How to treat Tinea Capitis “Itchy Scalp”?

Discussion of management

Teja V Surapaneni, MD, MS
YourMD.online
Published in
3 min readMar 21, 2024

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An itchy scalp can be quite bothersome, ranging from a minor annoyance to a more severe issue that causes significant discomfort. There are several factors that can contribute to an itchy scalp, such as fungal infections, immune system issues, dryness, and flaking. The choice of treatment is typically determined by the root cause of the issue. Let’s delve into some of these issues and their specific treatments, including both conventional and holistic remedies.

Understanding Tinea Capitis

Scalp ringworm, scientifically referred to as tinea capitis, is a common fungal infection that affects the scalp. It is a condition that is frequently observed in children, but it can also impact adults. Common symptoms of this condition may include patches of the scalp that feel itchy and appear scaly, along with hair loss and occasionally swollen lymph nodes.

Approach to Treatment: Treating tinea capitis relies heavily on the use of antifungal medications. Oral antifungal treatments such as terbinafine, itraconazole, or griseofulvin are frequently recommended as they have the ability to penetrate the scalp more effectively than topical treatments. Adhering to the prescribed treatment course is crucial for effectively eliminating the fungus.

Dealing with Autoimmune Issues

Itchy scalp can be a common symptom of autoimmune disorders such as alopecia areata and psoriasis. Two common conditions that affect the scalp are alopecia areata, which results in patchy hair loss, and psoriasis, which can lead to the development of thick, scaly plaques.

Approach to Treatment: When it comes to conditions like psoriasis, there are topical treatments available that can effectively reduce inflammation and itchiness. These treatments include steroid solutions or creams. In more severe cases, patients may require systemic treatments such as biologic drugs. Treatment for alopecia areata may involve the use of corticosteroid injections to promote hair growth.

Specialized Therapies

1. Shampoo for Ketoconazole: This shampoo is commonly prescribed to treat seborrheic dermatitis, a condition characterized by dandruff. It effectively combats the fungus responsible for dandruff and scalp irritation. You can easily find it without a prescription or opt for a stronger version with a doctor’s recommendation.

2. Steroid Solutions: Topical corticosteroids are commonly prescribed to alleviate inflammation and itchiness associated with conditions such as psoriasis or severe dandruff. There is a wide range of options to choose from, including solutions, foams, and creams.

Holistic Solutions

Aside from conventional medical treatments, there are also natural remedies available to provide relief for an itchy scalp:

1. Tea Tree Oil: Famous for its ability to combat fungi and bacteria, incorporating a few drops of tea tree oil into your shampoo can provide relief from itchiness.

2. Coconut Oil: Using coconut oil on your scalp can effectively hydrate dry skin and alleviate any discomfort caused by itchiness. Additionally, it is believed to possess antifungal properties.

3. Apple Cider Vinegar: Using diluted apple cider vinegar can help restore the pH balance of your scalp, which can in turn reduce the growth of fungus and bacteria. However, it’s important to exercise caution when using it, as it may cause irritation to damaged skin.

4. Aloe Vera: Aloe vera possesses remarkable cooling and soothing properties, making it a superb solution for alleviating discomfort caused by an itchy scalp. Direct application to the scalp can help alleviate irritation.

It’s important to keep in mind that although natural remedies can provide some relief, they should not be relied upon as a replacement for proper medical care when dealing with conditions such as fungal infections or autoimmune disorders. It’s important to seek guidance from a medical expert in order to identify the root cause of your itchy scalp and find the most suitable treatment approach. Taking care of your scalp’s well-being typically involves a blend of medical interventions, maintaining good hygiene, and occasionally using natural remedies to relieve any discomfort.

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