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Ringworm, also known as dermatophytosis or tinea, is a fungal infection of the skin. The name "ringworm" is a misnomer, since the infection is caused by a fungus, not a worm.
Ringworm infection can affect both humans and animals. The infection initially presents with red patches on affected areas of the skin and later spreads to other parts of the body. The infection may affect the skin of the scalp, feet, groin, beard, or other areas.
Symptoms vary depending on where you’re infected. With a skin infection, you may experience the following:
If you’re experiencing dermatophytosis in your nails, they may become thicker or discolored, or they may begin to crack. If the scalp is affected, the hair around it may break or fall off, and bald patches may develop.
Ringworm can go by different names depending on the part of the body affected.
Three different types of fungi can cause this infection. They are called trichophyton, microsporum, and epidermophyton. It’s possible that these fungi may live for an extended period as spores in soil. Humans and animals can contract ringworm after direct contact with this soil. The infection can also spread through contact with infected animals or humans. The infection is commonly spread among children and by sharing items that may not be clean.
Anyone can develop ringworm. However, the infection is very common among children and people who own pet cats. Both cats and dogs can catch ringworm and then pass it on to humans who touch them. Signs to be aware of in pets include:
You may be more likely to develop dermatophytosis if you come into contact with the fungi while you’re wet or if you have minor skin injuries or abrasions. Using a public shower or public pool areas may also expose you to the infective fungi.
If you’re often barefoot, you may develop ringworm of the feet (athlete’s foot). Those who often share items such as hairbrushes or unwashed clothing also have an increased risk of developing the infection.
Your doctor will diagnose ringworm by examining your skin and possibly using a black light to view your skin in the affected area. The fungus will fluoresce (glow) under black light. If you’re infected, the areas of the skin where fungus is located will glow.
Your doctor may confirm a suspected diagnosis of ringworm by requesting certain tests:
Your doctor may recommend both medications and lifestyle adjustments to treat ringworm.
Your doctor may prescribe various medications depending on the severity of your ringworm infection. Jock itch, athlete’s foot, and ringworm of the body can all be treated with topical medications, such as antifungal creams, ointments, gels, or sprays. Ringworm of the scalp or nails may require prescription-strength oral medications such as ketoconazole, griseofulvin, or terbinafine.
In addition to prescription and over-the-counter medication, your doctor may recommend that you care for your infection at home by practicing some of the following behaviors:
If you’ve been scratching your skin frequently due to the infection, you may also develop a staph or strep infection of the skin. Your doctor may prescribe antibiotics to treat this bacterial infection as you continue your treatment for the ringworm.
Skin medications may clear ringworm in two to four weeks. If you’re experiencing severe dermatophytosis that isn’t responding to over-the-counter treatments or treatment at home, your doctor may prescribe antifungal pills to clear up the infection. Most people respond positively to treatment.
You can prevent ringworm by practicing healthy and hygienic behaviors. Many infections come from contact with animals and lack of proper hygiene. Tips to avoid ringworm include:
Written by: Elly Dock
Medically reviewed on: Mar 28, 2017: Sarah Taylor, MD
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