Finding a strange patch on your child\u2019s scalp can be stressful, especially when you can\u2019t see a doctor right away. If you notice a red, scaly, or crusty area, there are a few common causes to consider. While \u201conly a healthcare professional can provide a diagnosis,\u201d knowing the possibilities can help you take safe steps in the meantime.<\/p>\n
One frequent cause is tinea capitis, also known as scalp ringworm. Despite the name, \u201cit\u2019s not caused by worms\u2014it\u2019s a fungal infection.\u201d Signs include round or irregular scaly patches, redness, broken hairs, small bald spots, and mild itching. It spreads through shared hats, combs, pillows, or close contact. This condition usually requires prescription antifungal medication.<\/p>\n
Another possibility is seborrheic dermatitis. It often appears as greasy, flaky scales with mild redness and is \u201cusually not very itchy.\u201d In babies it\u2019s called cradle cap, but older children can develop it too. Medicated shampoos may help manage symptoms.<\/p>\n
Psoriasis can also affect the scalp, causing thick, silvery scales and well-defined red patches, sometimes with itching. It is a chronic condition that may need medicated treatment. Eczema (atopic dermatitis) is another cause, especially if your child already has sensitive skin or eczema elsewhere.<\/p>\n
While waiting for a doctor, keep the area clean with a mild shampoo and avoid harsh scrubbing. Do not share combs, brushes, hats, pillows, or towels. If you suspect a fungal infection, you may try an over-the-counter antifungal shampoo containing ketoconazole or selenium sulfide 2\u20133 times per week. This may reduce spread but often won\u2019t fully cure it without oral medication.<\/p>\n
Seek urgent care if you notice rapid spreading, severe swelling, pus, fever, or painful swollen lymph nodes. Even if symptoms improve, scalp infections in children often require prescription treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"
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