What to do if you have a ringworm: The request could not be satisfied
Ringworm of the Skin | Michigan Medicine
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This topic is about ringworm of the skin, groin, or hands. For information about other fungal infections, see the topics:
What is ringworm of the skin?
Ringworm of the skin is an infection caused by a fungus.
Jock itch is a form of ringworm that causes an itchy rash on the skin of your groin area. It is much more common in men than in women. Jock itch may be caused by the spread of athlete’s foot fungus to the groin.
What causes ringworm?
Ringworm is not caused by a worm. It is caused by a fungus. The kinds of fungi (plural of fungus) that cause ringworm live and spread on the top layer of the skin and on the hair. They grow best in warm, moist areas, such as locker rooms and swimming pools, and in skin folds.
Ringworm is contagious. It spreads when you have skin-to-skin contact with a person or animal that has it. It can also spread when you share things like towels, clothing, or sports gear.
You can also get ringworm by touching an infected dog or cat, although this form of ringworm is not common.
What are the symptoms?
Ringworm of the skin usually causes a very itchy rash. It often makes a pattern in the shape of a ring, but not always. Sometimes it is just a red, itchy rash.
Jock itch is a rash in the skin folds of the groin. It may also spread to the inner thighs or buttocks.
Ringworm of the hand looks like athlete’s foot. The skin on the palm of the hand gets thick, dry, and scaly. And skin between the fingers may be moist and have open sores.
How is ringworm of the skin diagnosed?
If you have a ring-shaped rash, you very likely have ringworm. Your doctor will be able to tell for sure. He or she will probably look at a scraping from the rash under a microscope to check for the ringworm fungus.
How is it treated?
Most ringworm of the skin can be treated at home with creams you can buy without a prescription. Your rash may clear up soon after you start treatment, but it’s important to keep using the cream for as long as the label or your doctor says. This will help keep the infection from coming back. If the cream doesn’t work, your doctor can prescribe pills that will kill the fungus.
If ringworm is not treated, your skin could blister, and the cracks could become infected with bacteria. If this happens, you will need antibiotics.
If your child is being treated for ringworm, you don’t have to keep him or her out of school or day care.
Can you prevent ringworm?
To prevent ringworm:
- Don’t share clothing, sports gear, towels, or sheets. If you think you have been exposed to ringworm, wash your clothes in hot water with special anti-fungus soap.
- Wear slippers or sandals in locker rooms and public bathing areas.
- Shower and shampoo well after any sport that includes skin-to-skin contact.
- Wear loose-fitting cotton clothing. Change your socks and underwear at least once a day.
- Keep your skin clean and dry. Always dry yourself completely after showers or baths, drying your feet last.
- If you have athlete’s foot, put your socks on before your underwear so that fungi do not spread from your feet to your groin.
- Take your pet to the vet if it has patches of missing hair, which could be a sign of a fungal infection.
If you or someone in your family has symptoms, it is important to treat ringworm right away to keep other family members from getting it.
Ringworm infection is caused by a fungus. Fungi (plural of fungus) that cause ringworm live and spread on the outer layer of skin. Ringworm is not caused by a worm or other parasite.
Fungi are present everywhere in our environment, including on the human body. They thrive in warm, moist areas, such as locker rooms and swimming pools, and in skin folds. You can get ringworm of the skin by sharing contaminated towels, clothing, and sports equipment, and by direct contact with an infected person.
Ringworm of the skin (tinea corporis) is most commonly caused by the fungus Trichophyton rubrum, which spreads from one person to another. It can also be caused by Microsporum canis, which is spread by cats and dogs. This type is less common but causes a more severe infection.
People often get ringworm of the groin (“jock itch”) by accidentally spreading athlete’s foot fungus to their own groin area. People who have athlete’s foot also commonly spread it to their hands (tinea manuum).
Some people are more likely to get fungal infections than others. The tendency to get fungal skin infections or to have them return after treatment seems to run in families.
Most ringworm infections cause a rash that may be peeling, cracking, scaling, itching, and red. Sometimes the rash forms blisters, especially on the feet.
Symptoms of ringworm of the body include a rash:
- On the chest, stomach, arms, legs, or back.
- With edges that are red and scaly or moist and crusted. The rash also may have small bumps that look like blisters. The center of the rash may be clear, giving it a ring-shaped appearance, or there may be a cluster of red bumps.
- That may form large, round patches.
Symptoms of ringworm of the face include a rash:
- On the face, the ears, or both.
- With a border that may not be very distinct.
- That may get worse after being in the sun.
Symptoms of ringworm of the groin (jock itch) include a rash:
- On the groin, skin folds, inner thighs, or buttocks. The rash usually does not occur on the scrotum or penis.
- With edges that are very distinct and may be scaly or have bumps that look like blisters.
- That may have a red-brown center.
and athlete’s foot frequently occur at the same time.
Symptoms of ringworm on the hand include a rash:
- On the palm that may be mistaken for eczema.
- On the palm that is thickened, dry, and scaly, similar to athlete’s foot, while skin between the fingers may be moist and have open sores.
- On the back of the hand that is red and scaly, with edges that have bumps that look like blisters.
Fingernails can also be infected. For more information, see the topic Fungal Nail Infections.
Ringworm of the skin may be confused with other conditions with similar symptoms, such as eczema or psoriasis.
Ringworm of the skin can start as a small patch of itchy, red, or scaling skin. The rash can spread and cover a large area.
Clothing that rubs the skin can irritate the rash. Sweat, heat, or moisture in the air (humidity) can make the itching and infection worse.
As the infection becomes worse, the ring-shaped pattern and red-brown color may become more visible. If not treated, the skin can become irritated and painful. Skin blisters and cracks can become infected with bacteria and require antibiotics.
Ringworm can also spread to other parts of the body, including the feet, nails, scalp, or beard.
After treatment, the rash will go away. But ringworm can return unless you follow steps to prevent it. The tendency to get fungal skin infections or to have them return after treatment seems to run in families.
What Increases Your Risk
Your risk of getting ringworm is higher if:
- You come in contact with a person who has a fungal infection or with a carrier, a person who has the fungi but does not have symptoms.
- You are susceptible to fungal infections or you have had a previous fungal infection.
- You have an impaired immune system due to a disease such as diabetes or cancer.
- You live in a warm, damp climate.
- You wear tight-fitting clothes or you let your skin stay damp for long periods, such as by staying in a wet bathing suit or sweaty workout clothes.
- You are a wrestler.
When should you call your doctor?
If you suspect you have ringworm of the skin, call your doctor if:
- You have patches of skin that are itchy, red, or scaly with bumps that look like blisters, and they have not improved after 2 weeks of treatment with a nonprescription antifungal product.
- Signs of bacterial infection develop. Signs may include:
- Increased pain, swelling, redness, tenderness, or heat.
- Red streaks extending from the area.
- Discharge of pus.
- Fever of 100.4°F (38°C) or higher with no other cause.
- The rash appears to be spreading even after treatment.
Watchful waiting is a wait-and-see approach. If you get better on your own, you won’t need treatment. If you get worse, you and your doctor will decide what to do next.
You can treat ringworm at home with medicines you can buy without a prescription. If symptoms do not improve after 2 weeks of treatment with this medicine, call your doctor.
Any persistent, severe, or recurring infection should be checked by your doctor.
Who to see
The following health professionals can diagnose and treat ringworm of the skin:
Exams and Tests
Doctors often can easily recognize ringworm by its ring-shaped rash. Your doctor will probably also look at a skin sample (KOH preparation) under a microscope to confirm that fungus is present.
Tests for ringworm of the skin include:
- A KOH (potassium hydroxide) preparation. This test can help your doctor find out whether a fungus is causing your rash. The doctor will take a sample of your skin by lightly scraping the infected area. The sample is placed on a slide with potassium hydroxide (KOH) solution and gently heated. If fungus cells are present, the doctor can then see them with a microscope.
- A Wood’s light exam. This test may be used to see if the rash is caused by a fungus. Your doctor will shine a special light on your skin where you have the rash. Certain kinds of fungi glow under this light.
- A fungal culture (skin culture). This test can identify the type of fungus that is causing your infection. Usually a culture is only done if the diagnosis is difficult or the skin condition is not responding to treatment. This test may take up to 4 weeks, because it takes time for the fungus to grow.
Most cases of ringworm of the skin, including jock itch and ringworm of the hand, can be treated with creams or ointments that you put on your skin to kill fungi. These are called topical antifungals. You can get many topical antifungals without a prescription. Brand names include Micatin, Tinactin, Mycelex, and Lamisil.
You may need to take antifungal pills (oral treatment) if the ringworm does not go away after you have tried different topical antifungals or if the infection is widespread. Oral treatments include azoles such as fluconazole (Diflucan), allylamines such as terbinafine (Lamisil), and griseofulvin (Grifulvin V).
Your rash may start to clear up soon after you begin treatment, but it is important to use the medicine exactly as the label or your doctor says. This will help keep the infection from coming back. You will probably need to continue treatment for 2 to 4 weeks.
If not treated, ringworm can spread and the skin can become irritated and painful. Skin blisters and cracks can become infected with bacteria. If this happens, you may need to take antibiotics.
What to think about
You should treat a fungal infection right away. Severe and widespread infections can be hard to treat.
To prevent ringworm of the skin:
- Keep your skin clean and dry. Change your socks and underwear at least once a day.
- Wear loose-fitting cotton clothing. Avoid tight underwear, pants, and panty hose.
- Always dry yourself completely after showers or baths. After drying your skin with a towel, allow your skin to air-dry before putting your clothes on. You can also use a hair dryer, set on a cool setting, to dry your skin.
- Do not share clothing, sports equipment, towels, or sheets. If you think you have been exposed to ringworm, wash your clothes in hot water with fungus-killing (fungicidal) soap.
- Wear slippers or sandals in locker rooms, showers, and public bathing areas.
- Shower and shampoo thoroughly after any sport that requires skin-to-skin contact.
- If you have athlete’s foot, put your socks on before your underwear so that fungi do not spread from your feet to your groin. Also, when toweling off after a shower or bath, dry your feet last.
- Take your pet to a veterinarian if it has patches of missing hair, which may be a sign of a fungal infection. Household pets can spread fungi that cause ringworm in people.
In most cases, you can treat ringworm of the skin with antifungal creams or ointments. Many are available without a prescription. Use a nonprescription antifungal cream with miconazole or clotrimazole in it. Brand names include Micatin, Mycelex, and Tinactin. Terbinafine cream (Lamisil) is also available without a prescription.
- Wash the rash with soap and water, and dry thoroughly. For large areas of blistered sores, use compresses such as those made with Burow’s solution (available without a prescription) to soothe and dry out the blisters.
- Apply antifungal cream beyond the edge or border of the rash.
- Follow the directions on the package. Don’t stop using the medicine just because your symptoms go away. You will probably need to continue treatment for 2 to 4 weeks.
- If symptoms do not improve after 2 weeks, call your doctor.
If your rash does not clear after you have tried different topical antifungals, or if the infection is widespread, you may need prescription antifungal pills.
