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What causes a bald patch on the head of a 2-year-old girl?

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Patient's Query

Hi doctor,

My 2-year-old daughter has a bald patch on her head. It is oval in shape with no hair in it. It is getting bigger from time to time. I am waiting for her blood test appointment now. What is this condition called? How to cure it?

Please help.

Hi,

Welcome to icliniq.com.

I presume it is tinea capitis or simply a fungal infection of the scalp. Do not worry, hair can regrow again and there is no permanent damage. It is common in children. It is very important to start the following early for the best results:

  1. Stop oiling the scalp. Oil is food for the fungus.
  2. Visit a dermatologist for the prescription drug. However, I am suggesting you a shampoo containing Ciclopirox olamine (antifungal). Apply to wet scalp and leave for two minutes and then rinse off. Continue it for a month with five times weekly shampooing.
  3. Apply Clotrimazole cream twice daily in the affected part for a month. Apply the cream slightly beyond the patch margin to cover invisible fungus in normal-looking skin too.

Before we commence treatment, wash baby's cap or cloth coming in contact with the baby's head in hot water with some antiseptic. It is crucial to kill the fungus sticking on to the cloth. Same applies to her comb. Otherwise, it will relapse.

Hope it helps.

Thanks and regards.

Medically reviewed byDr. Sneha Kannan

Published At December 22, 2015
Reviewed AtOctober 3, 2024

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