[Tinea of the scalp in the region of the river Meuse: a current renaissance?]

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In the field of cutaneous mycoses, some are cosmopolitan and others keep a geographical territory of predilection. Such a fact is bound to the fungus identity and natural biotope, and to the overall quality of public health in the region under consideration. Some of the tropical mycoses of cutaneous origin remain superficial in extension. Others are semi invasive or are even at risk of systemic dissemination.
The main mycozoonoses are due to specific dermatophytes which are pathogens for man and animals. Contamination occurs most often after close contact with the animal showing clinical lesions or with inapparent carriage only. The contaminated environment also participates to the mycozoonotic epidemics. Interhuman transmission is more rarely encountered. Young children before puberty are most receptive to the disease. The main urban mycozoonosis is due to Microsporum canis transmitted by dogs and cats. Rural mycozoonoses due to Trichophyton ochraceum can be contracted from bovines. Zoophilic dermatophytes induce lesions which are most often quite inflammatory in humans.
Few diseases exhibit such regional variability in their epidemiology, even in an area as limited as Belgium, as tinea capitis. Thus, anthropophilic tinea capitis is highly predominant in areas where new immigrants from Black Africa and North Africa have settled. By contrast, zoophilic tinea capitis is found largely in areas where the cat population is infected. Kerion often affects professions in which contact with infected livestock is involved. Prevention of tinea capitis thus has distinct regional features. Treatment, on the other hand, has a universal basis.
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