Kerion is: March 2009
**Core Concept**
A kerion is a type of inflammatory tinea capitis, characterized by a boggy, swollen, and tender mass on the scalp. It represents a more severe and acute form of fungal infection in the hair follicles.
**Why the Correct Answer is Right**
The kerion is caused by a fungal infection, typically Trichophyton species, which leads to an intense inflammatory response. The fungal elements invade the hair follicles, causing a significant immune response, which manifests as a kerion. The inflammation is often accompanied by lymphadenopathy and systemic symptoms such as fever. The treatment involves antifungal medications, usually in combination with corticosteroids to reduce inflammation.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect as it refers to a different condition, tinea barbae, which is a fungal infection of the beard area.
**Option B:** This option is incorrect as it refers to a condition where the hair follicles become clogged with keratin, leading to a condition known as folliculitis.
**Option C:** This option is incorrect as it refers to a condition where the hair follicles become infected with bacteria, leading to a condition known as folliculitis.
**Clinical Pearl / High-Yield Fact**
It is essential for clinicians to distinguish between kerion and other conditions that present similarly, such as a boggy mass on the scalp. A kerion requires prompt treatment with antifungal medications and corticosteroids to prevent complications and scarring.
**Correct Answer: D. A severe inflammatory form of tinea capitis.**