Abstract
A 13-year-old girl developed a plaque-like scalp lesion with some hair loss, white pityriasiform desquamation and pustules. Mycological culture showed growth of Trichophyton violaceum. Systemic treatment with itraconazole, 100 mg daily for 6 weeks, as well as topical keratolytic and antibiotic treatment led to complete cure. T. violaceum causes an endotrix infection and is mainly seen in immigrants from Northern Africa. It remains often non-inflammatory, but may cause hair loss which may in part be scarring. Systemic antimycotic treatment is mandatory.
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