Causes and risk factors
Kerion is caused due to invasion of the skin by fungus. The most common causative fungi are Trichophyton and Microsporum fungi. Poor hygienic condition of skin along with low immunity are certain predisposing factors.
Clinical presentation:
Kerion is characterized by formation of an abscess. A baggy, pus-filled sac is formed. Along with this swelling of the surrounding areas is seen. In cases of appearance of this rash on scalp, it can lead to loss of hair. A bald patch is formed. Pain and tenderness is present. Enlargement of lymph nodes along with other systemic complaints are seen. Fever and malaise are other complaints seen. Itching along with development of rash is also seen. In severe cases, hair loss can also be seen. The size of the abscess can vary. Secondary bacterial infection is a common complication seen.
Investigations:
Diagnosis is done on the basis of symptoms narrated by the patient, and local examination is carried out. A Wood slit lamp test is done. Microscopic examination of the affected tissue is done. Complete blood count along with blood cultures are also carried out.
Treatment:
The treatment plan consists of administration of oral antifungal medication. Topical antifungal creams can also be used. In case of presence of secondary infection, antibiotics can be advised. In severe cases, draining of the abscess is done. Even after treatment, the hair tends to grow back, hence antifungal shampoos are advised.
Other modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the symptoms. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints.
