Regarding tinea capitis treatment, which statement is true?

• A. Oral antifungals such as griseofulvin or terbinafine are hepatotoxic
• B. Topical antifungals alone are usually sufficient
• C. The condition resolves without treatment
• D. It is caused by bacteria

Answer: (A)

Tinea capitis requires drugs that reach the scalp hair follicles and shafts, not just the surface. Fungus invades hair follicles, making topical agents alone often ineffective. That’s why systemic (oral) antifungals are used to cure the infection. Among these medications, griseofulvin and terbinafine can cause liver toxicity, so clinicians monitor liver function and weigh risks when choosing therapy. The infection typically does not clear up on its own, and it is caused by a fungus, not bacteria. Therefore, the statement about oral antifungals having hepatotoxic potential is a real safety consideration and aligns with how these drugs are used in treatment.