Tinea capitis
Definition
Tinea capitis is a fungal infection of the scalp.
Alternative Names
Fungal infection - scalp; Infection - fungal - scalp; Tinea of the scalp; Ringworm - scalp
Causes
Tinea capitis (also called ringworm of the scalp) is caused by by mold-like fungi called dermatophytes. It usually affects children and disappears at puberty. However, it can occur at any age.
The fungi that cause tinea infections thrive in warm, moist areas. You have an increased risk for tinea infection if you have:
- Minor skin or scalp injuries
- Poor hygiene
- Wet skin for a long time (such as from sweating)
Tinea infections are contagious. You can catch tinea capitis if you come into direct contact with someone who has the condition, or if you touch contaminated items such as combs, hats, or clothing. The infection can also be spread by pets, particularly cats.
Symptoms
Symptoms include:
- Areas that appear bald, due to hair that has broken off
- Itching of the scalp
- Pus-filled sores (lesions) on the scalp (kerions)
- Round, scaly lesions on the scalp that may be red or swollen (inflamed)
- Small black dots on the scalp
Exams and Tests
The appearance of the scalp will make the health care provider suspect tinea capitis.
Tests may include:
- Skin lesion biopsy with microscopic examination or culture
- Wood's lamp test to confirm a fungal scalp infection
Treatment
Anti-fungal medications, taken by mouth, are used to treat the infection. Griseofulvin, terbinafine, and itraconazole are often used to treat this condition.
Keep the area clean. A medicated shampoo, such as one containing ketoconazole or selenium sulfide, may reduce the spread of infection. Other family members and pets should be examined and treated, if necessary.
Outlook (Prognosis)
Tinea capitis may be extremely persistent, and it may return after treatment. In many cases it gets better on its own when the person reaches puberty.
Possible Complications
- Hair loss
- Permanent scars
- Pus-filled sores (kerions)
When to Contact a Medical Professional
Call for an appointment with your health care provider if you have symptoms of tinea capitis. Home care remedies do not effectively treat tinea capitis.
Prevention
Good general hygiene is important to prevent and treat tinea infections. Shampoo the scalp regularly, especially after haircuts.
Avoid contact with infected pets or people. Do not exchange headgear, combs, and similar items unless they are first thoroughly cleaned and dried.
References
Andrews MD, Burns M. Common tinea infections in children. Am Fam Physician. 2008;77:1415-1420.
Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
Adventist HealthCare · 301-315-3030 · 1801 Research BLVD, Suite 400, Rockville, MD 20850
Get Care
Health & Wellness
Patient Information
Website Information
Ways of Giving
