$Unique_ID{PAR00139} $Pretitle{} $Title{Medical Advice: Ringworm} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Ringworm Scaly red brown rash fungal rashes antifungal ointment skin infection fungus infections pet pets animal animals fungi scalp tinea capitis tinea corporis tinea cruris groin crotch genital genitals athlete's foot feet tinea pedis ankles legs Antifungal ointments haloprogin clotrimazole tolnaftate undecylenic acid Whitfield's ointments ultraviolet light culture cultures culturing microscope griseofulvin fungicide fungicides} $Log{} Your Child: A Medical Guide Ringworm Quick Reference SYMPTOM - Scaly, red rash HOME CARE - Ask your doctor to suggest a nonprescription antifungal ointment, and apply it to the infected area until the skin is clear. PRECAUTIONS - If a rash does not improve after several days of home treatment, see your doctor. The rash may not be ringworm. - If home treatment seems to make the rash worse, discontinue treatment and see your doctor. The child's skin may be sensitive to the medication you are using. Ringworm is a skin infection caused by a fungus, not a worm. Ringworm spreads by direct contact with an infected person or pet animal or by indirect contact with contaminated objects, such as combs, pillows, towels, clothing, and even the floor. SIGNS AND SYMPTOMS Different fungi prefer different areas of the body. Ringworm of the scalp (tinea capitis) appears as scaly patches with stubs of broken-off hairs. Ringworm of the body (tinea corporis) shows up as round or oval, scaly, red patches that enlarge as healing proceeds from the center. Ringworm of the groin (tinea cruris) is characterized by a scaly, red or brown rash on the crotch and the genital area, with a sharply defined margin of spread. Ringworm of the feet (athlete's foot, or tinea pedis) sometimes affects the ankles and legs as well. HOME CARE Antifungal ointments (such as haloprogin, clotrimazole, tolnaftate, undecylenic acid, and Whitfield's ointments) can be applied to the infected area until the skin clears. PRECAUTIONS - Several other common rashes resemble ringworm. If a rash does not improve after several days of home treatment, see your doctor. - The preparations used to treat ringworm may cause another rash on sensitive skin. If the rash worsens or changes in any way, stop home treatment and see your doctor. MEDICAL TREATMENT Your doctor can confirm a home diagnosis of ringworm by examining the rash under ultraviolet light and by culturing a skin scraping and examining the results under a microscope. The doctor may prescribe either an antifungal ointment to be applied to the skin or a medication, such as griseofulvin fungicide, for the child to take by mouth. RELATED TOPICS: Athlete's foot; Pityriasis rosea; Rashes