A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on his head.He has noticed that his hair seems to be breaking off in patches and that he has some scaling on his head.The nurse would begin the examination suspecting:

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Tinea capitis is rounded patchy hair loss on the scalp,leaving broken-off hairs,pustules,and scales on the skin.It is caused by a fungal infection.Lesions are fluorescent under a Wood light.It is usually seen in children and farmers and is highly contagious.See Table 12-12,Abnormal Conditions of Hair,for descriptions of the other terms.

A 45-Year-Old Farmer Comes in for a Skin Evaluation and Complains