How to treat scalp ringworm in children?

Compared with adults, children's bodies are still slightly worse, at least their immunity is much worse. This means that when there is an epidemic in society, if such disease is contagious to a certain extent, children should be helped to prevent it, such as influenza. In addition to caring about children's bodies, we should also care about their skin. So, how to treat scalp ringworm in children?

treat

Topical treatments

(1) Topical antifungal herbal cream: Apply to the entire scalp.

(2) Washing your hair: Use 2% ketoconazole lotion or hot water soap to wash your hair once every night for 2 months.

(3) Shaving: All diseased hair should be cut off or burned as much as possible, once a week, for a total of 8 times.

Systemic treatment

Griseofulvin is still the first choice and is the most sensitive to Microsporum. Adults: 0.6-0.8 g/d; children: 15-20 mg/(kg?d), taken in 3 divided doses after meals. The course of treatment is 3-4 weeks. During medication, eat more oily foods to promote drug absorption. At the same time, pay attention to liver function tests. If griseofulvin is used together with the Chinese medicine Artemisia capillaris, its efficacy can be improved and the dosage of griseofulvin can be reduced. And avoid using drugs that inhibit gastric acid secretion. Ketoconazole is most sensitive to Trichophyton tonsurans. The dosage for children is 5 mg/(kg?d), taken once, preferably during meals, and the course of treatment is 4 to 8 weeks. Itraconazole is taken with meals, 0.2 g/d for adults and 0.1 g/d for children, once a week for 4 to 6 weeks. Terbinafine 0.25g/d, children 0.125g/d, take for 4 to 8 weeks. Liver function tests should also be paid attention to during medication. In the acute phase of kerion, small doses of corticosteroids can also be used for a short period of time.

Diagnostic Methods

The diagnosis can be confirmed based on clinical manifestations, morphology and location of skin lesions and microscopic examination, but it should be differentiated from neurodermatitis and chronic eczema:

1. Neurodermatitis: There is obvious lichenification, no blisters, and fungal microscopy is negative.

2. Chronic eczema: There is no ridge-like raised edge, the boundary is unclear, and the fungal test is negative.

1. Scalp psoriasis lesions are erythema with clear boundaries and obvious inflammation, covered with thick silvery-white scales, the hair is in bundles but there is no broken hair, sterile sheaths, and fungal examination is negative.

2. Seborrheic dermatitis has diffuse scaly patches on the scalp with unclear borders or covered with greasy crusts, accompanied by hair loss, but no broken hair or fungal sheaths, and fungal examination is negative.

In addition, it is necessary to differentiate it from head eczema, scalp pityriasis, etc., and perform fungal examination when necessary. Pustulariasis should also be differentiated from purulent skin abscesses such as perforating folliculitis on the head and perifolliculitis. The latter has no honeycomb-like follicular pores, obvious pain, and is often accompanied by fever. Fungal microscopy can be used for differentiation when necessary.