(Ringworm of the Scalp; Fungal Infection of the Scalp)
How to Say It: tin-EE-ah CAP-i-tis
by Amy Scholten, MPH
Tinea capitis is a skin infection that affects the scalp. If not treated, it can lead to permanent hair loss and scarring.
Tinea capitis is caused by a fungus. The fungus invades hair shafts. It is spread by:
Tinea capitis is more common in children 3 to 7 years old. Other things that may raise the risk are:
Tinea capitis may cause:
The doctor will ask about symptoms and health history. A physical exam will be done. The person may be referred to a skin doctor.
Diagnosis is often based on a scalp exam. If the diagnosis is uncertain, the doctor may scrape the scalp or clip a few hairs for testing.
Tests on the sample may include:
The goal is to clear the infection. The main treatment for tinea capitis is antifungal medicine taken by mouth. Antifungal creams may also be added. Antifungal shampoos may help reduce the spread to others.
The condition can be difficult to treat.
To reduce the risk of tinea capitis, do not share combs, brushes, or headgear.
American Academy of Dermatology
Centers for Disease Control and Prevention
Canadian Dermatology Association
Leung AKC, Hon KL, et al. Recent Pat Inflamm Allergy Drug Discov. 2020;(1):58-68.
Tinea capitis (scalp ringworm). Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/dermatologic-disorders/fungal-skin-infections/tinea-capitis-scalp-ringworm. Accessed April 2, 2021.
Tinea capitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/tinea-capitis Accessed April 2, 2021.
Last reviewed December 2020 by EBSCO Medical Review Board David L. Horn, MD, FACP
Last Updated: 4/2/2021