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Last updated date: 04-Apr-2023

Originally Written in English

Pharmacological Management of Kerion

    Overview

    Kerion is a type of fungal infection of the scalp that can cause hair loss, redness, swelling, and pain. It is caused by a fungus called dermatophyte, which can also cause other types of fungal infections such as athlete's foot and ringworm.

     

    What is a Kerion? 

    Kerion

    A kerion is a type of scalp infection that is caused by a fungal or bacterial infection. It is characterized by inflamed, pus-filled, and raised lesions on the scalp, and may also cause hair loss in the affected area. Kerions typically occur in individuals who are already infected with ringworm, which is a type of fungal infection that affects the skin, scalp, and nails.

    Kerions are more commonly seen in children, but can occur at any age. They are more likely to develop in individuals with weakened immune systems, poor hygiene, or who live in warm and humid environments. Treatment typically involves antifungal or antibacterial medication, as well as managing any underlying conditions that may have contributed to the infection. If left untreated, a kerion can lead to scarring, permanent hair loss, or the spread of the infection to other parts of the body.

     

    Is Kerion contagious?

    Kerion is a type of fungal infection of the scalp that is contagious, which means it can be spread from person to person through contact with infected skin or hair. The fungus responsible for kerion is called dermatophyte, which can also cause other types of fungal infections such as athlete's foot and ringworm.

    Kerion can be spread through direct contact with an infected person, such as sharing combs, brushes, or hats, or through indirect contact with contaminated surfaces, such as towels or bed linen. It's important to practice good hygiene and avoid close contact with infected individuals to reduce the risk of contracting the infection.

    If you suspect that you have a kerion or any other fungal infection of the scalp, it's important to seek medical attention promptly to prevent the spread of the infection to others. Treatment typically involves antifungal medication and may take several weeks to heal completely.

     

    What causes a Kerion?

    Causes a kerion

    A kerion is caused by a fungal or bacterial infection on the scalp. The most common cause of a kerion is the fungus called Trichophyton species, which is the same fungus responsible for causing ringworm infections. The infection occurs when the fungus enters the scalp through a cut or break in the skin.

    Other factors that may increase the risk of developing a kerion include a weakened immune system, poor hygiene, living in warm and humid environments, and close contact with someone who has a fungal or bacterial infection. Kerions are more commonly seen in children and adolescents, but can occur at any age.

    The inflamed and pus-filled lesions that are characteristic of a kerion are caused by the immune system's response to the infection. The body's immune cells attack the fungus, leading to an inflammatory response that results in the raised and swollen appearance of the lesions.

     

    What are the symptoms of a Kerion?

    Symptoms of a Kerion

    The symptoms of a kerion include:

    1. Inflamed, raised lesions: The scalp lesions caused by a kerion are typically large, raised, inflamed, and often filled with pus. The lesions may be painful, tender, or itchy, and may ooze fluid.
    2. Hair loss: The inflammation caused by a kerion can damage the hair follicles, leading to hair loss in the affected area. This hair loss is usually temporary and the hair will typically grow back once the infection is treated.
    3. Swollen lymph nodes: In some cases, the lymph nodes in the neck or behind the ears may become swollen and tender.
    4. Itching: The scalp may feel itchy or irritated, particularly around the areas of the lesions.
    5. Crusting: The lesions may develop a crust or scab as they heal.

    Kerions can be painful and uncomfortable, and if left untreated, they can lead to permanent hair loss and scarring. If you suspect that you have a kerion or any other type of scalp infection, it is important to seek medical attention promptly to prevent complications.

     

    How is a Kerion diagnosed?

    Kerion diagnosed

    A kerion is typically diagnosed by a healthcare professional, such as a dermatologist or a primary care provider, based on the patient's symptoms and a physical examination. The healthcare professional may also perform some diagnostic tests to confirm the diagnosis and rule out other conditions.

    Here are some common diagnostic tests used to diagnose a kerion:

    1. Skin biopsy: A small sample of the affected skin may be taken and examined under a microscope to confirm the presence of fungal infection.
    2. Fungal culture: A sample of hair and skin may be taken and sent to a laboratory to grow and identify the type of fungus causing the infection.
    3. Wood's lamp examination: This is a diagnostic test that uses a special type of light to examine the affected area of the scalp. The infected area may appear yellow-green under the Wood's lamp, which can help confirm the diagnosis.
    4. Blood tests: Blood tests may be performed to check for signs of infection or inflammation in the body.

    Once the diagnosis is confirmed, the healthcare professional will recommend appropriate treatment based on the severity of the infection and the patient's medical history. It's important to seek medical attention if you suspect that you have a kerion or any other skin condition.

