The heading for the third case study would appear in here
Gender
Male
Age
55
Complaint
Scalp discomfort (stinging sensation, itchiness) and hair loss over the past 7 months.
Evaluation
The patient was presenting scalp discomfort, reported as a stinging sensation and itchiness. Systemic symptoms were not reported. A dermatological exam revealed frontoparietal alopecia, essentially irregular, with scaling and diffuse erythema. During scalp examination, scales and tonsured hair were easily removed with damp gauze. The patient had no atrophy areas and skin lesions on other parts of the body.
Figure 1. Hair shaft images before treatment (baseline), and after 90 days.
Assessment
Chronic tinea capitis (Trichophyton tonsurans). The patient had no immunological disorders that could be responsible for the chronicity of the fungal infection and she denied similar cases in the family.
Treatment
As the direct mycological examination and the fungal culture were positive for Trichophyton tonsurans and the previous treatment was not successful and even aggravated the inflammation, with progressive worsening, we changed and corrected the treatment using terbinafine 250 mg/day for 6 weeks, followed by TrichoConcept™ protocol for 90 days (to accelerate hair growth).
After 6 weeks of Terbinafine use, the direct mycological examination and fungal culture were repeated and the result was negative, so TrichoConcept™ protocol was started as described below:
1. TrichoOil™ - Pure, apply to the scalp and hair before washing, and leave for 10 minutes. Use 1x per week.
2. TrichoWash™ - Pure, apply to wet hair, massage the scalp for 2 minutes, and rinse. Use daily.
3. TrichoCond™ - Pure, apply to wet hair after the shampoo, massage the scalp and hair for 2 minutes, and rinse. Use daily.
4. TrichoSol™ - With minoxidil 3.0%. Apply to towel-dry hair, and massage the scalp for 2 minutes. Use daily.
Results
New hair growth and significant improvement in scalp inflammation were observed after 90 days of treatment with the TrichoConcept™ protocol (Figure 1).
Subjective Results
The patient reported new hair growth and increased hair density. Regulation of sebum production, a well-balanced scalp, and shinier hair shafts were also related.