If you have both athlete’s foot and ringworm of your groin or legs, you should treat both infections. This will prevent you from re-infecting your legs or groin with the athlete’s foot fungus, when you put on your underwear.
Most ringworm infections of the skin can be treated at home with nonprescription antifungal creams. The rash will usually improve within 2 weeks.
If the rash does not improve after you have used an antifungal cream and it is severe and widespread or returns frequently, you may need antifungal pills that your doctor prescribes. When you are treating ringworm, it is important to finish the full course of medicine prescribed, even if the symptoms have gone away, so that the infection does not return.
The most common antifungals used to treat ringworm of the skin are:
- Allylamines, such as terbinafine (Lamisil). Allylamines come as creams, pills, and gels. Terbinafine also comes as oral granules, which are little grains that can be sprinkled over food and easily swallowed. Lamisil is available as a cream without a prescription.
- Azoles. Oral prescription forms include fluconazole (Diflucan) and itraconazole (Sporanox). Some of these medicines are available without a prescription. Brand names include Micatin and Mycelex.
- Griseofulvin (Grifulvin V). Griseofulvin comes in pill form and requires a prescription.
- Other antifungals such as tolnaftate (Tinactin). Tinactin is available without a prescription and comes in lotion, cream, gel, and spray forms.
Clotrimazole/betamethasone (Lotrisone), a combination antifungal and corticosteroid, is sometimes used to treat ringworm that is burning, itchy, and inflamed. This prescription medicine should be used with caution and for no longer than 2 weeks, because complications can occur with long-term use of corticosteroids.
What to think about
People who are taking antifungal pills should have a doctor monitor their blood counts and liver and kidney function during treatment to watch for any harmful side effects.
Other Works Consulted
- Grossberg R (2015). Fungal diseases of the skin. In ET Bope et al., eds., Conn’s Current Therapy 2015, pp. 261–262. Philadelphia: Saunders.
- Habif TP, et al. (2011). Tinea of the body (tinea corporis) and face (tinea faciei). In Skin Disease: Diagnosis and Treatment, 3rd ed., pp. 275–279. Edinburgh: Saunders.
- Hall JC (2010). Dermatologic mycology. In JC Hall, ed., Sauer’s Manual of Skin Diseases, 10th ed., pp. 246–266. Philadelphia: Lippincott Williams and Wilkins.
Current as of:
July 2, 2020
Author: Healthwise Staff
Kathleen Romito MD – Family Medicine
Adam Husney MD – Family Medicine
Martin J. Gabica MD – Family Medicine
Ringworm – NHS
Ringworm is a common fungal infection. It’s not caused by worms. You can usually buy medicine from a pharmacy to treat it.
Check if it’s ringworm
The main symptom of ringworm is a rash. It may look red, silver or darker than surrounding skin, depending on your skin tone.
The rash may be scaly, dry, swollen or itchy.
Ringworm can appear anywhere on the body, including the scalp (tinea capitis) and groin (jock itch).
The rash is usually ring-shaped, but it may look different on your face, neck or scalp.
Sometimes the rash grows, spreads, or there’s more than 1 rash.
Ringworm on the face or scalp may also cause patchy hair loss.
Other common fungal infections
A pharmacist can help with ringworm
Speak to a pharmacist first.
They can look at the rash and recommend the best antifungal medicine. This might be a cream, gel or spray depending on where the rash is.
You may need to use an antifungal medicine every day for up to 4 weeks. It’s important to use it for the right amount of time, even if the rash has gone away.
A pharmacist will tell you if they think you should see a GP.
Non-urgent advice: See a GP if:
- ringworm has not improved after using antifungal medicine recommended by a pharmacist
- you have ringworm on your scalp – you’ll usually need prescription antifungal tablets and shampoo
- you have a weakened immune system – for example, from chemotherapy, steroids or diabetes
How ringworm is passed on
Ringworm is caused by a type of fungi.
It can be passed on through close contact with:
- an infected person or animal
- infected objects – such as bedsheets, combs or towels
- infected soil – although this is less common
It’s fine for your child to go to school or nursery once they have started treatment. Let your child’s teachers know they have ringworm.
How to stop ringworm spreading
start treatment as soon as possible
wash towels and bedsheets regularly
keep your skin clean and wash your hands after touching animals or soil
regularly check your skin if you have been in contact with an infected person or animal
take your pet to the vet if they might have ringworm (for example, patches of missing fur)
do not share towels, combs or bedsheets with someone who has ringworm
do not scratch a ringworm rash – this could spread it to other parts of your body
Page last reviewed: 26 October 2020
Next review due: 26 October 2023
Ringworm: Treatment, symptoms, and pictures
Ringworm, or tinea, refers to several types of contagious fungal infections of the top layer of the skin, scalp, and nails.
It is called ringworm because the itchy, red rash has a ring-like appearance. However, ringworm is nothing to do with worms.
It can affect different parts of the body.
In this article, we will cover ringworm’s causes, symptoms, diagnosis, and treatment.
Fast facts on ringworm
Here are some key points about ringworm. More detail and supporting information is in the main article.
- Ringworm is nothing to do with worms.
- Ringworm is caused by a fungus that eats keratin, a protein found in skin, hair, and nails.
- Children under 15 are particularly susceptible to ringworm.
Treatment depends on the type of ringworm:
The most common treatments for scalp ringworm are oral antifungals (tablets). However, the choice of medication will depend on the type of fungi involved.
Terbinafine (Lamisil): The side effects are normally mild and do not last long. They may include diarrhea and nausea. People with a history of liver disease should not take terbinafine.
Griseofulvin (Grisovin): The side effects, which usually go away fairly quickly, may include headache, indigestion, and nausea.
Anti-fungal shampoos: These help prevent the spread of ringworm and may speed up recovery, but they do not cure it. Various anti-fungal shampoos are available for purchase online.
Shaving a child’s head: There is no evidence that this reduces ringworm infection or accelerates recovery time.
Skin ringworm and groin infection
Most cases are treated with anti-fungal creams. Individuals should read instructions carefully – anti-fungal creams do not all have the same instructions. These can be purchased over-the-counter or online.
If symptoms are severe, or if they cover a large area of the body and do not respond to OTC medications, the doctor may prescribe a prescription-strength topical medication.
The doctor may prescribe an oral medication (taken by mouth). Oral medications can have some side effects, including stomach upset, rash, or abnormal liver function.
Caring for the skin during infection
Care for the skin properly can help speed recovery.
- Wash the skin gently
- Dry the skin thoroughly but gently.
- Pat the skin with a towel in tender areas, but do not rub.
- Make sure any folds and areas between the toes are dried thoroughly.
- Change sock or underwear more often than usual if they cover an infected area.
- Always treat the feet and groin at the same time, as infection often spreads from one area to another.
- Where possible, wear loose-fitting clothing and undergarments, such as boxers.
Different types of ringworm affect different parts of the body.
- Scalp ringworm (tinea capitis): This is most common in younger children, and occasionally it affects adults. It is more common in urban environments where people live closer together, giving the fungus more opportunities to spread.
- Body (skin) ringworm (tinea corporis): This can affect infants, children, and adults.
- Groin infections (tinea cruris): Also known as jock itch, this is more common among young men.
- Tinea pedis: Athlete’s foot is a common foot infection.
- Tinea unguium: Also known as onychomycosis, it is an infection of the nail bed.
- Ringworm in the beard area: This affects males who can grow facial hair, and it often results from contact with an animal that has ringworm.
Different types have different symptoms.
- small patches of scaly skin appear on the scalp.
- patches may feel tender or painful and be inflamed.
- hair breaks away on or near the patches
- kerion, or large inflamed sores, form on the scalp, and they may ooze pus
The person may have a temperature and swollen glands or lymph nodes, but this is uncommon.
Body or skin ringworm
- a rash with a ring-like appearance
- the skin may be red and inflamed around the outside of the ring, but look fine in the middle
- merging rings
- rings feel slightly raised
- itchiness, especially under the rash.
There may be:
- itchiness, especially in and around the groin
- redness and a burning sensation in the affected area
- flaky and scaly skin on the inner thighs
- symptoms worsen when walking, running, or exercising
- tight clothing makes symptoms worse
This can involve:
- redness, swelling, and pus-filled bumps
- hair loss, which usually resolves after treatment
- swollen glands
- raw, open skin and raised, soft, spongy patches that weep
Fungal infections rarely spread below the surface of the skin. The risk of any serious illness is very small. However, without treatment, ringworm can spread from one part of the body to another.
If the skin is broken, bacteria may enter and cause an infection.
People with HIV and other conditions that weaken the immune system are more likely to experience a spreading of ringworm. It is more difficult to get rid of the infection if the immune system is weak.
Ringworm is caused by a type of fungus that eats keratin. These are called dermatophytes.
Dermatophytes attack the skin, scalp, hair, and nails because those are the only parts of the body with enough keratin to attract them.
Dermatophytes are microscopic spores that can survive on the surface of the skin for months. They can also survive in towels, combs, the soil, and other household objects. They are very resilient.
Dermatophyte spores spread in the following ways:
If a person or animal has the infection, they may deposit fungal spores on objects and surfaces when they touch them; anyone who touches those objects may become infected.
Children usually show symptoms when they become infected, but many adults do not. The older an individual is, the more likely their immune system will protect them. However, they may still be a carrier.
The following risk factors either increase the chances of developing ringworm or make the symptoms worse:
- being aged under 15 years
- having a weakened immune system
- using medications that lower the immune system
- living in a warm, humid climate
- being close to people or animals that are infected
- sharing clothing or towels with someone who has the infection
- having hyperhidrosis, a condition where the individual sweats more than usual
- playing contact sports, for instance, wrestling
- wearing tight clothing
The stages in which ringworm develops depend on the type of ringworm.
On the body, patches grow slowly in size, and more patches can appear on other parts of the body. The center of the patch may clear, leaving a ring. If there are several rings, they may merge.
Athletes foot tends to start between the toes before spreading to the bottom or sides of the feet, or both. The skin between the toes can then turn white and become soft.
On the nails, ringworm starts with a thickening of the skin under the nail, followed by a thickening and discoloration of the nails. Over time, the nails will lift, crumble, and disappear.
In the groin, the first sign is usually an itchy rash in the crease where the leg meets the body. This can spread to the groin, the inner thigh, the waist, and the buttocks.
A doctor can normally diagnose ringworm or a groin infection after examining the affected area and asking the patient about their medical history and symptoms.
They may take a small scraping of the skin, which will not hurt, and examine it under a microscope to look for characteristics of fungi.
The doctor will assess whether the skin problem is being caused by some other disorder, such as psoriasis. Further testing is not usually needed unless symptoms are particularly severe.
If symptoms have not improved after treatment, the doctor may remove a small piece of infected skin and send it to the lab to be analyzed.
The following tips may help prevent ringworm if it occurs in a household:
- If a pet is the source of the infection, it should be treated by a vet.
- Everyone should wash their hands regularly and thoroughly with soap.
- All household members should check themselves for signs of ringworm.
