Types of Tinea Capitis and Their Characteristics

Written by Zhu Zhu
Dermatology
Updated on June 28, 2025
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Tinea capitis, commonly seen in children, is a superficial skin disease related to fungal infections. There are four types of tinea capitis: Firstly, the type called "yellow tinea," caused by the yellow tinea fungus, is characterized by yellow scabs on the skin with hair emerging through the center, potentially forming atrophic scars. If left untreated, permanent hair loss may occur. The second type is "white tinea," which appears as grayish-white, scaly patches. The third type is "black tinea," presenting with red papules and black dots at the broken hair shafts. The last type is "pus tinea," exhibiting symptoms of purulent folliculitis.

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Written by Zhu Zhu
Dermatology
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What will happen if tinea capitis is not treated?

Once afflicted with tinea capitis, it is essential to treat it proactively. If left untreated, it can lead to several severe consequences. Firstly, it might cause atrophic scarring, leaving permanent bald patches, which significantly affects appearance, Secondly, there might also be secondary bacterial infections due to crusting of the scalp, producing a foul smell and intense itching, severely impacting the quality of life. Lastly, if purulent tinea forms, it could lead to the scalp becoming purulent and eventually cause a systemic infection.

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Written by Zhu Zhu
Dermatology
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Is tinea capitis contagious?

Tinea capitis is contagious and has a relatively strong infectivity. It is especially prone to infect infants, children, and people with compromised immune functions due to underlying diseases. It can be spread through contact, including both direct and indirect contacts. For instance, sharing towels or other personal hygiene items can lead to infection, and contact with animals such as cats or dogs that have dermatophytosis can also transmit the disease.

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Written by Huang Ling Juan
Dermatology
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Will tinea capitis be contagious if someone touches it?

If someone with tinea capitis briefly makes contact, it generally isn't contagious. If the skin is washed promptly with soapy water after contact, it will not lead to infection. It is important to maintain cleanliness, wash hands frequently, and wash hands thoroughly to minimize the risk of infection. Tinea capitis is a contagious skin disease caused by a superficial fungal infection of the scalp. Hats, pillows, and combs used by individuals with tinea capitis can have many fungi attached to them, and using these combs or wearing hats, using the pillows can easily lead to fungal infections. If tinea capitis occurs, it is important to use antifungal medications promptly for treatment. Under a doctor's guidance, using ketoconazole topical shampoo can be effective, and in severe cases, it may be necessary to combine this with oral antifungal medications for treatment.

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Written by Zhu Zhu
Dermatology
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What should I do if my scalp ringworm clears up but then comes back?

Tinea capitis keeps recurring because it is difficult to cure and tends to relapse. To prevent this condition from occurring again, the following suggestions are offered. First, items that are in close contact such as contaminated clothing, hats, pillows, and bedding should be disinfected by boiling or sun exposure. Additionally, areas affected by fungal infections should be disinfected and sterilized. Lastly, patients with tinea capitis should receive antifungal treatment.

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Written by Zhu Zhu
Dermatology
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Does tinea capitis itch?

Tinea capitis is a common superficial fungal infection of the skin, divided into types such as yellow tinea and white tinea, which are contagious. Tinea capitis causes itchy symptoms, and in addition to itching, there may also be symptoms such as increased dandruff, and skin discoloration to white or yellow, often accompanied by scales. Once tinea capitis occurs, it is essential to timely treat it with antifungal medications and to maintain cleanliness and dryness of the scalp, developing good hygiene habits. (Please use medications under the guidance of a doctor.)