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Fungal infection - scalp; Infection - fungal - scalp; Tinea of the scalp; Ringworm - scalp
Tinea capitis may involve only parts of the scalp, or all of it. Areas that are infected appear bald with small black dots, due to hair that has broken off.
Round, scaly areas of skin that can be red or swollen (inflamed) may be found, as well as pus-filled sores called kerions.
You may have a low-grade fever of around 100 - 101 °F or swollen lymph nodes in the neck.
There is usually itching of the scalp.
The appearance of the scalp will make the health care provider suspect tinea capitis. A special lamp called a Wood's lamp test can help diagnose a fungal scalp infection.
The health care provider may swab the area and send it for a culture. However it may take up to 3 weeks to get these results.
Rarely, a skin biopsy of the scalp will be done.
Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2009:pp 491-523.
Hay RJ. Dermatophytosis and other superficial mycoses. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Churchill Livingstone Elsevier;2009:chap 267.
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