Scalp Ringworm(Tinea Capitis) Treatment In Indore

About Scalp Ringworm (Tinea Capitis)

Tinea capitis is a fungal infection of the scalp caused by dermatophytes-fungi obtaining their nutrients primarily from keratin.

It is contagious, most common in children, but can occur in adults.

Symptoms:

Round, scaly patches of hair loss

Itchy scalp

Black dots where hair has broken off

Swollen, red patches or pus-filled bumps in severe cases

Crusting or oozing in severe infection

⚠️ Causes & Risk Factors

Direct contact with infected person or animal (cats, dogs, farm animals)

Sharing combs, hats, towels, or pillows

Warm, humid environments in which fungi can grow

Poor personal hygiene or excessive perspiration

Immune suppression or chronic illness

Treatment

1. Antifungal Oral Medication-an absolute necessity for treatment

Griseofulvin – classic first-line, usually 6–8 weeks

Terbinafine – effective for children and adults (4–6 weeks)

Itraconazole or Fluconazole – alternative options

Oral medication is necessary because topical creams alone cannot penetrate hair follicles.

2. Topical Antifungal Shampoo (supportive)

Ketoconazole 2% shampoo

Selenium sulfide 2.5% shampoo

Usage:

Wash hair 2–3 times a week

Helps reduce fungal spores and prevent their spread.

Combine with oral therapy.

3. Adjunct Measures

Keep the scalp clean and dry.

Trim long hair to allow medication contact

Avoid scratching to avoid secondary bacterial infection

Prevention & Control of Contagion

Avoid sharing combs, hats, and towels.

Wash your bedding and clothes in hot water.

Treat pets if they are carriers.

Isolate infected children from school or playgroups for 24–48 hours on treatment.

Maintain scalp hygiene, including frequent shampooing and thorough drying of hair.

What Not to Do

❌ Don't use only steroids or topical creams; the fungus will persist.

❌ Don't share hairbrushes or towels.

❌ Don't neglect the infection; it can cause permanent hair loss if left untreated.

❌ Avoid scratching — can cause bacterial superinfection.

❌ Do not rely on home remedies alone because fungal infections require antifungal medication.

Complications

Permanent hair loss occurs when follicles are severely damaged.

Kerion formation: painful pus swelling resulting from the body's immune response

Secondary bacterial infection

Spread to family or classmates,

and when to see a Doctor

Patches of hair loss are rapidly spreading.

Pus, swelling, or severe redness develops - kerion. Home remedies or topical antifungal fail after 2–3 weeks. Infection recurs after treatment