Tinea Capitis

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BCCH Pediatric Dermatology Clinic Joseph M Lam, MD TINEA CAPITIS What is tinea capitis? Treatment Tinea capitis (also called “ringworm of the scalp) is the most Even though the scale is seen on common fungus infection in children, and usually affects the surface of the scalp, the infection goes deep to the root children from 2 to 10 years of age. Fewer than 5 percent of of the hair, under the skin. cases of ringworm of the scalp occur in adults. Most cases of Because of this, just using creams ringworm involving the scalp are due to a fungus that is or shampoos will not clear the passed from person to person, although pets can also pass on infection. the fungus. 1.Terbinafine (pill for scalp The fungal infection can begin fungus) as dandruff, areas of baldness, A pill needs to be taken once a day for about 4 weeks to clear or areas of redness on the scalp the fungus infection. Based on with swelling and pus bumps. your child’s weight, it will be either 1/2, 3/4 or a full pill. Even In some cases, big bumps if the scalp looks better, you (lymph nodes) in the neck may need to take the medicine until Scaly areas of hair loss finished. Unfortunately, there is be felt. no liquid version of terbinafine in The diagnosis of fungus infection is suspected by the Canada. appearance of the scalp and can be verified by fungal 2.Medicated shampoos cultures. The fungal culture usually grows the fungus in four Even though a medicated weeks. The child with ringworm of the scalp is contagious and solution will not cure tinea capitis, it can help reduce the should not share hair, combs, towels or hats with other kids. chance of passing on the fungus. Instructions for shampoo: Wet hair and scalp. Apply approximately 1 capful of selenium sulfide shampoo (e.g. Selsen Blue, Head & Shoulders- selenium) and lather into the hair and scalp. Leave on for approximately 10 minutes and rinse off. Other shampoos or conditioners may be used after rinsing out the shampoo. Dandruff-like dry scaling Dandruff-like dry scaling Shampooing should be done two to three times a week. 4480 Oak Street, Vancouver, BC 604-875-2606 (f) 604-875.3076 (o).

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n Ringworm of the Scalp (Tinea Capitis) n Can ringworm of the scalp Ringworm is infection with certain types of fungi called dermatophytes. The name comes from the be prevented? distinct, circle-shaped rash formed when the in- There are some things you can do to help prevent ring- fection involves the skin. When ringworm infects worm of the scalp. However, the infection is difficult to pre- the scalp and hair, it can look several different ways. vent because it is easily passed from person to person—for The scalp can look scaly (like dandruff) and have example, children playing together. (See under “How is bald spots or sores. Treatment with antifungal ringworm of the scalp treated?”) medications is effective. If bald patches are pres- Family members and other people with whom your child ent, the hair will usually grow back once the infec- has been in contact should be checked for infection. Other tion is eliminated. family members, including adults, can carry the infection without having any symptoms. They can be treated with medicated shampoo, as described later. What is ringworm of the scalp? How is ringworm of the Ringworm of the scalp is a common infection caused by scalp diagnosed? certain fungi called dermatophytes. Ringworm of the scalp is also called “tinea capitis.” Dermatophytes also cause infec- The doctor often suspects the diagnosis from the appear- tions of the feet (athlete’s foot) or groin (jock itch). Ring- ance of the rash on the scalp. However, it may be worm of the scalp is most common in young children, confused with other conditions, such as dandruff.
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Tinea Capitis)
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