- People should not share combs, hairbrushes, clothing, bed linen, towels, or footwear.
- Anyone who has ringworm should not scratch affected areas as this increases the risk of spreading the infection.
- People should avoid walking around the house with bare feet.
- Clothes should be washed in hot water with fungicidal soap.
Keeping cool and wearing loose clothing may help reduce the risk.
Getting to the Root of Ringworm Causes and Prevention
I often use my daughter’s childhood ailments as blog topics, but this topic, a type of fungal infection, is something I have experienced personally. The infection is itchy and uncomfortable—Ringworm!
What is ringworm?
Did you know that ringworm is not actually caused by a worm? It’s a common fungal infection in school-age children. The reason it’s called ringworm is because the fungal infection forms a circle of red scaly skin—similar to how a worm looks when it touches end to end. As humans, we have many bacteria and fungi that live on our skin; some are useful and others can cause infections. The bacteria that cause ringworm are not the good kind. Continue reading to learn about signs, symptoms, diagnosis and prevention. The scientific name for ringworm is tinea. The condition can also be named for where it occurs on your child’s body.
- Ringworm on your child’s scalp—tinea capitus
- Ringworm on your child’s body—tinea corporis
- Ringworm on your child’s feet or hands—tinea pedis or manus
The condition is caused by skin fungi called dermatophytes, which live on top of skin and typically do not invade deep inside the skin. Additioanlly, dermatophytes do not live inside the mouth. A person can have the fungus on several areas of the body at the same time.
What are ringworm signs and symptoms?
- Itchy and unpleasant sensation on your child’s skin
- Raised, red patches that can blister or ooze
- Scaly, crusted rash (does not always need to be a circular shape)
- Sharply defined edges, sometimes darker around the edge
Ringworm is very contagious and spreads easily from person to person. Other ways it can spread include:
- Pets, especially cats and dogs—your child can actually give your pet ringworm, and vice versa.
- Playing in soil.
What are the types of ringworm?
There are five types of ringworm:
- Tinea barbea, which is found on the bearded area of the face in adolescent and adult males. It is also called “barber’s itch.” It is red and scaly with borders that are not clearly defined.
- Tinea capitis, which is found on the scalp, usually in late childhood and teenagers. This will usually leave bald spots.
- Tinea corporis, which is the rash on the skin that is often but not always ring-like. It can have an active reddened border that grows.
- Tinea cruris, which is found in the groin area and is usually reddish-brown. This is also known as “jock itch.” It can mimic yeast infections, psoriasis or just chafing from tight clothing.
- Tinea manus or pedis, which is found on the hands or feet and shows up often in the spaces between the fingers and toes. It can cause thickening, itchy, scaling, red and itchy skin. It can also be on the heels or soles of the feet. Nails can be thickened, discolored, brittle and crumbly.
How is ringworm diagnosed and treated?
If you feel your child has ringworm, contact their pediatrician for proper diagnosis and treatment. Treatment may involve an antifungal cream. If the rash does not heal with the cream, your child’s pediatrician may prescribe medicine to be taken by mouth. During treatment, be sure to keep the child clean and dry and wash all clothes, bed sheets and towels every day. Following the pediatrician’s treatment regimen is important because ringworm can get worse and make your child very sick with a widespread fungal infection. If your child’s ringworm is worsening, he or she will have these signs and symptoms:
- Pus or drainage
- Rash is warm to the touch
- Red streaks
- Worsening and spreading redness
How can I prevent ringworm in my child?
Proper hand washing and skin care is important in preventing ringworm. Remind your child to wash their hand frequently with running water, soap and plenty of friction. Other ways to prevent ringworm:
- Encourage your child not to share clothing, towels, hair brushes and accessories, combs or other personal items with others.
- Encourage your child to wear sandals in locker rooms or around a pool.
- Wash your child’s sports clothing, towels and linen regularly.
- Keep your child’s skin clean and dry.
- If your child complains of itchiness, inspect their skin daily for signs of ringworm.
- Shampoo your child’s hair regularly.
- Don’t dress your child in tight clothing.
- Remind your child not to touch bald or itchy spots on pets.
- Take your pet to the veterinarian if they contract ringworm. This will help avoid your pet from spreading the condition to the rest of the family and other pets.
The information in this blog post can help protect you and your family from ringworm and promote skin health. Our skin is our biggest organ and our best protection!
Many thanks to Terry Renteria, RN, wound ostomy and continence nurse (WOCN) specialist at Children’s Hospital Los Angeles for her advisement of this RN Remedies blog post.
Learn more Health and Safety Tips
Ringworm symptoms & treatments – Illnesses & conditions
Most tinea fungal infections, including ringworm, are easily treated by using antifungal creams, tablets or shampoo. You can also help to get rid of fungal infections and stop them from spreading by:
- washing areas of affected skin daily and drying thoroughly, paying particular attention to skin folds and between your toes
- in the case of a groin/foot infection, changing your underwear/socks daily, because fungi can persist in flakes of skin
- with a scalp infection, not sharing combs, hairbrushes or hats
- washing clothes, towels and bed linen frequently
- wearing loose-fitting clothes, preferably made of cotton or other natural materials
Read more about preventing ringworm.
Ringworm, groin infections and athlete’s foot
Most cases of ringworm, groin infections and athlete’s foot can be treated using an over-the-counter antifungal cream, gel or spray. There are lots of different types, so ask your pharmacist to help you choose the right one for you. You usually apply antifungal creams, gels and sprays daily to the affected areas of skin for two weeks. The cream, gel or spray should be applied over the rash and to one inch of skin beyond the edge of the rash. Read the manufacturer’s instructions first. You may be advised to use the treatment for a further two weeks, to reduce the risk of re-infection. See your GP if your symptoms have not improved after two weeks of treatment, because you may need to take antifungal tablets. Both terbinafine and griseofulvin tablets can be used to treat ringworm infections, as well as another antifungal medicine called itraconazole (see below).
Treat groin and feet together
Groin infections can sometimes occur at the same time as athlete’s foot. It’s vital to treat both infections at the same time to avoid being re-infected with either condition.
Fungal scalp infections
Scalp infections are usually treated using antifungal tablets, often alongside an antifungal shampoo. There are two main types of antifungal tablet:
The antifungal medicine that your GP prescribes will depend on the type of fungi causing the infection.
Most people with fungal scalp infections are prescribed terbinafine tablets to take once a day for four weeks. It’s an effective treatment for most cases. Side effects of terbinafine can include:
These side effects are usually mild and short-lived. Some people have also reported that terbinafine temporarily affected their sense of taste.
Terbinafine is not suitable for people with a history of liver disease or lupus (where the immune system attacks healthy tissue).
Griseofulvin is a type of antifungal medicine that prevents fungi from growing and multiplying. It’s available in the form of a spray and is usually taken daily for 8-10 weeks. Side effects of griseofulvin can include:
However, these side effects should improve as your body gets used to the medicine. Griseofulvin can cause birth defects, so it shouldn’t be taken during pregnancy, or if you intend to become pregnant soon after stopping treatment. Men shouldn’t father a child within six months of stopping treatment. Griseofulvin is also not suitable for women who are breastfeeding, and those with severe liver disease or lupus. Griseofulvin can interfere with both the combined contraceptive pill and the progestogen-only pill, so women need to use an alternative barrier form of contraception, such as a condom, while taking it. Griseofulvin may also affect your ability to drive and can enhance the effects of alcohol.
Antifungal shampoo cannot cure scalp infections, but it can help to prevent the infection spreading and may speed up recovery. Antifungal shampoos, such as selenium sulphide and ketoconazole shampoo, are available from your pharmacist. Ideally, antifungal shampoo should be used twice a week during the first two weeks of treatment. There is no evidence that shaving a child’s head will reduce the risk of an infection or speed up recovery.
Itraconazole is usually prescribed in the form of capsules for 7 or 15 days. It is not recommended for use in children, elderly people or those with severe liver disease. Side effects of itraconazole can include:
Read about how to stop ringworm spreading or coming back.
Fungal nail infections
Fungal nail infections can be treated with antifungal nail paint, but it also often requires antifungal tablets. These tend to work better than nail paints, although they can cause side effects, such as headache, nausea and diarrhoea. Read more about treating fungal nail infections.
Expert Advice on How to Get Rid of Ringworm
I’ve Got an Itchy, Red Rash! Is It Ringworm?
Your skin is your body’s largest organ, and while its primary function is to protect your body from infection, it can sometimes become infected itself. Knowing the difference between various skin infections can help you determine your best course of treatment and whether medical attention is necessary.
If you or a family member develops an itchy, red rash, it could be a sign of dermatophytosis — more commonly known as ringworm.
Ringworm is a fungal skin infection that can infect up to 20% of the U.S. population at any given time. It’s also usually localized to a particular area of the body, and depending on where it originates, determines what it’s called.
Curious about the different types of ringworm? Here’s a complete list, including what you should look for and how to get rid of an infection.
There are 7 Common Types of Ringworm
1. Tinea Corporis
Body Part Affected: Torso, arms or legs
Signs and Symptoms:
- Classic round spots typical of ringworm that can have a more pronounced outer border
- Starts with a red, itchy and scaly area of skin that is slightly raised
- A kerion or blister-like lesion can appear
Treatment: Generally treated with nonprescription antifungal cream, lotion or powder for two to four weeks.
2. Tinea Pedis, or Athlete’s Foot
Body Part Affected: Feet
Signs and Symptoms:
- Round, dry patches on the top of the foot
- Clusters of blisters on the side of the foot
- Moist, peeling and irritable skin between the toes
- Entire sole, heel and sides of the foot may become dry but not inflamed
Treatment: Generally treated with nonprescription antifungal cream, lotion or powder for two to four weeks.
3. Tinea Unguium, or Onychomycosis
Body Part Affected: Fingernails or toenails
Signs and Symptoms:
- White or yellow streaks on the fingernails or toenails
- Crumbly nail that may lift up easily
- Flaky white patches on the top of the nail plate
Treatment: Generally treated with prescription antifungal medication taken by mouth for several months; a topical medical nail lacquer might also be suggested.
4. Tinea Cruris, or Jock Itch
Body Part Affected: Groin
Signs and Symptoms:
- Reddish-brown rash that starts in the folds of the groin and can spread to one or both thighs or the buttocks
Treatment: Generally treated with nonprescription antifungal cream, lotion or powder for two to four weeks.
5. Tinea Barbae
Body Part Affected: Facial hair areas
Signs and Symptoms:
- Red, lumpy blisters
- Crusting around the beard or moustache area that can be itchy
- Facial hair is easily pulled out
Treatment: Generally treated with prescription antifungal medication taken by mouth for one to three months.
6. Tinea Capitis
Body Part Affected: Scalp
Signs and Symptoms:
- Round, itchy and scaly spots
- Dry, scaly skin; similar to dandruff
- Bald spots from hair loss
- A kerion or blister-like lesion can appear
Treatment: Generally treated with prescription antifungal medication taken by mouth for one to three months; topical antifungal shampoo might also be suggested to prevent spreading of scalp ringworm.
