Ringworm of the Scalp

Tinea capitis, commonly called ‘ringworm of the scalp’, frequently occurs in children between the ages of 2 and 7. This fungal infection creates round patches of hair loss on the scalp, which gradually grow larger. The patches often look scaly, and you may notice small black dots where the hair has broken off.

Sometimes, there might be crusty bumps that drain pus, and your child may develop swollen glands in the neck or back of the head. Unlike some infections, ringworm doesn’t usually cause a fever.

This infection is similar to other fungal conditions like athlete’s foot and jock itch. The fungus is highly contagious and can spread through direct contact with an infected person’s hair or scalp. It can also spread through shared personal items such as combs, hats, brushes, and towels. Although less common, it can be transmitted from infected pets, too.

Treatment typically involves prescribed oral antifungal medications, which your child may need to take for 1 to 3 months. To help the medicine work better, your child might need to eat fatty foods like whole milk, cheese, or yogurt.

Special medicated shampoos may also clear the infection and help prevent its spread. Hair growth usually resumes after starting treatment, but full recovery of the scalp may take 6 to 12 months.

To prevent the infection from spreading, avoid sharing personal items, wash towels after each use, and soak combs and brushes in a bleach solution. All family members should use the antifungal shampoo a few times a week for about 6 weeks, even if they don’t show signs of infection.

If you spot signs of ringworm on your child’s scalp, such as hair loss or scaling, please contact our office during regular hours for a proper diagnosis and treatment plan. Our pediatric specialists can often diagnose it just by looking at your child’s scalp, though sometimes a small sample of the affected skin or hair might be sent for testing.

If your child’s infection doesn’t improve after 4 weeks, or if they develop a fever or painful, pus-filled patches, get in touch with our doctor. We’re here to support your child’s recovery and prevent further spread of the infection.