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):
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In a child with hair loss and scale on the scalp, fungal infection may be the cause.
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References


Bolognia, Jean L., ed. Dermatology, pp.1174-1185. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. pp.645-646, 1993-1995, 2443-2446. New York: McGraw-Hill, 2003.

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MedlinePlus: Tinea Infections

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