Clinical manifestation

Red papules progressing to grayish, annular plaques consisting of perifollicular papules; pustules with crusts, exudate, matted hairs, and debris

Black dot variant: infection with fracture of the hair, leaving dark stubs visible in the follicular orifices

Kerion variant: extreme inflammation associated with boggy scalp and pustules; may progress to patchy or diffuse hair loss with scarring alopecia

Favus variant (tinea favosa): chronic infection caused most commonly by T. schoen-leinii, characterized by yellow, cup-shaped crusts, termed scutula, which surround the infected hair follicles

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