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Ringworm in the scalp
My 6 yr old son has had scalp ringworm(tinea capitis) several times over the past three years.  He is  taking his third Griseofulvin regimen.  It generally goes away, but this time, seems to be spreading to his neck and back.  We've been told that the next alternative is oral Lamisil.  Are there any other treatments available?
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Hi,

Skin medication is usually successful at treating Ringworm within 4 weeks.

Advice often given to prevent ringworm includes:

* Avoidance of sharing clothing, sports equipment, towels, or sheets.
* Washing clothes in hot water with fungicidal soap after suspected exposure to ringworm.
* Avoidance of walking barefoot, wearing of appropriate protective shoes to the beach and flip-flops/thongs in locker rooms.
* After being exposed to places where the potential of being infected is great , washing with an antibacterial and anti-fungal soap or one that contains Tea Tree Oil, which contains terpinen-4-ol.


Treatment includes washing ths scalp with shampoo with selenium sulfide (2.5%) or zinc pyrithione (1-2%) used 2-3 times weekly at home. Oral steroids can also be added for severe inflammatory types of scalp ringworm.

Also consult a dermatologist and get other conditions causing similar symptoms like alopecia aereata,hormonal imbalance(overproduction of dihydrotestosterone and thyroid hormones irregularities),malnutrition and sebum plugs on skin ruled out.

Let us know if you need any further information.

It would be advisable to consult a skin specialist for the symptoms and a proper clinical examination.

Let us know if you need any other information and post us on how he is doing.

Regards.
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