7. Tinea Faciei
Body Part Affected: Face (excluding the facial hair and scalp areas)
Signs and Symptoms:
- Round or oval itchy spots on the cheeks
- Edges of the spots may be raised
- Spots may include bumps, blisters or scabs
What Causes Ringworm?
Despite what the name may suggest, ringworm isn’t actually caused by parasitic worms. It’s the result of an infection from one of about 40 kinds of dermatophytes — or groups of fungi.
The 3 most typical are:
Ringworm fungi are believed to live as spores in soil for extended periods. When these mold-like parasites come in contact with a human (or animal) body, they choose to inhabit the cells on the outer layer of the skin.
So, how do you become infected? Here are the 4 methods for contracting ringworm:
- Person-to-person contact – The most common way to contract ringworm is through contact with another person who is infected. Because symptoms don’t develop until four to fourteen days after initial exposure, you or a family member could be in contact with someone who doesn’t know they’re infected.
- Animal-to-person contact – Ringworm can also spread by touching an animal with ringworm. Household pets like cats and dogs can contract ringworm and so can farm animals.
- Object-to-person contact – You can also get ringworm by coming in contact with items or surfaces an infected person or animal has also had contact with. Such objects include clothes, towels, bedding or brushes.
- Soil-to-person contact – It is rare, but sometimes ringworm can spread through contact with infected soil. This would most likely happen only from extended contact with soil that’s highly infected.
There are also some conditions that put you at higher risk for getting ringworm. Since fungi thrive in warm, moist environments, you’re more likely to contract an infection if you live in a warm climate, or frequent locker rooms or swimming pools.
You can also get ringworm through contact sports that involve skin-to-skin contact and through wearing tight or restrictive clothing.
While ringworm doesn’t usually spread below the surface of the skin, people who are immunocompromised — carriers of infectious diseases like HIV/AIDS, for example — may find it more difficult to get rid of an infection.
How Do I Get Rid of Ringworm?
Oral and topical medications are your best bet for clearing ringworm fast. However, fungal diseases are highly contagious, so early intervention is critical to preventing it from spreading to other areas of your body or infecting others.
When to Seek Medical Advice
Typically, it takes two to four weeks for a skin infection to clear up. Infections of the scalp, facial hair area and nails, however, tend to last for a few months. If you’ve begun an antifungal treatment and it’s not better within two weeks, or your infection has spread to other body parts, visit your doctor or an urgent care center.
Healthcare professionals, like those at GoHealth Urgent Care, can examine your infected area(s). Before giving you a diagnosis, the doctor may send a skin sample to the lab to confirm it’s a fungus that causes ringworm of the body.
If deemed necessary, your provider might give you a prescription for a stronger medication.
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Can I Prevent Ringworm from Spreading?
Besides taking fungal medicine for as long as recommended, or trying some home remedies for ringworm, there are other tips that can help you receive the best results from treatment and spare others for getting your infection.
- Wash your hands after touching any part of your body with ringworm. This can prevent the spread of infection to other areas.
- Keep all infected areas clean and dry. When showering, wash affected areas and dry them with a clean towel. Use a different towel for other areas of your body. Since fungi love moist environments, this is particularly important after a workout.
- Treat all areas infected. If your ringworm has spread to other areas, it’s important to use cream, lotion, powder and/or oral medicine as directed on all infected body parts. For example, if you’re suffering from both jock itch and athlete’s foot, use antifungal lotions and powders for both infections.
- Thoroughly clean infected items. Ringworm can survive for a long time, so to avoid reinfecting yourself or someone else, wash your clothes, shoes (with athlete’s foot), towels, bedding, etc. Wear clothes, such as socks or shirts, only once if you wore them the day before.
- Use flip flops or waterproof shoes in public showers, pool areas and locker rooms. Don’t go barefoot if you have athlete’s foot because you could easily spread the infection to others.
Other Skin Conditions
Just because you have an itchy, red rash doesn’t necessarily mean it’s ringworm. There are several reasons for skin irritation besides a fungal infection, such as allergens, chemicals, drugs, viruses and temperature.
Many skin conditions may present like ringworm but are in fact “ringworm look-alike.” Nummular eczema, for example, forms as a coin-shaped patch of scaly, dry skin on your torso, arms, legs or hands. While the cause of this form of eczema is unknown, it can result from dry skin in the winter, poor blood flow, inflammation, metal materials and medications like topical antibiotic creams.
Psoriasis can also look-alike ringworm, with dry, cracked skin that may bleed. It ranges from a few spots to major eruptions of red patches of skin that cover large areas, from your feet and nails to your torso and scalp.
The cause for psoriasis is also not fully understood, but it’s thought to be related to an immune system deficiency. Certain triggers – strep throat, smoking or heavy alcohol consumption, vitamin D deficiency, stress and medications like lithium – can start or worsen the symptoms.
Psoriasis can also put you at higher risk for developing other diseases like psoriatic arthritis, obesity, type 2 diabetes and cardiovascular disease.
Actinic keratosis or solar keratosis, are scaly patches of skin caused by high-exposure to the sun. They can be an early warning sign of skin cancer and doctors recommend early treatment to prevent the development of squamous cell skin cancer.
Other skin conditions that are similar to ringworm include granuloma, pityriasis rosea, impetigo, cellulitis and seborrhea.
The unfortunate thing about ringworm is that it’s very contagious. The good thing is that it’s treatable. Regardless of what type of ringworm infection you or your family member has, by taking the appropriate antifungal medication, you can get rid of it quickly.
In addition, there are several home remedies and lifestyle choices you can make to prevent fungi from spreading to your other body parts or other people and pets you come in contact with. Know that what you might think are unsightly spots or temporary hair loss from ringworm will resolve.
If you’re treating what you think is ringworm and it doesn’t seem to get any better, the doctors at any of our urgent care centers can perform an easy lab test to ensure your condition is in fact ringworm. With time, you’ll be fungus free!
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Ringworm (Tinea Corporis): Diagnosis, Treatment and Prevention
Ringworm of the body (tin ee uh COR por is) is an infection of the skin caused by a fungus (a plant which is too small to see). Ringworm is not caused by a worm.
The infection starts as a rash with tiny red pimples. The pimples slowly spread and form a round or oval ring, typically ½ to 1 inch (12 to 25 mm) in size. The edges of the area are red, raised or scaly. After the ring has formed, the skin inside the rash may look pink or almost normal. The rash usually appears in only a few places on the skin but it may occur anywhere on the body and may itch. Ringworm rarely causes serious problems.
Ringworm is contagious. It can spread to humans from puppies, kittens and pet rodents. It can also spread from people to people when someone touches the rash or handles something that has touched it.
The doctor will diagnose ringworm based on the child’s health history and by looking at the rash. A few scales from the infected area may be scraped and sent to the lab for more testing.
A single patch of ringworm can be treated with an over-the-counter antifungal cream. The cream will usually contain miconazole, ketoconazole or clotrimazole.
- Read the medicine’s label or ask your doctor or pharmacist to know if the cream you choose is safe for children.
- Ask how often it should be applied and for how many days.
- If there are many patchy areas, the doctor may prescribe a stronger medicine.
Ringworm usually goes away within 4 weeks of treatment.
How to Put on the Antifungal Cream
- Wash and dry your hands.
- Wash the rash with soap and water in the bathtub, bathroom sink or pan. Do not use the kitchen sink to wash the rash.
- Dry the rash completely with a paper towel or clean cloth towel. Do not touch this towel to healthy skin. (A cloth towel must be washed before it is used again.)
- Apply a thin layer of cream just past the outside edges of the rash.
- Spread the cream, beginning from the outside area first, then move toward the center of the rash (Picture 1).
- Do not cover the ringworm with a bandage.
- Wash and dry your hands well.
How to Prevent Ringworm
The fungus grows well on warm, dark, moist areas of the body. To prevent ringworm from spreading to others:
- Keep the skin clean and dry. Dry the skin well after washing or bathing.
- Wash hands well and right away if a ringworm rash is touched.
- Wear clean clothes, socks and underwear every day and do not share clothes or personal items (brushes, combs, barrettes) with others (Picture 2).
- Wash and dry clothing and towels that have come in contact with the rash using the hottest settings allowed on the care labels.
- Wash the bathtub, bathroom sink or pan well after each use.
- Wear shoes in locker rooms and public showers.
- Shower right away after all contact sports like wrestling and football.
- Keep fingernails short and clean.
- Wash hands after playing with pets. Check pets for ringworm and get them treated if necessary.
- Your child can return to daycare or school after treatment has begun.
When to Call the Doctor
Call your child’s doctor if the rash:
- Gets worse and shows signs of infection (pus, swelling or discharge)
- Does not seem to be healing after 2 weeks
- Has not healed completely after 4 weeks
Ringworm (Tinea Corporis) (PDF)
HH-I-143 1/91, Revised 10/17 Copyright 1991, Nationwide Children’s Hospital
90,000 Ringworm (microsporia) in children and adults: treatment, pathogens, transmission routes
Ringworm (microsporia) is a disease that manifests itself as a fungal infection of the skin, nail plates and hair follicles. The pathogen is a mold of the genus Microsporum. Its colonies are formed in keratinized substrates. Microsporia remains a relatively common disease – dermatologists detect 60-75 cases for every one hundred thousand residents of Moscow.Pathology has a pronounced seasonality. The peak incidence occurs in late summer and early autumn – the period of breeding in cats and other animals.
Ways of infection
The causative agent of microsporia enters the body when a healthy person comes into contact with a carrier of the disease. An alternative way is to interact with objects covered with fungal spores. Ringworm is most often detected in children 5-10 years old; in boys, microsporia is diagnosed five times more often than in girls.Pathology almost does not affect adults due to the presence of organic acids in the structure of their hair, which inhibit the growth of the mycelium of the fungus.
The reasons for the development of ringworm are microtrauma of the skin, its dryness. Spores end up in cracks, scratches, or exposed calluses. Healthy skin becomes an insurmountable barrier to fungus. The causative agent does not survive contact with personal hygiene products – thorough washing of hands after contact with carriers of spores excludes the possibility of infection.
The risk group includes people who regularly come into contact with the land and wild animals. The active growth of the fungus is facilitated by disturbances in the work of the sebaceous glands with changes in the chemical composition of their secretion. Microsporum spores are able to survive for three months in the open field.
Symptoms of pathology
Ringworm symptoms appear 4 to 6 weeks after a patient is infected. A red spot appears on a smooth area of the skin of a child or adult.It rises above the surface and has smooth boundaries. Over time, the size of the focus increases. The surface is covered with nodules, blisters and scabs. The spots turn into rings that can intersect or merge with each other. The diameter of the formations on the skin ranges from 5 to 30 millimeters.
Ringworm symptoms include an acute inflammatory reaction. It often develops in children and girls. The lesions begin to peel off intensively.Patients suffering from dermatitis do not immediately show symptoms of microsporia. The sites of active growth of fungi can look like inflammatory skin lesions.
