Treatment For Ringworm And Other Tinea Infection
Ringworm may be hard to cure. Specific treatment will be discussed with you by your healthcare provider based on:
Your age, overall health, and medical history
Extent of the condition
Your tolerance for specific medicines, procedures, or therapies
Expectations for the course of the condition
Your opinion or preference
Treatment for scalp ringworm or nail infection is hardest to treat and usually includes an oral antifungal medicine for many weeks. Some people need longer treatment. Treatment for scalp ringworm may also involve the use of a special shampoo, to help eliminate the fungus. If a kerion is present or you have developed a secondary abscess or bacterial infection, your healthcare provider may order additional medicines, such as steroids, to help reduce the swelling.
Treatment for ringworm of the body, groin, and foot is usually a topical antifungal agent or an oral antifungal medicine. The length of the treatment depends on the location of the ringworm. Because the fungi can live indefinitely on the skin, recurrences of ringworm are likely. Treatment may need to be repeated.
If you have ringworm symptoms, see your healthcare provider for treatment recommendations. It is important to note that common home remedies do not effectively treat this condition.
Standard Treatments For Ringworm Of The Scalp
Because antifungal creams have poor penetration in the scalp, ringworm of the scalp must be treated with oral medications and antifungal shampoos.
Shampoos containing 2.5% zinc sulfide or zinc pyrithione or 1%-2.5% selenium sulfide can be prescribed to alleviate the itching, irritation, and spread of the fungus.
Standard treatments include a 6-8 week course of prescribed medication or until the ringworm is cured. Although the scalp can heal with timely treatment, it can take 6-12 months for the hair to regrow on the bald spots.
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Shingles has vivid and painful symptoms. Most often, the disease is detected in the elderly. Unfavorable ecology contributes to the development of infection in young people with weak immunity. Shingles often develops against the background of oncological processes, especially in people with weakened immunity .
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How Can I Prevent Ringworm
The fungi that cause it are everywhere. Still, here are some things you can do to lower your chances of getting ringworm or stop it from spreading:
- Keep your skin clean and dry.
- Wear flip-flops in locker rooms and public showers.
- Change your socks and underwear at least once each day.
- Donât share clothes or towels with someone who has ringworm.
- If you play sports, keep your gear and uniform clean and donât share them with other players.
- Wash your hands with soap and water after playing with pets. If your pets have ringworm, see your vet.
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How Is Ringworm Of The Scalp Diagnosed
A visual examination of the scalp is enough for the doctor to get an idea of your condition. Sometimes, to get a wider picture, your doctor may use a Woods lamp to illuminate your scalp to check for signs of infection.
To confirm the presence of the fungi, a scalp or hair sample might be taken. Although this can be a time-taking procedure, this will help confirm the diagnosis.
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Are There Any Possible Complications
If the infection is not treated and becomes severe, there is a risk of some permanent scarring and patches of hair loss remaining on the scalp even after treatment.
Sometimes the fungal infection beds down deeply into the scalp, which responds by creating a very sore, thick bumpy mass of fungal infection called a kerion. This can look like a cluster of boils and be mistaken for a bacterial infection, when the actual infection is caused by a fungus. Antibiotics will not help for a kerion: you need antifungal tablets like terbinafine or griseofulvin. This image shows a kerion:
Antifungal Creams And Shampoos
Antifungal creams or shampoos do not clear the infection fully. This is because fungi get into the hair shafts where creams and shampoos cannot reach. Therefore, they cannot cure the condition. They do, however, clear fungi and fungal spores from the hairs and surface of the scalp.
An antifungal shampoo or cream may be advised twice-weekly for a couple of weeks in addition to antifungal medication for example, selenium shampoo, ketoconazole shampoo or terbinafine cream. This is to clear any surface fungi quickly and make it much less likely for the fungus to spread to other children.
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What Is Ringworm Of The Scalp
Ringworm of the scalp is a fungus infection of the hair. It causes:
- Round patches of hair loss that slowly increase in size
- A black-dot, stubbled appearance within the bald spots of the scalp from hair shafts that are broken off at the surface
- Sometimes scaling on the scalp
- Mild itching of the scalp
- Sometimes ringworm on the face
Children who get ringworm of the scalp are usually 2 to 10 years old. A positive microscope test or fungus culture is needed to confirm the diagnosis.
How Can I Take Care Of Myself And My Family At Home
If you or your child have tinea capitis, you should check everyone else in your household for the infection. You may want to treat them even if they dont have symptoms. If not, everyone could continue to pass the infection back and forth among each other. Children can use antifungal creams or shampoos twice a week for at least six weeks.
