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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Overview
Scalp ringworm (tinea capitis) is a common mild infection of the scalp and hair that appears as scaly spots and patches of broken hair on the head. Caused by a fungus, it is most commonly seen in children.

Scalp ringworm may be passed among humans by direct contact with infected people or with contaminated objects (such as combs, pillows, and sofas). Less commonly, the fungus may be spread from infected animals (especially cats or dogs) or from the soil. Though several different types of fungus may cause scalp ringworm, they are generally known as dermatophytes.
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Last Modified: 22 Dec 2008
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