{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:30:33Z","timestamp":1791549033578,"version":"4.3.4"},"reference-count":42,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jaad.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Academy of Dermatology"],"published-print":{"date-parts":[[2006,12]]},"DOI":"10.1016\/j.jaad.2005.11.1033","type":"journal-article","created":{"date-parts":[[2006,9,19]],"date-time":"2006-09-19T11:18:44Z","timestamp":1158664724000},"page":"956-961","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":62,"title":["White piedra in children"],"prefix":"10.1016","volume":"55","author":[{"given":"David A.","family":"Kiken","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Sekaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Antaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Imaeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanette B.","family":"Silverberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaad.2005.11.1033_bib1","unstructured":"Rippon JW. Piedra. In: Rippon JW, ed. Medical Mycology: the\u00a0Athogenic Fungi and the Pathogenic Actinomycetes. Philadelphia: Saunders: 91-5."},{"key":"10.1016\/j.jaad.2005.11.1033_bib2","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/BF00713938","article-title":"Contributions to a revision of the genus Trichosporon","volume":"61","author":"Gu\u00e9ho","year":"1992","journal-title":"Antonie Van Leeuwenhoek"},{"key":"10.1016\/j.jaad.2005.11.1033_bib3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1439-0507.1994.tb00277.x","article-title":"Trichosporon on humans: a practical account","volume":"37","author":"Gu\u00e9ho","year":"1994","journal-title":"Mycoses"},{"key":"10.1016\/j.jaad.2005.11.1033_bib4","first-page":"136","article-title":"Ultrastructural aspect of the keratinolytic activity of piedra","volume":"17","author":"Figueras","year":"2000","journal-title":"Rev Iberoam Micol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib5","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1590\/S0074-02761911000100006","article-title":"Sobre uma nova forma de piedra","volume":"3","author":"Horta","year":"1911","journal-title":"Mem Inst Oswaldo Cruz"},{"key":"10.1016\/j.jaad.2005.11.1033_bib6","first-page":"124","article-title":"On the fungus of Brazilian piedra","volume":"4","author":"da Fonseca","year":"1928","journal-title":"Mem Inst Oswaldo Cruz"},{"key":"10.1016\/j.jaad.2005.11.1033_bib7","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/BF02049624","article-title":"Black piedra in Brazil: a contribution to its study in Manaus (State of Amazonas)","volume":"25","author":"Fischman","year":"1965","journal-title":"Mycopathol Mycol Appl"},{"key":"10.1016\/j.jaad.2005.11.1033_bib8","first-page":"103","article-title":"Black piedra among Brazilian Indians","volume":"15","author":"Fischman","year":"1973","journal-title":"Rev Inst Med Trop Sao Paulo"},{"key":"10.1016\/j.jaad.2005.11.1033_bib9","first-page":"819","article-title":"\u00c9tude clinique et mycologique concernant 11 cas de trichosporie noueuse (piedra blanche) g\u00e9nito-pubienne","volume":"114","author":"Avram","year":"1987","journal-title":"Ann Dermatol Venereol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib10","first-page":"767","article-title":"Piedra","volume":"64","author":"Scott","year":"1951","journal-title":"Arch Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib11","first-page":"513","article-title":"Prevalence of dermatomycoses in Madras city","volume":"73","author":"Kamalam","year":"1981","journal-title":"Indian J Med Res"},{"key":"10.1016\/j.jaad.2005.11.1033_bib12","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/j.1365-4362.1984.tb05704.x","article-title":"White piedra: a frequently misdiagnosed infection of hair","volume":"23","author":"Gold","year":"1984","journal-title":"Int J Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib13","first-page":"593","article-title":"White piedra: report of one case","volume":"124","author":"Zaror","year":"1996","journal-title":"Rev Med Chil"},{"key":"10.1016\/j.jaad.2005.11.1033_bib14","first-page":"265","article-title":"Piedra branca genital","volume":"46","author":"Carneiro","year":"1971","journal-title":"Anais Bras Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib15","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1001\/archderm.1983.01650310064013","article-title":"White piedra","volume":"119","author":"Benson","year":"1983","journal-title":"Arch Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib16","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1111\/j.1439-0507.1985.tb02143.x","article-title":"Trichosporon beigelii: increased occurrence in homosexual men","volume":"28","author":"Torssander","year":"1985","journal-title":"Mykosen"},{"key":"10.1016\/j.jaad.2005.11.1033_bib17","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/S0190-9622(86)70121-7","article-title":"Genital white piedra: epidemiology, microbiology, and therapy","volume":"14","author":"Kalter","year":"1986","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib18","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1080\/02681218680000611","article-title":"White piedra and Trichosporon beigelii carriage in homosexual men","volume":"24","author":"Stenderup","year":"1986","journal-title":"J\u00a0Med Veter Mycol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib19","first-page":"70","article-title":"Genital white piedra: an emerging fungal disease? Fifth International Conference on Mycoses","volume":"396","author":"Fischman","year":"1989","journal-title":"PAHO Sci Publ"},{"key":"10.1016\/j.jaad.2005.11.1033_bib20","first-page":"125","article-title":"Piedra blanca genital: reporte de tr\u00eas casos","volume":"4","author":"Zaror","year":"1989","journal-title":"Bol Micol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib21","first-page":"331","article-title":"White piedra and Trichosporon beigelii: the incidence in patients attending a clinic in genitourinary medicine","volume":"65","author":"Walzman","year":"1989","journal-title":"Genitourin Med"},{"key":"10.1016\/j.jaad.2005.11.1033_bib22","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.1440-0960.1991.tb00067.x","article-title":"White piedra","volume":"32","author":"Palungwachira","year":"1991","journal-title":"Australas J Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib23","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/myc.1990.33.9-10.491","article-title":"White piedra: ultrastructure and a new microecological aspect","volume":"33","author":"de Almeida","year":"1990","journal-title":"Mycoses"},{"key":"10.1016\/j.jaad.2005.11.1033_bib24","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1439-0507.1994.tb00422.x","article-title":"White piedra and Trichosporon species in equatorial Africa, II: clinical and mycological associations\u2013an analysis of 449 superficial inguinal specimens","volume":"37","author":"Th\u00e9rizol-Ferly","year":"1994","journal-title":"Mycoses"},{"key":"10.1016\/j.jaad.2005.11.1033_bib25","first-page":"52","article-title":"Un caso de piedra","volume":"81","author":"Weinstein","year":"1953","journal-title":"Rev Med Chil"},{"key":"10.1016\/j.jaad.2005.11.1033_bib26","first-page":"593","article-title":"White piedra: report of one case","volume":"124","author":"Zaror","year":"1996","journal-title":"Rev Med Chil"},{"key":"10.1016\/j.jaad.2005.11.1033_bib27","first-page":"513","article-title":"Prevalence of dermatomycoses in Madras city","volume":"73","author":"Kamalam","year":"1981","journal-title":"Indian J Med Res"},{"key":"10.1016\/j.jaad.2005.11.1033_bib28","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/j.1365-4362.1984.tb05704.x","article-title":"White piedra: a frequently misdiagnosed infection of hair","volume":"23","author":"Gold","year":"1984","journal-title":"Int J Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib29","first-page":"541","article-title":"Piedra branca\u2013Revis\u00e3o de literatura a respeito de tr\u00eas casos","volume":"48","author":"Gondim-Gon\u00e7alves","year":"1991","journal-title":"Rev Bras Med"},{"key":"10.1016\/j.jaad.2005.11.1033_bib30","first-page":"25","article-title":"Piedra branca no couro cabeludo","volume":"75","author":"Juang","year":"2000","journal-title":"Anais Bras Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib31","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1067\/S0190-9622(03)00459-6","article-title":"White piedra: further evidence of a synergistic infection","volume":"49","author":"Youker","year":"2003","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib32","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1046\/j.1525-1470.2003.20403.x","article-title":"Superficial mycotic infections of the foot in a native pediatric population: a pathogenic role for Trichosporon cutaneum?","volume":"20","author":"Archer-Dubon","year":"2003","journal-title":"Pediatr Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib33","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1080\/mmy.38.s1.183.188","article-title":"Epidemiology of tinea capitis","volume":"38","author":"Aly","year":"2000","journal-title":"Med Mycol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib34","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/j.1439-0507.1988.tb03866.x","article-title":"Trichosporosis of the hairs of the scalp in Kuwait","volume":"31","author":"Selim","year":"1988","journal-title":"Mycoses"},{"key":"10.1016\/j.jaad.2005.11.1033_bib35","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1080\/mmy.38.1.27.30","article-title":"Isolation of Trichosporon asahii from environmental materials","volume":"38","author":"Sugita","year":"2000","journal-title":"Med Mycol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib36","first-page":"113","article-title":"Piedra in lower animals: a case report of white piedra in a monkey and a review of the literature","volume":"134","author":"Kaplan","year":"1959","journal-title":"J Am Vet Med Assoc"},{"key":"10.1016\/j.jaad.2005.11.1033_bib37","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/S0190-9622(96)90844-0","article-title":"Guidelines of care for\u00a0superficial mycotic infections of the skin: piedra\u2014guidelines\/outcomes committee","volume":"34","author":"Drake","year":"1996","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib38","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S0891-5520(20)30245-2","article-title":"Trichosporonosis","volume":"3","author":"Walsh","year":"1989","journal-title":"Infect Dis Clin North Am"},{"key":"10.1016\/j.jaad.2005.11.1033_bib39","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/00006454-200202000-00016","article-title":"Trichosporonosis, an unusual fungal infection in neonates","volume":"21","author":"Salazar","year":"2002","journal-title":"Pediatr Infect Dis J"},{"key":"10.1016\/j.jaad.2005.11.1033_bib40","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1111\/j.1365-2230.1984.tb00864.x","article-title":"White piedra\u2013a case report and review of the literature","volume":"9","author":"Steinman","year":"1984","journal-title":"Clin Exp Dermatol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib41","first-page":"850","article-title":"Antifungal susceptibility testing of Trichosporon beigelii to imidazole compounds","volume":"34","author":"McBride","year":"1988","journal-title":"Can J\u00a0Microbiol"},{"key":"10.1016\/j.jaad.2005.11.1033_bib42","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1067\/mjd.2002.124072","article-title":"Itraconazole therapy for white piedra affecting scalp hair","volume":"47","author":"Khandpur","year":"2002","journal-title":"J Am Acad Dermatol"}],"container-title":["Journal of the American Academy of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0190962205045615?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0190962205045615?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T22:05:28Z","timestamp":1759269928000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0190962205045615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["S0190962205045615"],"URL":"https:\/\/doi.org\/10.1016\/j.jaad.2005.11.1033","relation":{},"ISSN":["0190-9622"],"issn-type":[{"value":"0190-9622","type":"print"}],"subject":[],"published":{"date-parts":[[2006,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"White piedra in children","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Academy of Dermatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaad.2005.11.1033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2006 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}