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Dermatology · Fungal infections: favus
Sample itemA boy has yellow cup-shaped crusts around hair follicles, a mousy odour and permanent scarring alopecia. Which organism is responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Trichophyton schoenleinii
Favus (tinea favosa) is the severe form of tinea capitis by T. schoenleinii, with sulphur-yellow scutula and scarring. It is endemic in some rural areas and needs prolonged oral antifungal therapy.
Option by option
A. Microsporum canis
M. canis causes inflammatory but usually nonscarring tinea capitis.
B. Malassezia furfur
Malassezia causes versicolor and seborrhoeic dermatitis.
C. Trichophyton schoenleinii (correct)
Correct. Scutula and scarring alopecia are characteristic of T. schoenleinii.
D. Trichophyton mentagrophytes
T. mentagrophytes causes kerion and tinea corporis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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