A 61-year-old female with a 50-year history of tinea capitis is reported, an atypical case in a postmenopausal elderly woman who was treated as seborrheic dermatitis. Tinea capitis is a superficial fungal infection of the scalp and hair caused by dermatophytes such as Trichophyton and Microsporum. Tinea capitis is very rare in adults, and may affect those with immunosuppressive diseases or menopausal elderly women. Clinical manifestations along with trichoscopy and Wood’s light, can help the clinician to determine the correct diagnosis, in order to reduce irreversible sequelae and decrease multiple contagion. KOH direct exam and culture confirm diagnosis and aetiology. We report a 61-year-old female with a 50-year history of tinea capitis. This is an atypical case in a postmenopausal elderly woman who was treated as seborrheic dermatitis.
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