Tinea Capitis (Scalp Ringworm)
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Ringworm of the scalp (tinea capitis) is a rash caused by a fungal infection. It usually causes itchy, scaly, bald patches on the head. Ringworm gets its name because of its circular appearance. No worm is involved.
Ringworm of the scalp is a contagious infection. It's most common in toddlers and school-age children. Tinea capitis is related to athlete's foot (tinea pedis), jock itch (tinea cruris) and ringworm of the body (tinea corporis).
Symptoms
Signs and symptoms of ringworm of the scalp may include:
- One or more round, scaly or inflamed patches where the hair has broken off at or near the scalp
- Patches that slowly get bigger and have small, black dots where the hair has broken off
- Brittle or fragile hair that can be easily broken or pulled out
- Tender or painful areas on the scalp
Treatment
- Shave or cut hair short on and around the lesions
- Clean with shampoo and water, dry and apply Miconazole (Daktarin/Miconaz)
- OR Ketoconazole (Conaz/Ketowin) lotion twice daily for 2 weeks or longer accordingly
- Tab Terbinafine (Tinasin/Lamisil) 250mg 1 tab PO OD for 8-12 days
- Treat super infection before applying topical antifungal treatment
- Supportive treatment for pain and itching
- In pregnant or breastfeeding women; Oral antifungals are contraindicated, apply topical treatment to limit the spread of infection until it is possible to treat orally.