Proved that ringworm is much more common in children than in adults. The whole thing is in their way of life – no matter how you look after the child, he still touches or strokes everything he wants. In this case, we are talking about animals and other children, which usually become a source of infection. In this article you will find a large number of photo ringworm in children on the head and other parts of the body, doctors’ recommendations for treating even the most severe cases and helpful tips that will help other family members not to get infected.
Ringworm in children is caused by the same pathogen as adults – Microsporum. It is only necessary to note that he has a huge variety of species that hardly anyone has encountered in our country. In Russia, the most common are the zoophilic Microsporum canis and the anthropophilic Microsporum ferrugineum. The first kind can be infected from cats (most often small kittens) or dogs, the second from close contact with the patient or with his household items (towel, hat, comb, etc.).
It is important to remember that ringworm according to statistics is most common in children aged 4 to 12 years. Also at risk are women with delicate skin and people who have:
- Immunodeficiency states;
Well, the most provocative factor is a violation of the rules of personal hygiene.
The incubation period for ringworm is 3-7 days. The initial stage of the development of the disease on the head can manifest itself in the form of small bald spots that are not characteristic of the child. Usually they are formed at the crown. A few days later, a red spots of 2-3 cm in size appears on the bald spot. The lesion surface is covered with gray-white scales that stand out sharply against the background of red-pink erythema. The characteristic difference is completely broken hair at a height of 3-5 mm above the skin in the formed spot. Even at the initial stage of microsporia development with the naked eye, one can see that the hair in the lesions is surrounded by a gray-white bloom (a microscopic examination will show fungal spores enveloping the hair). All these symptoms are characteristic of lesions of the scalp of the fungus Microsporum canis.
The pathogen Microsporum ferrugineum is characterized by multiple foci of irregular shape and fuzzy boundaries. Common places of localization on the head are the back of the head, behind the ears and closer to the crown, on the smooth skin are the face, stomach, back, hands. The breaking of the hair is observed at the level of 6-8 mm. Some children may have a red scaly patch on the abdomen, others will be covered with pink plaques on the face and neck. One thing is proved for sure – the localization of the spots strongly depends on the presence of downy hair in this place.
Photo of Ringworm in Children
Diagnosis and Treatment
To shave off or not to shave off hair is up to you and your dermatologist! If the doctor recommends, it is better to shave off, so that the treatment is not delayed for a long time and there is no recurrence.
Diagnosis of all types of lichen includes a face-to-face examination of the patient, a microscopic examination of flakes taken from lesions, and the glow of spots under the Wood’s lamp. In rare cases, a differential diagnosis with trichophytosis, alopecia or psoriasis may be necessary.
Treatment of ringworm of the scalp in children is successfully carried out with the help of the drug Griseofulvin, which is often prescribed by dermatologists. The dosage is calculated according to the formula 20-22 mg per kg of body weight of the child. The treatment regimen usually looks like this:
- Take Griseofulvina daily for 14 days;
- Testing for mushrooms;
- In the case of negative tests, taking Griseofulvin 1 time in 2 days for 2 weeks;
- Delivery of analyzes;
- Reception of Griseofulvina 1 every 3 days for 2 weeks.
This treatment of microsporia of the scalp enjoys good reviews.
It is proved that Griseofulvin copes quickly and effectively with the ringworm of the scalp in a child and should be changed only in cases of personal intolerance or pronounced side effects (loose stools, stomatitis). Recently, there have been many complaints that dermatologists began to prescribe Terbinafine, knowing that it is less effective and the treatment process can be very long.
Also for quick recovery it is recommended:
- Pulling out the fungus-affected hair with tweezers (use Wood’s lamp to determine);
- Shaving of hair located near the lesion;
- Treatment of stains 2-5% tincture of iodine – (at the discretion of the doctor);
- Treatment of stains with sulfur ointments (5%), tar (5-10%), salicylic (2%) – (at the discretion of the doctor).
In advanced cases, drugs can be prescribed inside:
For topical treatment, Clotrimazole ointment is also used, which copes well with many types of lichen at the initial stage. The head can be washed with shampoo with Ketoconazole.
Complete recovery is considered to be the absence of lesions and 3 negative tests for the presence of spores of the fungus.
Do You Need Preventive Measures?
Many parents are too sensitive to the concept of disinfecting things and premises. In cases of ringworm, it is enough to put on the child a kerchief that needs to be boiled and washed every day. The same procedure is done with a pillowcase and other linens in contact with the lesions. Wash your head as usual – preferably with shampoo, based on ketoconazole. And, of course, respect for the elementary rules of personal hygiene.