Shampoo): leave on for 5-10 minutes. Repeat on the following 2 days.
- Pregnancy: Only nystatin is allowed.
- Only griseofulvin is permitted for children:
- Griseofulvin 10 mg/kg bw/ daily for approx. 2 weeks (available in Germany, not in Switzerland).
- However, we at the USZ recommend the use of itraconazole (e.g. Sporanox®) p.o. 200 mg 1x daily for 7 days (adapt dosage depending on age).
- Cecchi R, Paoli S, Giomi A, Rossetti R. Favus due toTrichophyton schoenleiniiin a patient with metastatic bronchial carcinoma. British Journal of Dermatology 2003;148:1057-.
- Bourlond A, Lachapelle JM, Aussems J, et al. Double-blind comparison of itraconazole with griseofulvin in the treatment of tinea corporis and tinea cruris. Int J Dermatol 1989;28:410-2.
- Lachapelle JM, De Doncker P, Tennstedt D, Cauwenbergh G, Janssen PA. Itraconazole compared with griseofulvin in the treatment of tinea corporis/cruris and tinea pedis/manus: an interpretation of the clinical results of all completed double-blind studies with respect to the pharmacokinetic profile. Dermatology 1992;184:45-50.