     

    How do you treat a Kerion?

    Treat a Kerion

    Kerion is a type of fungal infection of the scalp that can cause hair loss, redness, swelling, and pain. Treatment for a kerion typically involves antifungal medication, which can be prescribed by a healthcare professional. Here are some common treatments for a kerion:

    1. Antifungal medication: Topical or oral antifungal medication may be prescribed by a healthcare professional to help clear the fungal infection causing the kerion. Common antifungal medications include ketoconazole, terbinafine, and griseofulvin.
    2. Corticosteroids: In some cases, corticosteroids may be prescribed to help reduce inflammation and relieve symptoms of pain and itching.
    3. Antibiotics: If the kerion becomes infected with bacteria, antibiotics may be prescribed to help clear the infection.
    4. Shampooing: Frequent shampooing with an antifungal shampoo, such as ketoconazole shampoo, can help control the fungal infection and prevent its spread.

     

    Are there any home remedies for a Kerion?

    Kerion is a type of fungal infection of the scalp that can cause hair loss, redness, swelling, and pain. While it's always best to seek medical treatment from a healthcare professional for any medical condition, there are a few home remedies that may help relieve some of the symptoms of a kerion:

    1. Warm compress: Applying a warm compress to the affected area can help relieve pain and inflammation. Soak a clean cloth in warm water and place it on the kerion for 10-15 minutes several times a day.
    2. Tea tree oil: Tea tree oil has antifungal and anti-inflammatory properties that may help treat a kerion. Dilute tea tree oil with a carrier oil, such as coconut or olive oil, and apply it to the affected area. Leave it on for 30 minutes before rinsing off.
    3. Aloe vera: Aloe vera has soothing properties that can help relieve itching and inflammation. Apply aloe vera gel directly to the kerion and leave it on for 15-20 minutes before rinsing off.
    4. Apple cider vinegar: Apple cider vinegar has antifungal properties that may help fight the fungus causing the kerion. Dilute apple cider vinegar with water and apply it to the affected area with a cotton ball. Leave it on for 30 minutes before rinsing off.

    Remember to always consult with a healthcare professional before trying any home remedies, especially if you have a severe or persistent case of kerion.

     

    Complications of Kerion

    If left untreated or not managed properly, kerion can lead to several complications. Here are some of the potential complications associated with kerion:

    1. Permanent hair loss: Severe cases of kerion can cause scarring and permanent hair loss in the affected area.
    2. Secondary bacterial infections: Scratching the affected area can break the skin and create an entry point for bacteria, which can cause a secondary bacterial infection.
    3. Spread of infection: Kerion is a contagious condition and can easily spread to other parts of the body or to other people if not properly treated.
    4. Psychological effects: Kerion can cause significant discomfort and embarrassment, which can lead to anxiety, depression, or other psychological effects.

    It's important to seek medical attention if you suspect that you have a kerion or any other fungal infection of the scalp to prevent the development of complications. Prompt and proper treatment can help manage the symptoms and prevent the spread of the infection.

     

    Differential Diagnosis of Kerion

    Kerion is a type of fungal infection of the scalp that can cause hair loss, redness, swelling, and pain. However, there are several other conditions that can cause similar symptoms, making it important to consider other potential diagnoses as well. Here are some of the differential diagnoses for kerion:

    1. Alopecia areata: This is an autoimmune condition that causes hair loss in patches on the scalp and other parts of the body.
    2. Seborrheic dermatitis: This is a skin condition that causes scaly, itchy, and inflamed patches on the scalp and other parts of the body.
    3. Folliculitis: This is an infection of the hair follicles that can cause redness, swelling, and pimple-like bumps on the scalp.
    4. Psoriasis: This is a chronic autoimmune condition that causes scaly, red patches on the skin, including the scalp.
    5. Contact dermatitis: This is a type of skin reaction caused by exposure to an irritant or allergen, which can cause redness, itching, and swelling on the scalp.

    To accurately diagnose kerion, a healthcare professional will typically perform a physical examination, skin biopsy, fungal culture, Wood's lamp examination, or blood tests to confirm the presence of the fungal infection and rule out other potential diagnoses.

     

    Conclusion 

    In conclusion, a kerion is a contagious fungal infection of the scalp that can cause hair loss, redness, swelling, and pain. It can be diagnosed by a healthcare professional through physical examination, skin biopsy, fungal culture, Wood's lamp examination, or blood tests. Treatment typically involves antifungal medication and may take several weeks to heal completely. While home remedies may help relieve some of the symptoms, it's important to consult with a healthcare professional before trying any home remedies. Good hygiene practices and avoiding close contact with infected individuals can help prevent the spread of the infection.