Hi, been meaning to reply but been swamped by everything. I hope things are better, and if not, please do consider going to another doctor. If you think it may be yeast/fungal related, you have to lay off all the oils because it will aggravate the growth, and also cut down drastically on sugar intake, as well as work on immunity.
Â
I had a similar fingerprint size patch on my neck for years - it came and went, came and went - and I saw many doctors for it over the years. Most of them gave me medicated creams for it, some steriods, some anti-fungals, and I also tried many natural remedies and oils including tea tree oil. Nothing work for long. Over the years I have noticed that it flares up during periods when I am chronically lacking sleep.
Â
 I've had a very hard year and been in a bad shape this year, and some months ago it flared up big time and it was as you described - great flakes, enlarged inflamed areas, even sometimes oozing. I also had a ear infection which I never had in my entire life. The doctor gave me a medicated shampoo that I reacted badly to. The only thing that worked was a month of Sporanox (so expensive). This may not be suitable for young children, but it destroys the fungus from within your body. The doctor does not advocate creams or oils on the scalp, natural or otherwise - his reasoning is that the moisture favours the fungus and renders the medication ineffective. He does use medicated creams in his practise, but according to him, creams usually don't work when it's scalp related. From my personal experience, I find that he is right. He is the most experienced doctor I've come across when it comes to skin infections and we've seen many because of ds2's eczema. He gave me Sporanox together with a Q10 to boost immunity and energy level. I also had to make sure that I get at least 6 hours sleep or I would see a deterioration in two days' time.
Â
I understand if the parent is hesitant about taking drugs. I was as well, but I simply could not find a better alternative that I could count on to work quickly to arrest the situation and I trusted this particular doctor. For young children, he will also give oral medication to lessen the itching in order to break the itch-scratch cycle which will lead to infection. I hope your niece finds relief soon. It is really something that is better sorted out quickly before it spreads further or gets infected. Â
Â