In a child with hair loss and scale on the scalp, fungal infection may be the cause. In tinea capitis (fungal infection of the scalp), there can be thick scaling. In tinea capitis, there can be many areas of hair loss, as displayed in this image. In a fungal infection of the scalp, there can be scaling without hair loss, as displayed in this image. Tinea capitis (a fungal scalp infection) typically has round areas of hair loss with scaling and redness of the scalp. Areas of scaling, redness, and possible hair loss are typical of tinea capitis. Multiple areas of hair loss and scaly patches of skin on the scalp is known as tinea capitis.   Tinea capitis (ringworm) can cause thick, white, scaly areas within the scalp. In addition to a thick scale in this patient, there is usually temporary hair loss due to tinea capitis (ringworm).
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Ringworm, Scalp (Tinea Capitis)  A parent's guide to condition and treatment information

Picture of Ringworm, Scalp (Tinea Capitis): In a child with hair loss and scale on the scalp, fungal infection may be the cause. Divider line
In a child with hair loss and scale on the scalp, fungal infection may be the cause.
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Who's At Risk
Scalp ringworm may occur in people of all ages, of all races, and of both sexes.

However, scalp ringworm is most frequently seen in children, especially those between 3 and 7 years old. In the United States, African American children are more likely to have scalp ringworm than others. Also, it is slightly more common in boys than in girls.
Last Modified: 22 Dec 2008