Originally Posted by usmleman2020
A patient with hair loss is shown below. The lesion does not fluoresce with a Wood's lamp and has not responded well to a variety of topical agents. The lesion is boggy, is spreading, and has tiny pinpoint black dots throughout. Which of the following is the most likely diagnosis?
- Traction alopecia
- Infection with Trichophyton tonsurans
- Alopecia areata
- Biotinidase deficiency
Trichophyton tonsurans is MCC of Tinea capitis and it don't fluoresce with wood's lamp, treatment is PO terbenafide or azoles....
Trichopyton Rubra is MCC of all other superficial dermatophytic infections and it does fluoresce with woods lamp.