A common manifestation of ringworm in a child is damage to the scalp. Patients aged 5-12 years suffer from this symptom. Older children experience a change in the chemical composition of sebum. Its elements become dangerous for the microsporia pathogen.
The suppurative type of ringworm is characterized by the appearance of soft nodules on the patient’s skin.The nodes are dotted with numerous abscesses. When they are squeezed, purulent contents are separated.
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Ringworm is diagnosed and treated by a dermatologist. The doctor examines the patient and identifies the typical manifestations of microsporia.Examination of skin scrapings under a microscope reveals fungal mycelium and changes in the structure of hair and skin. Differential diagnosis makes it possible to exclude trichophytosis from the patient’s history, which has similar manifestations during microscopy of the patient’s biomaterials.
Sowing on microflora is a more informative diagnostic technique. Laboratory staff determine the type and genus of fungi. Based on the laboratory report, the dermatologist selects drugs that will cure the patient.
The luminescent study makes it possible to identify pathological foci on the skin of the patient and those living with him. This diagnostic method is based on the glow of the mycelium of the fungus in green under the influence of a gas-discharge light source.
The combination of drugs prescribed to the patient depends on the severity of damage to the skin, nail plates and hair follicles. Antifungal therapy may be local or general.In the first case, a child or an adult needs to use creams and ointments that suppress the activity of the microsporia pathogen. Drugs in this group are not recommended for girls during pregnancy and lactation. Topical spray formulations are effective in treating large ringworm lesions. Modern formulations do not leave stains on the skin and are not absorbed into the fabric of clothing.
Severe inflammatory response is treated with a combination of antifungal and hormonal drugs.Patients will have to apply applications with ointments to the affected areas. After this, the skin is treated with iodine solutions. The schedule for oral administration of tablets is formed by a dermatologist based on the clinical picture of the pathology.
Joining the microsporia of a secondary infection involves the use of drugs based on betamethasone, gentamicin or clotrimazole.
Ringworm prevention is based on regular medical examinations of children attending preschool educational institutions. Parents should talk to their kids about the inadmissibility of contact with stray animals. Compliance with the rules of personal hygiene by patients of all age groups is becoming an important preventive measure.
When buying pets, you must visit your veterinarian. The doctor will examine the cat or dog and give advice on how to fix any pet health problems. Following the advice of your veterinarian will prevent an outbreak of microscopy within the family.
Questions and Answers
Is re-infection with microsporia possible?
Yes.A recovered patient may re-contract microsporia from carriers or contact with spore-covered objects. This scenario can be avoided by simultaneous treatment of all cohabitants (children and parents).
How can pet owners protect themselves from microsporia infection?
Cats and dogs should be brought in regularly for veterinary examinations. The risk group includes animals that are taken out of the city. Contact with other cats and dogs can turn the pet into a carrier of spores of the microsporia pathogen. Animals must be washed periodically using special products.
Ringworm is a highly contagious fungal infection of human skin, nails and hair. The causative agents of this type of lichen are diaphoretic fungi Microsporum and Trichophyton . This is the most studied type of lichen, which in medicine has 2 main names Trichophytosis and Microsporia, depending on the fungus that caused ringworm in humans.Its treatment mainly consists of local therapy and oral administration of antifungal drugs in tablets. Since this is a fungal skin disease, in addition to the popular name – ringworm – doctors also use such terms – Dermatomycosis, Dermatophytosis, Dermatophytosis, as well as Trichophytosis and Microsporia. The difference between trichophytosis and microsporia is that the latter is transmitted to humans from domestic animals, most often from cats, and trichophytosis parasitizes only on the human body.
Risk factors and routes of infection with ringworm. The main route of infection is contact-household, through direct contact with a sick person or animal: Children from 4 to 15 years old are most susceptible to ringworm infection, microsporia is especially easily transmitted by contact with infected animals. Both trichophytosis and microsporia can be transmitted from a sick person to a healthy contact-household route, that is, through household items, clothes, combs, linen. Even in a hairdresser, if you don’t disinfect your clipping and shaving tools, you can get ringworm.On contact with the affected skin of the patient, the transmission of lichen is also possible. However, in addition to getting the pathogen on the skin, in order for infection and reproduction of fungi on the skin, nails and scalp of a healthy person to occur, certain provoking conditions are necessary, since with a strong immune system and no damage to the skin, the risk of developing the disease is minimal.
Subject to the rules of personal hygiene, all pathogenic fungi, when in contact with the skin, are simply washed off after a shower and other hygienic procedures.If there is a patient with ringworm in your environment, you should be very careful, neat, follow the rules of personal hygiene, do not use combs and other common household items that come into contact with the patient’s skin. Risk factors for ringworm include the following: Skin maceration – softening of the skin with prolonged contact with water. Violation of the integrity of the skin – trauma, abrasions, scratches, burns, etc. Low immunity and the presence of other skin diseases.Constant stress, depression is the strongest factor leading to a decrease in the body’s defenses.
What does ringworm look like and its differential diagnosis. To establish the diagnosis of ringworm, in addition to the initial examination by a dermatologist, for a more accurate diagnosis, it is necessary to do a bacteriological examination of the scraping taken from the focus of inflammation, while the hemp of hair and skin scales are examined for the presence of fungi. If it is ringworm, then fungal spores are found.If ringworm is localized on the scalp, then it should be differentiated from baldness and favus (another type of fungal skin lesions). If ringworm is on the body, then it should be distinguished from eczema and psoriasis. In the chronic course of the disease, ringworm is differentiated from candidiasis, acne, psoriasis, eczema of the nails and lichen planus. With deep ringworm in humans, symptoms should be differentiated from staphylococcal sycosis, iodine and bromoderma, ostiofolliculitis and phlegmon.
Symptoms, signs of ringworm. How does ringworm manifest and how is it treated? This type of lichen can affect almost any part of the body, and doctors subdivide the localization of ringworm according to the following areas: skin of the hands, feet, trunk of the feet, nails of the feet and hands, inguinal folds and armpits, scalp skin of the head, hands, palms, skin of the face Depending from the location of the lichen, the depth of the skin lesion, and the state of the immune system, which cannot cope with ringworm, the symptoms and signs of the disease may differ. Therefore, it is customary to classify all types of fungal disease as follows:
- Superficial lichen of the scalp.
Ringworm infection in children usually occurs either from sick adults or from pets. And if such lichen is not cured in childhood, it will continue chronically up to 13-15 years – the period of puberty. In boys at this age, self-healing most often occurs and lichen does not return anymore, but in girls, without adequate treatment, it can drag on and acquire a chronic form.
Ringworm head symptoms:
– When the hairy part of the head is affected by ringworm in a person, round foci are first formed, in which hair thinning is observed, there may be several, or maybe just a single area. In the area of the lichen lesion, the skin begins to peel off, forming gray or whitish small scales that can be mistaken for dandruff. As the disease progresses, the hair begins to break off, as if this area was cut 1-2 mm from the scalp.This may be accompanied by slight reddening of the skin. Small bubbles form along the edges of the affected area, which are further transformed into yellowish crusts. In size, the areas affected by lichen can be quite large, 3-10 cm in diameter and even more. Superficial lichen of this type does not lead to inflammation, and only a few patients may experience mild itching. However, such a lichen causes considerable psychological discomfort, since the aesthetic appearance of the head and hairline deteriorates significantly.
- Superficial ringworm on smooth skin.
– On smooth skin without hair, ringworm, in terms of its primary symptoms, can be confused with lichen rosacea, the treatment of which is completely different. The difference between ringworm is that it can affect any part of the body, and pink does not exist on the face, hands, on the soles of the feet, also pink lichen usually does not last more than 2 months, and ringworm, microsporia without treatment can last for years with periodic relapses.A favorite localization of ringworm on smooth skin is the face and neck, and it can also be on the legs and body. A distinctive feature of this lichen is the clear contours of the spots, along the edges of which, as it were, a roller of bright color is formed, consisting of bubbles and pink nodes. In the center of the patch, the skin is usually lighter in color with gray scales. With the progression of the disease, the foci increase in size. This shingle is usually accompanied by itching.
- Chronic ringworm.
In adults, chronic ringworm occurs only in women who have not had a superficial ringworm treatment during childhood. It usually occurs when a woman has dysfunctions of the thyroid gland, ovaries, with a lack of vitamins and a general weakening of the immune system. The symptoms of chronic ringworm in women are as follows:
– It can be both on the scalp and on smooth skin and nails. Its favorite localization on the head is the back of the head and temples.If the lesion is localized on the hairy part of the skin, then the hair breaks down to the very root, and the resulting spot is called a black point, while the lesion is usually quite small up to 1 cm, a scaly scar, without inflammatory symptoms. If lichen is localized on smooth skin, then, as a rule, these are elbows, palms, thighs and buttocks. The contours of the spots become indistinct, their size can be very significant, the color varies from pink to bluish, and peeling of the skin is also characteristic. With any type of chronic lichen, besides itching and an external non-aesthetic appearance, lichen does not manifest itself anymore.When the nails are damaged, they become either gray or cloudy, dull, the edges quickly crumble, jags appear, and the nail can become either too thick or very thin.
- Deep ringworm: infiltrative-suppurative.
– This type of ringworm is transmitted to humans only from animals, the pathogens of which multiply in human hair follicles. Usually, with deep ringworm in a person, the symptoms are joined by an increase and soreness of the lymph nodes, fever, allergic rashes and general malaise.On average, the inflammatory process lasts 2-3 months. A sign of deep ringworm on the scalp is the formation of large bright red plaques 5-10 cm, they are uneven, bumpy, resembling tumor growths. This is due to purulent inflammation of the follicles, edema of the skin, so the plaques rise significantly above the scalp. This is a very painful type of ringworm, moreover, when the follicles are opened, purulent fluid is released. As the inflammatory process subsides, loose brown crusts form in the center of the plaques.In men, lichen deep can be located not only on the scalp, but also affect the mustache and beard.
Treatment of ringworm in humans. In the treatment of ringworm in humans, the basis of therapy is the fight against the fungus that caused dermatomycosis. Treatment is prescribed only by a dermatologist, who combines local treatment with lichen ointments – antifungal creams, sprays, shampoos with taking antifungal drugs inside. For local treatment, the doctor may recommend various ointments, creams, shampoos containing Clotrimazole, Ketoconazole, Mikoseptin, Terbinafine, Micoconazole.(Topical antifungal agents – creams, sprays, gels) Ringworm of smooth skin responds better to treatment with Terbinafine and Tolnaftate. For the treatment of lichen in the morning, a 5% iodine solution is usually used. And in the evening, as a rule, sulfur-salicylic or sulfur-digester ointment is prescribed, treatment with pure salicylic acid 3% is also possible. The doctor can write a prescription for the manufacture of Vidal milk in the prescription department of the pharmacy – alcohol, camphor, salicylic acid, lotion with sulfur, boric acid, glycerin.Or Lassar pastes – petroleum jelly, starch, salicylic acid, zinc oxide. For systemic treatment for dermatomycosis, Griseofulvin is used, it is a natural antimycotic that has a narrow spectrum of action, namely, it is active against dermatomycete fungi, Trichophyton, Microsporum, Epydermophyton, Achorionum.
