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Ringworm on Scalp (cont.)

Follow-up for Scalp Ringworm

For the infection to be completely cured, the hair needs to grow out. With average hair growth, this process could take weeks to months. Continuing to take all the medications prescribed for the entire course of treatment is important. The medicated shampoo can help but should not replace the oral medications. Routine follow-up with the doctor is advised to measure the effect of the treatment and to monitor the potential side effects.

Ringworm on Scalp Prevention

A person can prevent scalp ringworm by keeping skin clean and dry, not sharing hats, combs, brushes, and avoiding contact with infected people or objects.

Scalp Ringworm Outlook

Daily oral griseofulvin in combination with medicated shampoo has been the most common treatment of scalp ringworm over the last several decades. Generally, this combination is successful, but new antifungal drugs are being studied due to increasing resistance to griseofulvin and the desire for faster treatment. If ringworm treatment is started early and if the medications are taken as prescribed, scalp ringworm can be successfully cured, and the hair in bald spots will likely grow back.

Scalp Ringworm Pictures

Tinea capitis: black dot ringworm.
Tinea capitis: black dot ringworm. Click to view larger image.

Tinea capitis: gray patch ringworm.
Tinea capitis: gray patch ringworm Click to view larger image.

Tinea capitis: kerion type, inflammatory tumor.
Tinea capitis: kerion type, inflammatory tumor. Click to view larger image.

Tinea capitis: ringworm with extensive hair loss with scarring and yellowish crusts on the scalp.
Tinea capitis: ringworm with extensive hair loss with scarring and yellowish crusts on the scalp. Click to view larger image.

Medically reviewed by Robert Cox, MD; American Board of Internal Medicine with subspecialty in Infectious Disease

REFERENCES:

Ali, S., T. Graham, and S. Forgie. "The Assessment and Management of Tinea Capitis in Children." Pediatr Emerg Care 23.9 (2007): 662-665.

Ameen, M. "Epidemiology of Superficial Fungal Infections." Clin Dermatol 28.2 (2010): 197-201.

Higgins, E.M., L.C. Fuller, and C.H. Smith. "Guidelines for the Management of Tinea Capitis." Br J Dermatol 143.1 (2000): 53-58.

Noble, S.L., R.C. Forbes, and P.L. Stamm. "Diagnosis and Management of Common Tinea Infections." Am Fam Physician 58.1 (1998): 163-174.


Medically Reviewed by a Doctor on 2/12/2016
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Read What Your Physician is Reading on Medscape

Tinea Capitis »

Tinea capitis is a disease caused by superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicles.

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