How to deal with scalp fungus?

The article was professionally consulted by Specialist Doctor I Le Thi Thu Hang - Dermatologist, Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital. The doctor has over 12 years of experience in the field of dermatology.

Scalp fungus not only causes itching, flaking, hair loss, severely affecting aesthetics but also affecting the quality of life of patients. The disease is easily confused because lesions on the scalp have many types such as impetigo, psoriasis, seborrheic dermatitis... and there are many types of pathogenic fungi. In fact, many cases of scalp fungus, including children, are treated by their parents according to folklore, so the scalp is severely inflamed, hair loss, and permanent scarring.

1.1 Tinea capitis caused by Trichophyton Scalp fungal disease begins with small, scattered nodules on the scalp. The base of the lesion has thin scaly patches, healthy hair interspersed with truncated hair near the base (due to fungal infections becoming hard and brittle).
Scales peel off the scalp forming a temporary bald patch. This disease causes itching, the patient can have fungal skin infections in other locations (inguinal, buttock, nail).
1.2 Trachoma (hair eggs) caused by the fungus Pierdraiahortai and Trichosporon beigeli Characterized by along the hair shaft, from 2-3 cm from the base of the hair, there are soft round seeds (almost the size of millet), black or brown and can shed like lice eggs. This disease does not cause hair loss because the mycelium grows only in the hair shaft, which may cause mild discomfort or itching. Diseases often arise from poor personal hygiene.
The source of scalp fungal disease is mainly humans, in addition, it can be from some animals such as dogs and cats. Fungi can persist on contaminated materials. The disease is spread directly from the skin, through the skin, but the most common way is indirectly through sharing combs, hats, pillows... with sick people.
To make a diagnosis, in addition to relying on clinical symptoms, it is necessary to do tests: Fresh examination of the specimen is a scalp scaly patch or a substance on the hair. Culture in agar medium to diagnose the fungus and have an appropriate treatment regimen.

For mild cases, daily shampooing to remove hair loss, using selenium Sulfide shampoo or Nizoral shampoo works well.
If it gets worse, after washing, you should cover your hair with a towel (pay attention when you wash your hair, don't scratch or scratch it, causing local skin abrasions, creating conditions for bacterial superinfection)
Or you can cut all your hair. If the scalp is affected by fungus, apply a topical fungicide daily. If the lesion is infected with bacteria, apply topical antiseptic, systemic antibiotics can be used in combination.
Drug treatment options:
When topical treatments with antifungal creams and shampoos don't work, your doctor will prescribe oral antifungal medications. The antifungal medication Griseofulvin is taken by mouth for 6–8 weeks. Patients should take Griseofulvin with a high-fat meal to enhance absorption. Griseofulvin may cause nausea or stomach upset in children. Terbinafine, Itraconazole and Fluconazole are commonly used fungicides. However, the duration of treatment for some of these drugs may be shorter, 2 to 4 weeks. Both Ketoconazole and Fluconazole can cause colic in the baby, so they should be used with caution. For scalp inflammation caused by Microsporum spp., Griseofulvin has been shown to be superior for treatment, while Terbinafine is better for Trichophyton spp. infection.

To limit the spread of the disease, when the weather is hot, it is necessary to keep clean, especially places such as kindergartens, schools, dormitories... Use clean shampoo every day, do not scratch or scratch. strongly scratch the scalp, must rinse with clean water many times when washing hair and always keep the hair dry and clean. At the same time, make your hair dry right after you wash your hair and when you come back from the rain. Do not wear hats that are too tight, wear hats for too long to make your hair wet, easy to create favorable conditions for fungi to grow and cause disease. Avoid contact with infected pets, possibly take the pets to the vet periodically and check for fungus. Avoid sharing items with others to avoid the risk of spreading disease from people around. Do not share towels, hair combs, hats of other people, especially people with dandruff or symptoms of scalp fungal disease. Head fungus is contagious, so as soon as you feel signs of the disease, it is necessary to quickly seek medical attention and timely treatment. If detected and treated early, with the right method, with a reasonable shampoo regimen, scalp fungal disease can be cured. If there is too much dandruff on the head with signs such as itching, oily and smelly hair, red acne appears ... you should see a dermatologist immediately to help find the cause and appropriate treatment. Absolutely do not scratch and scratch the scalp vigorously to avoid causing damage and causing dandruff and fungus to spread more widely. Do not arbitrarily buy drugs to drink and apply without a doctor's prescription or advice. Eating a nutritious diet and always improving the body's resistance is also one of the ways to prevent disease.