Scalp ringworm is very uncommon in adults. The occurrence and the atyp
ical clinical course of this unusual dermatophytosis in a female renal
transplant recipient are described. Furthermore, the prevalence and t
he clinical features of superficial fungal infection in renal transpla
nt recipients are reviewed. As immunosuppression enhances the risk of
antifungal therapy failure, more prolonged treatment and careful follo
w-up are necessary to obtain complete recovery from any dermatophytosi
s in renal transplant recipients.