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Symptoms Of Scalp Ringworm
Tinea capitis may cause a dry scaly rash that may be somewhat itchy, a patch of hair loss Hair loss, also called alopecia, can occur on any part of the body. Hair loss that occurs on the scalp is generally called baldness. Hair loss is often of great concern to people for cosmetic… read more ), or both. One type of fungus causes “black dot” ringworm, in which hair shafts break at the scalp surface. Another type of fungus causes “gray patch” ringworm, in which hair shafts break above the surface, leaving short stubs. Tinea capitis may sometimes cause flaking that resembles dandruff.
Preventing Contagion Between Humans
A person who has ringworm can spread the infection both to other parts of their body and to other people. To prevent this, people should take the following precautions:
- avoid scratching or touching the ringworm lesion
- wash the hands thoroughly after touching or treating the ringworm lesion
- wash clothes, bedding, and towels in hot, soapy water
People who have athletes foot should also take the following precautions:
- avoid leaving worn socks lying around
- use an ultraviolet shoe sanitizer or ozone cabinet to disinfect shoes
- avoid walking barefoot in the home
People who have ringworm should avoid sharing their personal items. Some items to avoid sharing include:
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What About Close Contacts Of Affected People
Some people with no symptoms may be contaminated with fungi in their hair. These people are called ‘carriers’. Therefore, household members and other close contacts of an affected person may be advised to have a simple test. That is, a special brush may be used on their hair which is then sent to the laboratory to see if their hair is contaminated with fungi or fungal spores.
Treatment may be offered if fungi or fungal spores are detected, to prevent the disease from ‘taking hold’ or from spreading to others. For example, some people found to have a heavy growth or high spore count may be advised to take a course of antifungal tablets. Others with a low count may be treated with just an antifungal shampoo or cream. But note: this measure is for close contacts, such as brothers and sisters. Screening in schools where an affected child attends is not usually needed. However, if more than two children in a class are infected, the rest of the class may be screened by scalp brushing .
General Advice If You Are Diagnosed With Scalp Ringworm
If you are confirmed or your child is confirmed as having scalp ringworm then:
- Where possible, you should throw out or disinfect objects that may be contaminated with fungal spores for example, hats, combs, pillows, blankets and scissors. This aims to prevent re-infection after treatment and to prevent passing on the infection to others.
- You should not share towels. Wash used towels frequently.
- It is not necessary to keep children off school. However, to ensure that the infection is not transmitted to others, they should carefully follow the recommended treatment.
- Monitor the scalps of other children in the household. If there are any signs of scaling or hair loss then seek medical advice.
- If a pet is suspected of being the source of the fungal infection then seek advice from a vet for treatment.
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Related Resources For Ringworm
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This article is not medical advice. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, immediately call your physician or dial 911.
Treating Ringworm And Other Fungal Infections
Most tinea fungal infections, including ringworm, are easily treated by using antifungal creams, tablets or shampoo. You can also help to get rid of fungal infections and stop them from spreading by:
- washing areas of affected skin daily and drying thoroughly, paying particular attention to skin folds and between your toes
- in the case of a groin/foot infection, changing your underwear/socks daily, because fungi can persist in flakes of skin
- with a scalp infection, not sharing combs, hairbrushes or hats
- washing clothes, towels and bed linen frequently
- wearing loose-fitting clothes, preferably made of cotton or other natural materials
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What Are The Symptoms Of Tinea Capitis
Tinea capitis may affect all or part of your childs scalp. Symptoms may include:
- Swollen red patches.
- Swollen lymph nodes.
Inflammatory tinea capitis can cause painful swollen patches on your childs scalp. These patches are called kerion. The kerion may have crusty blisters and ooze pus. Inflammatory tinea capitis may cause scarring and your childs hair may not grow back.
Black dot tinea capitis causes hair shafts to break at the surface, which look like black dots. Gray patch tinea capitis leaves short hair stubs.
Treatment Of Scalp Ringworm
In children and adults, antifungal drugs taken by mouth
In children, antifungal cream and selenium sulfide shampoo
In adults, sometimes selenium sulfide shampoo
In children, treatment of tinea capitis involves an antifungal drug called terbinafine taken by mouth for 4 weeks. Griseofulvin is an alternative drug for children.
An antifungal cream can be applied to the scalp to prevent spread, especially to other children, until the tinea capitis is cured. Prescription-strength selenium sulfide shampoo should also be used at least twice a week. Children may attend school during treatment. Some Antifungal Drugs Applied to the Skin .)
In adults, tinea capitis treatment is with the antifungal drug terbinafine or itraconazole taken by mouth. How long treatment is needed depends on the drug used. Selenium sulfide shampoo is also sometimes used in adults.
For severely inflamed areas and for a kerion, doctors may prescribe a short course of a corticosteroid such as prednisone taken by mouth to lessen symptoms and perhaps reduce the chance of scarring.
