Ringworm of the Skin 

Ringworm is a fungal infection of the skin. Despite the name, a worm doesn't cause it. The cause of ringworm is a fungus that infects the outer layers of the skin.

The medical term for ringworm is tinea. It can affect most parts of your body, although it seems to do better in moist areas of the body and around hair. It can be on almost any part of your body, including:

  • Arms, hands, legs, chest, feet, and back

  • Scalp

  • Beard

  • Groin

  • Between the toes

Depending on where it is located, sometimes the name changes. For example:

  • Tinea capitis (scalp)

  • Tinea cruris (groin)

  • Tinea corporis (body)

  • Tinea pedis (feet)

Causes

Ringworm is very common all over the world, including the U.S. It can take less than 1 week up to 2 weeks before you develop the infection after being exposed. So, you may not figure out the exact cause.

It's spread through direct contact with:

  • An infected person or animal

  • Infected soil, or objects such as towels, clothing, and combs

Symptoms

At first you might not notice ringworm. Or you may just see a small, red, often raised itchy spot or pimple. Sometimes there may only be one spot. At other times there may be several. Ringworm can look slightly different on different parts of the body, but there are some things are always present:

  • Irregular, round, oval or ring-shaped, which is why it's called ringworm

  • Clearer or lighter color at the center, since it spreads from the center of the spot outward

  • Red or inflamed look

  • Raised

  • Itchy

  • Scaly, dry, or flaky

Home care

Follow these tips to help care for yourself at home:

  • Leave it alone. Don't scratch at the rash or pick it. This can increase the chance of infection and scarring.

  • Take medicine as prescribed. If you were prescribed a cream, apply it exactly as directed. Make sure to put the cream not just on the rash, but also on the skin 1 or 2 inches around it. Medicine by mouth is sometimes needed, particularly for ringworm on the scalp. Take it as directed and until your healthcare provider says to stop. Some ringworm creams are now available without a prescription (over the counter). Talk with your healthcare provider about these, as they may be just as effective but less expensive than prescription medicines in some cases.

  • Keep it from spreading to others. Untreated ringworm of the skin is contagious by skin-to-skin contact. An affected child may return to school 2 days after treatment has started.

Prevention

To some degree, prevention depends on what part of your body was affected. In general, the following good hygiene can help.

  • Clean up after you get dirty or sweaty, or after using a locker room.

  • When possible, don’t share combs and brushes.

  • Avoid having your skin and feet wet or damp for long periods.

  • Wear clean, loose-fitting underwear.

Follow-up care

Follow up with your healthcare provider as advised by our staff if the rash does not improve after 10 days of treatment or if the rash spreads to other areas of the body.

When to seek medical care

Call your healthcare provider right away if any of these occur:

  • Redness around the rash gets worse

  • Fluid drains from the rash

  • Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

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