My patient was an 8-year-old boy who presented with a scalp rash that had persisted for many months. I examined his scalp and noted alopecia, scale, and pus. I had never seen such a case before. The boy had been to many physicians, including a dermatologist, but had experienced no improvement. I took photographs of his scalp for comparison with images in VisualDx. In the meantime, I prescribed an oral antibiotic and a combination anti-fungal and antibiotic cream and asked him to come back after 7 days. Later that night, I studied the photographs I took and then opened the VisualDx differential building tool for child rash. I entered alopecia and pustule and identified similar-appearing lesions among the images in the differential results. I diagnosed kerion, an acute inflammatory reaction of severe tinea capitis (“ringworm of the scalp”). The boy came back after 15 days, and I was eagerly awaiting him. I adjusted my treatment plan based on the information in VisualDx, which advised that oral antifungals were necessary. When the patient last visited me, he had been on treatment for 4 weeks, and his condition had improved across nearly 70% of his scalp. There was persistent loss of hair at multiple sites with prominent scarring, which I learned from VisualDx is consistent with the diagnosis of kerion. I came across another similar case later that year. This time I knew the diagnosis and management of this difficult medical condition.
– Dr. Mirza Rizwan Ul Hassan, Pediatric Physician, Murree, Pakistan