For the treatment of chronic ringworm, in addition to antifungal agents, both local and oral (Griseofulvin), vitamin therapy, immunomodulators, drugs that strengthen blood vessels and improve microcirculation are also indicated.After the end of treatment for ringworm, scraping is again taken for bacterial analysis from the surface of the skin in places where the lichen used to be, it is taken 3 times – immediately after the end of treatment, after a week and after 2-3 months. Only if all 3 tests are negative is ringworm considered cured. If the results are positive, then the course of treatment should be reviewed and a different regimen should be prescribed.
How to treat ringworm at home
How to treat ringworm?
Microsporia or ringworm is a disease caused by a fungus from the genus Microsporum.The disease manifests itself on the skin and hair, sometimes eyelashes and nails are affected. Fungal infections that cause the disease “love” the skin, which is why they are called dermatophytes.
Areas affected by shingles are located under the hair on the scalp. These are round lesions in which the hair breaks off at a height of 5 mm and looks like cut. The lesions come in different sizes, even from the palm of your hand. People suffering from shingles on the body note the presence of red spots, the outline of which resembles a raised roller.The stain may peel off, itch.
Children are most susceptible to infection, as they often play with street animals. Children’s skin is more susceptible to infections. Doctors note an outbreak of diseases in children in the summer and early fall. In adults, ringworm disease is second only to foot fungus. Young women are more likely to get sick.
Causes of lichen
Ringworm can become infected after contact with sick animals and people. Most often, stray animals become carriers of the infection.From a sick person, lichen can be transmitted by sharing combs, manicure sets, bedding, towels, washcloths. People with weak immunity who have scratches and abrasions on their skin are at greater risk of infection.
If there is a suspicion of dermatomycosis and other skin diseases, you need to contact a dermatologist or infectious disease specialist. In order to properly prescribe a medicine for ringworm, the doctor will diagnose. The first is to inspect the affected areas under the light of a special lamp.If it is trichophytosis, the attending physician will see how the skin and hair will turn green under the influence of the lamp. A scraping can be taken from the affected area for laboratory analysis.
It is difficult to protect yourself from ringworm – fungal spores on the ground can remain viable for about 3 months. You can get infected if pieces of wool, skin, hair with a fungus get on the skin. As soon as it gets on the skin, it begins to multiply and grow inside the hair follicles. The spores of the fungus destroy the hair structure, causing it to break off.Around the piece of hair, the fungus forms what looks like a white sheath. As a result, ringworm can be seen with the naked eye.
How is ringworm treated?
Treatment for ringworm is long-term – up to about 6 weeks. The exact duration of therapy depends on the complexity of the course of the disease and compliance with the doctor’s recommendations. If you start dermatomycosis, it will become chronic and the disease will regularly manifest itself in new areas of the body. There were rare cases when a person did not have to treat ringworm – it disappeared on its own. Usually such cases are observed in adolescents during puberty. Then the composition of the skin secretion changes, it contains undicylenic acid, which kills fungi.
In order to correctly prescribe a medicine that kills dermatomycosis, the doctor specifies the diagnosis. As mentioned above, under the light of Wood’s lamp, the foci of the Microsporum fungus glow green. The scraping is sent to the laboratory for sowing, if within 3 days Microsporum colonies are found there, the diagnosis is made – ringworm.
If a small focus of the disease in the singular is observed on the patient’s body, local preparations are enough.More often, this mild form appears on smooth skin. The doctor may prescribe an antifungal ointment, iodine treatment. If there are several foci of the fungus, dermatomycosis is treated in a clinic where tablets and ointments are prescribed, solutions from the fungus in the complex.
What ointments help with ringworm?
As with other diseases, self-medication can only aggravate the course of the disease. Therefore, only a doctor can tell you how to treat ringworm, how to use the medicine and for how long.Pharmacies offer a selection of ointments, creams and gels for lichen. Ointments are thick, penetrate deeply into the skin and are stronger than other local remedies.
The ointment is often combined with iodine. For example, in the morning, lesions are smeared with iodine, it dries the skin, has a detrimental effect on bacteria and fungi. In the evening, a medicinal ointment is applied to the lichen foci.
Most popular ointments:
- Sulfur. Fights fungi and pathogenic microorganisms.Dries pustules well, accelerates wound healing. It is applied once a day;
- Salicylic. Kills fungi and relieves inflammation. After treating the area with ointment, a sterile napkin is placed on top of it. Do not apply the ointment on the face;
- Sulfur-tar. With careful movements, it is applied to the lesions and the skin around them. The ointment has disinfecting properties and has a detrimental effect on fungi. If there is swelling in the affected area, a bandage is applied over the ointment;
- Lamisil.This is a cream that is able to stop the growth of fungi and destroy it. After 5 days from the start of treatment, significant improvements are noticeable, but the full course is about 6 weeks;
- Mycospore. This ointment is capable of destroying fungi at the cellular level. Gently rubbed into the skin for 6 weeks.
Before applying the ointment, you can clean the skin with disinfectant solutions with furacilin, potassium permanganate, rivanol. All of the above ointments are effective, a specific drug will be prescribed by a doctor, taking into account the individual characteristics of the patient.There are creams that contain hormones. They are able to quickly relieve redness and itching, but can create a favorable environment for the development of fungi. Therefore, you should not use hormonal creams on your own.
What gels help with ringworm?
Compared to ointments, gels are absorbed faster, do not leave marks and do not stain clothes, and do not emit a strong odor. Ringworm gels contain a concentration of drugs that can destroy dermatophytes. Popular gels:
- Exifin.Twice a day, it is applied to areas affected by the fungus, gently rubbed in. Course – 4 weeks;
- Mikogel-KMP. It is able to kill not only fungi, but also bacteria by acting on the cell membrane of microorganisms. The gel is applied twice a day in a thin layer, no need to rub. The course is 4 weeks.
Before applying the gel, the affected area is cleaned of the stratum corneum. To do this, apply lactic-salicylic-resorcinol collodion. Thanks to its effect, the top layer of the skin softens, which is then removed with the blunt side of the scalpel.If the lichen has struck the scalp, then the hair is removed with tweezers, then the skin is disinfected with iodine. If this procedure is neglected, the fungus will remain in the hair and cause a relapse of the disease.
Solutions for ringworm
Special solutions are prescribed for the treatment of lichen on the head, since they are able to be absorbed well and do not contaminate the hair. The solutions can also be applied to smooth skin before applying the medicated ointment. Popular solutions:
- Iodotsirin.Contains glycerin and iodine. Helps to flake off scales and heal wounds. The solution is impregnated with a napkin, applied to the affected area for 20 minutes;
- Vokadin. Contains iodine. Able to kill fungi and bacteria. The course is up to 6 weeks.
- Nitrofungin. It is considered a fairly effective remedy for the fungus. A cotton swab is moistened in a solution and the foci of the disease are blotted with it 2-3 times a day. This is repeated until the symptoms are completely gone. If the fungus also affects the hair, in parallel with the solutions, tablets are prescribed inside.
Tablets for ringworm
The doctor prescribes capsules and tablets for depriving if the patient has several foci of the disease and in situations where the hair is affected by the fungus. Medications taken by mouth destroy fungi throughout the body. This will speed up the healing process and prevent relapses. Popular tablets:
- Orungal. Acts against dermatophytes by destroying their membranes. It is taken daily at 100 mg. Course – 15 days;
- Griseowulfin.Aimed at preventing the growth of fungal colonies. Take 8 tablets per day with meals, along with 1 tsp. sunflower oil. The course lasts until the first negative analysis, then the doctor reduces the dosage;
- Lamisil. Has a detrimental effect on the fungus. It is prescribed 1-2 times a day. The course is 6 weeks.
It is important to take into account that you cannot prescribe such drugs yourself. Each has indications for use and side effects. The doctor will be able to control the effectiveness of therapy using the same lamp with which the lichen was diagnosed.
Folk remedies for lichen
There are a large number of remedies in traditional medicine recipes, but not all of them are equally effective. Therefore, more often folk remedies are used as an auxiliary treatment to the main course of therapy.
Despite the safety of natural ingredients, their appropriateness and dosage should be discussed with your doctor. Popular recipes:
- plantain is crushed in a blender, juice is squeezed out of the resulting gruel. Mix 1 glass of juice with 1 tsp.l. alcohol and 1 tbsp. ash. It is applied 5 times a day. Course – a week;
- chamomile in an amount of 20 g is poured with 300 ml of boiling water and infused for half an hour. The solution is filtered, used to wipe the lichen lesions on the skin for 7-10 days;
- medium-sized beets are boiled for 40 minutes, peeled and grated on a fine grater. The same amount of buckwheat honey is added to the resulting gruel. Store the mixture in the refrigerator, apply three times a day for a week;
- black raisins (1 handful) are steamed with boiling water, then crushed into gruel and applied to the foci of the disease 2 times a day.After 3 days, the effect will begin to appear. Course – until complete recovery.
Ringworm is a skin disease caused by Microsporum molds. Children are more prone to this disease than adults.
Most often, ringworm activity occurs in the summer-autumn period. The main route of infection is close contact with animals that are sick with shingles.However, if you follow the rules of hygiene, then the mushrooms that have got on the skin can simply be washed off with water in the shower.
Only a specialist can diagnose ringworm, he will prescribe the correct treatment. Therapy usually takes 4 to 6 weeks. It is not recommended to take any actions on your own, otherwise there may be unpleasant consequences.
- Ringworm Causes
- Ringworm symptoms
- Features of the disease
- Acute and chronic forms
- Trichophytosis (STEP 4)
- 5 main types of disease
- Home treatment
- Treatment with alternative methods
- Treatment during pregnancy
- Prevention of the disease
Good day, dear regular readers and guests of Alexey Shevchenko’s blog “Healthy lifestyle”.In the summer, parents of young children add one more concern to all other concerns – the need to protect the baby from such an unpleasant infection as ringworm. This can be very difficult to do. Firstly, children are very susceptible to this infection, and secondly, yard cats and dogs, with whom they love to communicate so much, get sick especially often in summer. Therefore, cases of infection can occur even with impeccable hygiene.
Of course, this disease can greatly spoil the summer holidays not only for the child, but for the whole family.Still, there is no reason for panic or despair. Modern medicine has a sufficient number of products to help cleanse the skin quickly. So, the topic of today’s article is how to treat ringworm.
What causes ringworm?
Microsporia, or ringworm, is a highly contagious disease caused by fungi from the genus Microsporum, Trichophyton and Epidermophyton. It can affect any mammals, including humans. (Read about other types of lichens here).
The main carriers of the fungus are cats and dogs. Cases of infection from rabbits, pigs, goats, horses and sheep are somewhat less common. The danger is not only the sick animal or person itself, but also any objects contaminated with the smallest particles of skin, pieces of hair and nails. Everything that the carrier of the disease came into contact with is exposed to infection – bed linen, clothes, all household items; in the case of animals – food, bedding, inventory and clothing of a person caring for a sick animal.
