Tinea Capitis


Fungal infection-Scalp; Infection-Fungal-Scalp; Tinea of the Scalp; Ringworm-Scalp.

Tinea capitis is a fungal infection of the scalp. It is also called ringworm of the scalp. Fungi are germs that can live on the dead tissue of the hair, nails and outer layer of skin. Tinea captis is caused by mold like fungi called dermatophytes.

Fungi grows well in warm, moist areas, it is more prevalent if ones have minor skin or scalp injury, one who don’t bath or wash hair often, over sweating of scalp for long time. Tinea capitis infection spreads easily, it is more often found in children and it goes away at puberty.

Age / Sex group affected by Tinea Capitis

It can happen at any age and to any gender.

Causes of Tinea Capitis

• Poor hygiene.
• Hot humid climates.
• Immune system disorder.
• Minor skin or scalp surgery.
• Wet skin for a long time such as sweating.
• Direct contact with infected person.
• From infected comb or clothe used by infected people.
• From infected pets.
• Daycare centers.
• Sharing combs, brushes or hats.
• Overcrowded living condition.
• Diabetes.

Tinea Capitis Signs and Symptoms

• Scalp skin red and swollen.
• Scalp gray or reddened areas.
• Dry scaling like dandruff but usually with moth-eaten hair loss.
• Bald small black dots due to hair that has broken off.
• Pus filled sores called kerions.
• Yellow crusts and matted hair (Favus).
• Low grade fever.
• Swollen lymph nodes in the neck.
• Itching of the scalp.
• Brittle or fragile hair that easily pulls out.
• Only parts of the scalp are involved

Investigations of Tinea Capitis

• Complete case history.
• Physical examination.
• Blood test.
• Skin biopsy.
• Fungal culture.

Treatment of Tinea Capitis

• Antibiotics
• Antifungal drugs.
• Anti-inflammatory.
• Tranquilizers.
• Medicated shampoos.

Prognosis of Tinea Capitis

Tinea capitis may be hard to get rid of, it may even return after treatment.

Differential diagnosis of Tinea Capitis

• Alopecia areata.
• Atopic dermatitis.
• Bacterial folliculitis.
• Drug-related rash.
• Impetigo.
• Psoriasis.
• Seborrhoeic dermatitis.
• Syphilis.

Complications of Tinea Capitis

• Hair loss.
• Scarring alopecia.
• Permanent scars.
• Pus filled sore (Kerions).

Diet / management of Tinea Capitis

• A yoga and stress management technique helps in relaxing mind.
• Eat a balance diet.
• Maintain personal hygiene.
• Keep the head area clean.
• Take your own comb, cloth and seizure when going for haircut.
• Keep children away from pets especially cats.
• Wash with medicated shampoos.
• Wash towels and cloths in warm soapy water.
• Soak combs and brushes for 1 hour a day in a mixture of one-half bleach and one-half water.
• Don’t use hats, pillow covers, or helmets of infected people.
• Avoid overcrowding.
• Avoid using combs and towels or cloths of infected person

Homeopathic treatment for Tinea Capitis

• Tinea capitis with crusts sometimes spreading to other parts of body.
• Biting itching in scalp and other parts of head.
• Scalp sensitive as from subcutaneous ulceration.

Atrium Lappa:
• Head completely covered with a grayish white crust.
• Most of hair gone.
• Eruption extends to face, moist, bad smelling on head of children.
• Crusta lacteal, swelling and suppuration of axillary glands.

Arsenicum Album:
• Scalp perfectly dry and rough, covered with dry scales and scabs.
• Dryness and roughness extending sometimes even to forehead, face and ear.
• Burning itching eruption, parts painful after scratching.
• Hairs falling off in patches.

Baryta Muriatica:
• Tinea capitis extending to sides and posterior portion of neck.
• Copious discharge of pus.
• Itchlike eruptions on scalp and neck.
• Whole scalp covered by a thick offensive crust.

• Itching and stinging of scalp, very sore to touch.
• Tinea capitis in occipital region.
• Eruption on ear lobe and behind ears.
• Yellowish looking skin, especially about temples.
• Excessively itchy moist tetter on neck.

• Humid, scaly, offensive smelling, bitter itching eruptions.
• Eruption on back of head and behind ears.
• Oozing fluid and breeding vermin.
• Slight friction causes soreness and chafing.

Phytolacca Decandra:
• Tinea capitis, worse washing it, from warmth.
• Scaly eruption on scalp.
• Galndurlar enlargement.
• Blotches on face.

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