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Tinea Capitis Treatment: Otc
Antifungal creams and shampoos: Antifungal lotions and shampoos are ineffective in completely removing the infection. Fungi enter into the hair shafts where lotions and shampoos can’t. As a result, they are incapable of providing sustained relief or complete cure.. Fungi and fungal spores are, nevertheless, removed from the hairs and scalp surface.
In addition to oral antifungal medicine, an antifungal shampoo or cream, such as selenium sulfide shampoo, ketoconazole shampoo, or terbinafine cream, maybe recommended twice-weekly for a few weeks. This is to swiftly eliminate any surface fungi and reduce the risk of the fungus spreading to other youngsters.
Treatment For Scalp Ringworm
After seeing a doctor or dermatologist for a head fungus infection, the professional may suggest certain oral antifungal medications such as terbinafine, itraconazole, griseofulvin, and fluconazole. At the moment, itraconazole and terbinafine are even authorized in some countries for use in children.
If your doctor prescribes one of these medications, you might have to take it for six months or more. They might also recommend that you also use a medicated shampoo. This product helps to kill the fungal spores and prevents the infection from spreading.
The most frequently recommended medicated shampoo is one that includes 2% ketoconazole. All children in the household with a sick person should use this shampoo at least twice a week for 6 weeks. Adults should use it only if they have symptoms.
Also, relapses of tinea capitis are very common, as the fungi leave spores on everyday objects. Thus, infected persons should wash towels in hot soapy water after use. In addition, it is recommended to soak combs and brushes in bleach solutions for an hour a day for two consecutive days.
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What Should You Know About Ringworm On The Scalp
What Is Ringworm on the Scalp?
Scalp ringworm is a very common scalp infection among children throughout the world. It is one of the most common skin problems seen in children. It is not caused by a worm, but by a fungus and is named for the ring-like or circular appearance of the infection on the skin.
Where Do Ringworm Infections Appear?
Fungal organisms known as dermatophytes superficially infect certain types of tissue found in hair, skin, and nails. The different types of fungal infections are named based on location and may differ in how they are treated. Certain dermatophytes forms the crusty, scaly patches commonly associated with scalp ringworm.
Does Ringwom Spread to Others?
Some people can be carriers of the organism and spread it to others in the household without having symptoms.
Who Gets Ringworm of the Scalp?
Children 4-14 years of age are most likely to develop ringworm of the scalp, although it can occasionally appear in adults and may occur in younger children.
Scalp ringworm occurs most frequently in urban areas among people with poor hygiene, those living in overcrowded quarters, or those living in warm, damp climates. This disease tends to be more severe in people with weakened immune systems, such as those with diabetes, AIDS, or cancer.
Ringworm found on the body differs from scalp ringworm and is caused by a separate organism.
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What Is Tinea Capitis
Tinea capitis is a fungal infection that affects your childs scalp and hair. Another name for tinea capitis is scalp ringworm. Tinea capitis occurs when fungi enter your childs hair follicles and often hair shafts. Tinea capitis may also affect your childs eyelashes and eyebrows.
Tinea capitis can be inflammatory or non-inflammatory. The inflammatory type can cause kerion. Tinea capitis kerion are painful, pus-filled patches that sometimes ooze. A reaction to the fungus in your childs immune system causes kerion. It may cause scarring and permanent hair loss.
The non-inflammatory type of tinea capitis doesnt usually cause permanent hair loss. It can cause black dot tinea capitis, which means your childs hair shafts break at their scalp surface. Gray patch tinea capitis is another type of non-inflammatory ringworm. It means your childs hair shafts break above the surface, leaving short stubs.
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When To Seek Medical Care
If you have hair loss or itchy, scaly spots on the scalp, it is probably a good idea to make an appointment with a physician.If a sibling, classmate, or friend is diagnosed with scalp ringworm, make sure you examine your own scalp to look for scaly spots. If you are suspicious about an area, see a doctor for an examination.If you are diagnosed with scalp ringworm, make sure any household pets are evaluated by a veterinarian to be certain that they do not also have a dermatophyte infection. If the veterinarian discovers an infection, the animal should be treated.
How Do Dermatologists Diagnose Ringworm
A dermatologist can often tell if you have ringworm by looking at the infected area.
Your dermatologist may also examine other areas of your body. Its common to have athletes foot and ringworm on one or both hands. Sometimes, the infection spreads to one or more nails.
Before giving you the diagnosis, your dermatologist may send a bit of the infected skin, hair, or nail to a laboratory.
Taking a sample is easy. If you might have ringworm on your skin, your dermatologist will scrape off a bit of the infected skin. When it looks like you have ringworm on your scalp or beard area, your dermatologist may remove some hair. To find out if you have ringworm on a nail, your dermatologist will clip off a bit of nail and remove some debris from under the nail.
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