How common are bald patches in scalp ringworm?

Scalp ringworm is a fungal infection involving the scalp and hair shafts. It may cause round or irregular areas of reduced hair, grey or black dots where hairs break, flaky skin, itch and tenderness. Some people develop swollen, boggy areas or crusting. The appearance can overlap with other causes of patchy hair loss, so a clinician may examine hairs or arrange a sample.

Because infection can spread through close contact and shared items, tell the clinician about affected household members, school contacts, hair tools, hats and bedding. Do not share combs, brushes, caps or towels while the cause is being assessed.

Arrange medical assessment rather than relying on a cream intended for ordinary skin ringworm; scalp infection commonly needs treatment that reaches the hair follicles. Use the prescribed medicine for the full advised course and attend follow-up if hair loss or scaling continues. Wash or replace personal hair tools as advised and avoid scratching the scalp.

Mention close contacts, pets with bald or scaly spots, and any recent salon exposure. These details can help identify a source and reduce reinfection. Keep the scalp clean and avoid sharing personal items until you receive guidance.

Seek prompt care for painful swelling, pus, extensive crusting, fever, swollen neck glands or rapidly spreading hair loss. Urgent assessment is especially important when the scalp is very tender or soft because severe inflammation can threaten follicles. Children with suspected scalp ringworm should be reviewed promptly to limit spread.

Does this look like scalp ringworm? Do I need a hair or skin sample? Which treatment reaches the scalp infection? Should household members, pets or salon contacts be checked?