The fungus is active all year round and especially often affects children, young people and animals. The disease is much more easily transmitted to humans from animals than from other people.
It is interesting to note that in cities people and animals get sick with this type of lichen much more often than in rural areas.
Ringworm in humans
How to treat ringworm in humans at home
Ringworm is a highly contagious (contagious) infection of the skin, hair or nails caused by pathogenic fungi.The infection can be caused by two types of fungi – Trichophyton and Microsporum. The correct designation of the disease is based on the name of the fungus that caused it, therefore, doctors isolate trichophytosis and microsporia.
Both these forms of fungal infection (trichophytosis and microsporia) are combined under the general term ringworm. Thus, ringworm is also called trichophytosis, microsporia, dermatophytosis, dermatomycosis, or dermatophytosis. The Trichophyton fungi are microbes that only parasitize human skin, while Microsporum infects both humans and animals.Ringworm is most infectious in children 4 to 13 years old.
In the article, we will consider ringworm, the causative agent of the disease, its symptoms, routes of infection, as well as preventive measures in the table.
What is it?
Ringworm in humans is an infectious skin disease caused by two types of pathogenic fungi – trichophyton and microsporum. Therefore, the general term for ringworm is the name microsporia, trichophytosis, dermatomycosis, dermatophytosis.Microsporum fungi equally infect humans and animals, while trichophyton parasitizes only on human skin.
Causes of occurrence
The fungus Trichophyton tonsurans was first identified many decades ago. Its name is directly related to its ability to damage hair. Fungi that parasitize humans cause superficial and chronic ringworm. And zoophilic forms cause infiltrative-suppurative skin lesions.
- Chronic diseases and vitamin deficiency contribute to the appearance of lichen.
- Infection occurs after contact with a sick person or his hygiene items, when working with hay and soil, after contact with an animal.
- More often, the disease occurs against the background of a decrease in immunity and violation of the rules of personal hygiene, with long-term care of animals and damage to the outer covering of the body (scratches, abrasions, burns).
About what ringworm in children and adults has symptoms and signs, we will tell further.
There are two types of ringworm in humans:
- Surface.It is transmitted only from person to person, more often it affects young children. Distinguish between acute and chronic forms of the course of this type of disease.
- Infiltrative-suppurative. It is caused by parasites that live on the body of animals. The main risk group is agricultural workers, as well as children playing with stray animals.
This is interesting – popular questions about trichophytosis
|Is ringworm contagious?||Yes, ringworm is an infectious and highly contagious disease.|
|Does ringworm itch or not?||The disease causes itching, and in some cases it can give the patient severe anxiety.|
|Can ringworm go away without treatment?||The possibility of self-relieving the body of ringworm exists, but it is negligible. Science knows several cases when the disease passed without any medical intervention, nevertheless, these are isolated phenomena.Most often, the infection, causing inflammation once, begins to spread further. If the disease develops in childhood and has not been treated with therapy, then it will persist until adulthood.|
|What if I get ringworm during pregnancy?||Do not panic if the infection develops during gestation, since these mycotic organisms are not able to exert a pronounced effect on either the child or the woman. In case of infection, you should consult a doctor and undergo the treatment recommended by him.During pregnancy, oral medications are not prescribed to get rid of the infection; it will be enough to use ointments that the doctor prescribes.|
|Can ringworm recur?||The disease can develop again if there was a new fact of infection, or the treatment was not completed. The body is unable to build immunity against the ringworm fungus.|
|Can I wash with ringworm?||The disease is not a contraindication to the implementation of hygiene procedures.During illness, it is best not to take a bath, but a shower.|
Incubation period of the disease
The incubation period of the fungal infection that causes the appearance of ringworm ranges from several days to 6 – 8 weeks and depends on the type of pathogen that has entered the body.
Superficial lichen may appear with the first symptoms as early as 5-7 days after infection. Infiltrative-suppurative lichen for several months does not give any clinical manifestations.The first signs of the disease appear no earlier than 6-8 weeks after the pathogen enters the body.
What does ringworm look like at the initial stage, how to recognize it in time and prevent hair loss? Unfortunately, a person may not immediately notice the first signs of an illness. Any part of the scalp begins to lose its vegetation. The hairs gradually thin out, fall out and break, changing their length to 1 – 2 mm. Peeling of the skin joins the problem.As the disease progresses, the focus becomes clear.
Ringworm symptoms (see photo) are more noticeable on the chest, back, lower and upper limbs. A person may notice abnormalities such as:
- burning and itching spots;
- redness and swelling of the skin;
- framing the hearth with a solid roller;
- blistering of the focus, followed by the expiration of the contents and the formation of crusts.
In case of nail trichophytosis, the plates become brittle, dull.Their structure thickens and coarsens. Subsequently, the nails crumble and change their color. Dents on the plates, grooves and a dirty gray color are characteristic signs of lichen.
In addition to ringworm foci on the head, problem areas can also occur on the body. The disease is manifested by a rash, elements of which are similar to red, rounded spots. Since the fungus feeds on keratin taken from the upper epidermal layers, then gradually the skin elements acquire the contours of the ring.”Eating” keratin in one area, parasitic microorganisms move on. This is why plaques grow in diameter and change the boundaries of their edges.
The accumulation of dermatophytes leads to the formation of a bright border. Its blistering and scaling indicate an increased activity of fungi in this zone. Sometimes the parasites return to the center of the ring and reuse it as a source of food. But this is only possible when the reserves of keratin are restored. The so-called “ring in a ring” is a clear sign of increased dermatophyte activity.
It can be localized on the scalp, fingernails, or smooth skin. On the head, lesions are localized, for the most part, on the temples and the back of the head. The lesion is a small (no more than 0.5 cm) smooth scar, similar to atrophic, which peels off a little, but does not show signs of an inflammatory reaction. At the site of this focus, the hair breaks off at the very root, forming a spot called a black point.
Chronic ringworm on smooth skin is most often localized on the buttocks, thighs, on the bends of the knee and elbow joints, or on the palms.In this case, the lesion looks like a cyanotic or pinkish spot of a rather large size with an indistinct outline. The surface of the spot is moderately flaky.
Usually, the lesions are characterized by only mild itching, other subjective symptoms are absent. Nails affected by lichen become dull, cloudy, gray in color, the outer edge becomes jagged and is easily painted. The nail can suddenly become very thick or, on the contrary, thin.
What does ringworm look like: photo
The photo below shows how the disease manifests itself in humans in the initial and advanced stages.
The diagnosis is based on a visual examination of the patient, as well as the collection of an anamnesis of the disease and a survey of possible sources of infection. If in doubt, the doctor will perform a scraping of the affected area.
The collected materials are examined under a microscope or placed in a nutrient medium for three days, during which rapid growth of fungal colonies is observed. Upon detection of filaments of mycelium and spores of the fungal pathogen, its identification is performed.
Treatment of ringworm in humans
In the treatment of ringworm in humans, the basis of therapy is the fight against the fungus that caused dermatomycosis. Home therapy combines local treatment with lichen ointments – antifungal creams, sprays, shampoos with antifungal drugs taken orally.
The treatment regimen is prescribed by a dermatologist, the main aspects are as follows:
- Smooth skin ringworm responds better to treatment with Terbinafine and Tolnaftate.
- A 5% iodine solution is usually used to treat lichen in the morning. And in the evening, as a rule, sulfur-salicylic or sulfur-digester ointment is prescribed, treatment with pure salicylic acid 3% is also possible.
- A dermatologist can write a prescription for the production of Vidal milk in the prescription department of the pharmacy – alcohol, camphor, salicylic acid, sulfur lotion, boric acid, glycerin. Or Lassar pastes – petroleum jelly, starch, salicylic acid, zinc oxide.
- For local treatment, the doctor may recommend various ointments, creams, shampoos containing Clotrimazole, Ketoconazole, Micoseptin, Terbinafine, Micoconazole.(Local antifungal agents – creams, sprays, gels).
For systemic treatment of dermatomycosis, Griseofulvin is used, it is a natural antimycotic that has a narrow spectrum of action, namely it is active against dermatomycete fungi, Trichophyton, Microsporum, Epydermophyton, Achorionum.
- Treatment must be accompanied by oral administration of griseofulvin. It should be taken for 15-25 days, and once a week, take a bacterioscopic scraping to detect the fungus.As soon as the fungus is not detected, the intake of griseofulvin is continued every other day, at the same dose that the doctor calculated, for another 14 days so that there is no relapse of the disease.
- If the feet are affected by the fungus, it is recommended that they undergo a course of treatment with Ketoconazole or Clotrimazole orally, and topically apply selenium sulfide.
For the treatment of chronic ringworm, in addition to antifungal agents, both local and oral (Griseofulvin), vitamin therapy, immunomodulators, drugs that strengthen blood vessels and improve microcirculation are also indicated.
Hygiene measures in contact with the sick
If you yourself or your child touched a sick animal or communicated with a sick person, then urgent action is needed.
- The sooner you wash off the particles containing the fungus from the skin, the less chance of infection.
- Wash your hands several times with antifungal soap. The simplest remedy that is found in almost every store is cinnamon laundry soap, or better, soap with birch tar.
- Wash the entire body with this soap. Suddenly, particles of the patient’s skin got under the clothes. Do not use a hard washcloth. It leaves micro-scratches on the skin, into which the fungus easily penetrates.
- Antifungal shampoo must be used for shampooing. For example, Nizoral. You can also use it as a shower gel.
- Cyteal is a modern agent with a powerful antifungal effect. Dissolve it in a small container five times.This will create a frothing liquid that you can use to wash your hands and whole body.
- Lavender oil, tea tree oil and turpentine have antifungal effects. They can be used to treat small areas of skin.
Also, five days after contact, it is advisable to consult a dermatologist. He examines the body with a Wood lamp. If you nevertheless become infected, then the disease can be detected in the early stages. This will help to quickly heal her at home and not go to the hospital.
Prevention includes good personal hygiene and isolation of sick animals or people.
At the place of detection of the patient, thorough disinfection is carried out, bed linen and accessories, soft toys, carpets are subjected to heat treatment. A sick child is not allowed into the children’s team until the ringworm is completely cured. Patients are prohibited from visiting swimming pools, saunas, baths. Kindergarten teachers, nannies, public utilities workers, bath attendants are suspended from their duties.
Is ringworm dangerous for humans? The most serious consequences are persistent alopecia areata due to cicatricial changes in skin tissue. The disease should be treated as soon as its clinic begins in order to exclude infection of the close environment and reduce the risk of a severe allergic reaction.
Treatment of ringworm in humans
The most contagious fungal infection of hair, nails, and human skin is called ringworm.Pathogenic fungi are the causative agents of this type of lichen. This type of infection is the most studied in medicine and can be called microsporia or trichophytosis. The name is given according to the type of fungus that caused the ringworm infection in humans. Treatment for this lichen is reduced to local therapy and oral administration of antifungal pills.
