Scalp Ringworm Healing: Signs of Improvement & Follow-Up
Tinea capitis (scalp ringworm) requires oral antifungals (griseofulvin, terbinafine) for 4–8 weeks. Topical therapy alone is insufficient.
Signs of Healing
- Lesions become less red, scaly, and raised.
- Itching/pain subsides.
- Crusting resolves; healthy skin reappears.
- Hair regrowth in previously bald patches (may take months after cure).
- No new lesions appear.
Monitoring & Follow-Up
- Clinical review at 2–4 weeks to assess response.
- Repeat KOH prep/culture if not improving.
- Complete full course even if symptoms resolve early.
- Household contacts/pets may need screening/treatment to prevent reinfection.
When to Re-consult
No improvement after 2 weeks of oral therapy; worsening; fever; pustules; lymphadenopathy. May need culture for resistance or alternative diagnosis.
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