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Differential Diagnosis for White Patch on Head of Children

  • Single most likely diagnosis
    • Pityriasis simplex (dandruff): This is a common condition in children characterized by a white, flaky patch on the scalp, often associated with mild redness and itching. It's usually benign and easily treatable.
  • Other Likely diagnoses
    • Seborrhoeic dermatitis: This condition can cause a white or yellowish patch on the scalp, face, or torso, often accompanied by redness and oiliness. It's relatively common in infants and children.
    • Psoriasis: Although less common in children, psoriasis can cause white, scaly patches on the scalp, elbows, or knees. It's an autoimmune condition that requires medical attention.
    • Tinea capitis (ringworm of the scalp): This fungal infection can cause patches of hair loss with white or black dots, redness, and itching. It's contagious and requires antifungal treatment.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Tinea corporis (ringworm of the body): While not usually deadly, if left untreated, it can lead to more severe infections or spread to other parts of the body.
    • Impetigo: A highly contagious bacterial skin infection that can cause white or yellowish patches, often with redness and pus. If not treated, it can lead to more severe infections.
  • Rare diagnoses
    • Vitiligo: A condition that causes loss of skin pigment, resulting in white patches. It's relatively rare in children and can be associated with autoimmune disorders.
    • Pityriasis alba: A mild, chronic skin condition that causes small, round, white patches on the face, often accompanied by mild redness and scaling. It's more common in children with atopic dermatitis.
    • Scleroderma: A rare autoimmune disorder that can cause white, thickened skin patches, often accompanied by other systemic symptoms. It's extremely rare in children and requires immediate medical attention.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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