- Possible routes of infection
- Signs and symptoms of ringworm
- Classification of ringworm by specialists
- How to treat ringworm in an adult
- How to treat ringworm in children
In addition to the well-known name ringworm, lichen also has medical names: dermatomycosis, dermatophytosis, dermatophytosis, trichophytosis and microsporia.Microsporia and trichophytosis have a significant difference between themselves, which consists in the fact that the first type of fungus parasitizes domestic animals , and the second lives only on the human body.
Possible routes of infection
Deprive are most often infected through contact with animals or people with this disease. The main risk group for the incidence of lichen is children aged four to fifteen years. Microsporia easily passes from a sick animal to a person.The most likely way of transmission of lichen is contact of a healthy person with the skin of a sick person.
Microsporia and trichophytosis can be transmitted not only through personal contact, but also through the use of common things and household items, for example, combs, clothes. If the sanitary and hygienic standards are not observed and the master’s negligent attitude to the disinfection of the instrument, you can become infected with ringworm even in a hairdresser.
But for the development of this disease, a simple contact of microorganisms on the skin of a healthy person is not enough; special conditions are needed.The risk of infection will be minimized with strong immunity and intact skin. You should also keep your body hygienically clean. When carrying out daily hygiene procedures, you can not be afraid of infection with this fungal infection, because after water procedures, all pathogenic fungi are washed off with water .
Also, one should not be afraid of being reputed to be a squeamish person, and under no circumstances should one use another person’s personal hygiene items.Combs and other items that come into contact with the skin of an infected person can also facilitate the transmission of microorganisms. Risk factors for ringworm infection include:
- Dermal maceration, when prolonged exposure to water softens the skin.
- Scratches, abrasions, trauma, burns and other violations of the integrity of the skin.
- Presence of other skin diseases and low immunity.
Signs and symptoms of ringworm
To establish a diagnosis and prescribe treatment, you should consult a dermatologist.The specialist, in addition to examination, will make a bacteriological examination of the scrapings taken from the site of the lesion and examine them for the presence of fungi. If fungal spores are found, then we can safely say that there is ringworm.
Any area of the skin can be affected by this type of lichen , therefore doctors divide the localization of lichen by areas:
- Torso, legs, skin of the hands.
- Feet on legs.
- Nails on the feet and hands.
- Armpits and groin folds.
- Scalp hair.
- Palms and hands.
- Skin on the face.
Signs of the disease and its symptoms can be different for each person due to the functioning of the immune system, the location of the inflammation, the depth of the skin lesion.
Classification of ringworm by specialists
Dermatologists classify lichen as follows:
- Superficial lichen of the scalp.
- Superficial ringworm of smooth skin.
- Chronic lichen.
- Deep ringworm.
Superficial lichen of the scalp most often affects children, mainly from sick animals or from an infected adult. Not cured in childhood, this type of lichen will go into a chronic stage, and will bother a child until the age of fifteen. In boys, in most cases, self-healing is observed in the transition period, but in girls it may remain in a chronic form.
When the lesion is localized in the head area, at first there is a round focus of with thinning hair.There can be several such foci, or only one. Over time, the skin in such an area begins to peel off, which a sick person often takes for dandruff. As the disease progresses, the hair begins to break off at a distance of 1-2 millimeters from the skin. There may be redness of the scalp in the lesion and the formation of small blisters, which gradually turn into yellow crusts.
The diameter of the lesions can be different and reach ten centimeters.Depriving this species is not characterized by inflammation and the manifestation of itching to an insignificant extent is observed only in some patients. Ringworm causes more psychological discomfort due to the deterioration of the condition of the hairline and the appearance of the hair.
The second type of this disease, characterized by manifestations on smooth skin, can be confused according to the primary signs of the disease with lichen rosacea , which requires a completely different treatment. The main difference between ringworm is its widespread localization on the human body.The pink type of lichen never affects the face, hands, feet, and the duration of the disease does not exceed two months. Ringworm without timely and correct treatment can last for years with the onset of periodic relapses.
On smooth skin, this disease most often affects the face and neck, but can occur on the legs and body. Clear contour spots can be considered a distinctive feature of this disease. A bright red roller of nodules and blisters forms along the edges of the affected skin.The skin in the center of the affected circle is light in color with the presence of gray scales. An increase in the size of focal lesions occurs with the progression of the disease. Lichen on smooth skin is almost always accompanied by itching.
Chronic ringworm is characteristic only for women who suffered from superficial ringworm in childhood, but did not receive the necessary treatment. It occurs most often when the thyroid gland, ovaries, or a lack of vitamins in the body are abnormal, which lead to a decrease in immunity.
Symptoms of this disease include:
- May be localized on nails, scalp or smooth skin. Most often found on the temples and back of the head.
- On the head, it looks like a black spot with hair broken at the root and a diameter of one centimeter. There are no inflammatory symptoms, but peeling of the skin is present.
- On smooth skin, the site of its localization may be elbows, thighs, buttocks or palms.It is characterized by indistinct spots, with a very impressive size and color from pale pink to bluish. Peeling of the skin is observed.
- In addition to its unaesthetic appearance and itching, lichen in the chronic stage no longer manifests itself in any way.
- Localization on the nail plates is characterized by their fragility, dullness, turbidity, grayness, the appearance of chipping and the nail can become very thick or thin to an incredible state.
Deep ringworm differs in the mode of transmission and the main route of infection can only be considered contact with a sick animal.The causative agents of this disease tend to multiply in human hair follicles.
In addition to the main symptoms of ringworm at this stage of the disease, an increase in body temperature, an increase and soreness of the lymph nodes, allergic rashes and general malaise are added. The inflammatory process can last up to three months.
Deep ringworm on the scalp can be recognized by bright red plaques that can be up to ten centimeters in diameter.In appearance, they are uneven, bumpy and resemble tumor growths in appearance.
This condition is explained by purulent inflammation of the follicles and swelling of the scalp, so the plaques are raised above the skin. When follicles are opened, pus may appear and therefore this type of lichen is one of the most painful types. When the inflammatory process subsides in the center of the plaque, the formation of loose brown crusts can be observed. In men, this type of disease can be localized not only on the head, but also in the beard area.
How to treat ringworm in an adult
The basis of therapy in the treatment of this disease is the fight against the fungus that causes dermatomycosis. Only a qualified dermatologist can choose the right complex treatment. The doctor prescribes treatment with ointments, antifungal cream, spray, shampoo, supplemented by internal intake of antifungal drugs.
As a rule, this disease should be treated not only with antifungal agents , but also with the intake of immunomodulators, vitamins and drugs that help strengthen blood vessels and improve microcirculation.At the end of the treatment, a scraping should be taken from the surface of the skin previously affected by lichen. This procedure is carried out three times: at the end of treatment, a week and three months after the completion of treatment.
The disease is considered cured with only three negative scrapings. If a positive test comes, the doctor revises the treatment regimen and prescribes another course. The effectiveness of the treatment can also be checked using a fluorescent lamp. Particles of skin and hair that are covered with fungal spores will have a different glow.In this way, all family members and pets of the patient can be examined in order to exclude the disease or diagnose it in the early stages.
How to treat ringworm in children
Children are more likely to suffer from ringworm due to their inherent love for animals . Rarely does a kid pass by a stray kitten or puppy. Trichophytosis has its own incubation period, which takes from five to ten days in duration. Not all parents know how to treat ringworm.
After that, nodular vesicles begin to appear with spots up to two centimeters in diameter and covered with crusts or scales. All this indicates the presence of ringworm in the child and refers to its primary signs.
The disease gradually spreads throughout the body, moving to the scalp and accompanied by severe itching and swelling. On the head, hair breaks off in the lesions and bald patches appear. The child may experience general malaise 90,059, fever 90,060, decreased appetite and swollen lymph nodes.
It is better not to delay the treatment and immediately show the baby to a pediatrician or dermatologist. It is better to start treatment immediately so that the hair follicles do not atrophy. Otherwise, they will no longer be able to release new hair. The doctor will be able to select the appropriate treatment regimen. You should not treat the child on your own, because only a specialist can select a complex effect on a fungal infection.
In case of severe head lesions, it is better to send the child to a hospital, where he will be prescribed antibiotic therapy.Most often, the full course of treatment takes about two months . As a preventive measure, children should not be allowed to play with stray animals and bring them home from the street without being examined by a veterinarian. And if there is already a dog at home, then on a walk it should be under the supervision of the owner.
90,000 Caution, shingles!
Microsporia, commonly referred to as lichen, a highly contagious fungal disease of the skin and hair caused by fungi of the genus Microsporum.This is the most common mycosis in children. Currently, there is an increase in the incidence of microsporia.
The main animals involved in the preservation and transmission of infection are cats, especially kittens, less often dogs. Cats of light colors and brindle color are especially often ill with microsporia. Infection with this mycosis is also possible from a person sick with microsporia, extremely rarely from the soil. Still, animals are the culprit. Direct infection occurs during close contact with a sick animal, when they play with it, wash it, warm it under a shirt, let it go to bed, as well as through objects that have been infected with scales and wool.At home, infection is possible through bed linen, towels, clothing, hats, cleaning equipment, animal bedding. In the entrances of houses and courtyards – through the near-door rugs, dust of staircases, attics and basements, sand of children’s sandboxes, water from shallow reservoirs. The source of infection can be a baby carriage left overnight in the entrance of the house and chosen by cats. In hairdressing salons – hair clippers, scissors, combs, curlers. In children’s institutions – toys, towels, hats, linen, books.Microsporia mainly affects children under 15 years old, which is associated with the structural features of sebum and keratin in the hair. In adults, the disease is less common.
The incidence of microsporia varies throughout the year. Two outbreaks of the disease can be distinguished. The first falls in May – June and is associated not only with the birth of attractive kittens for children, but also with greater freedom of children in the summer, their greater contact with the animal world when moving to the village, to the country, to health, sports camps.Another rise in morbidity is observed in September-November, when children return to the city and are carefully examined not only by their parents, but also by medical workers when they enter schools and kindergartens.
The incubation period for microsporia is from 5 to 7 days to 4 to 6 weeks. A pink patch on your baby’s skin should make you suspicious of lichen. At the onset of the disease, round and oval spots appear on the skin more often on the open parts: the face, neck, upper and lower extremities.Spots of pink color, with clear boundaries, a roller along the periphery, covered with scales. They can be unpleasant and itchy. If the lichen treatment is not started on time, the rash can spread throughout the body. Typical lesions on the scalp are usually located on the crown, in the parietal and temporal regions. They look like round – oval “bald patches” up to 3 – 5 cm in diameter.
In the area of the focus, the process of breaking off the hair is clearly visible at the level of 2 – 4 mm from the skin or at the very root, as if trimmed.It is no coincidence that the people call microsporia ringworm. Under Wood’s lamp, the affected hair glows with a green light, reminiscent of a newly mown meadow. The general condition of the patient as a rule does not change.
Having found such signs, do not start the situation and try to see a doctor, if not immediately, then at least in the next few days, do not self-medicate. Children with dry skin or minor injuries and abrasions are at risk. After all, the main function of the epidermis is protection.If it is violated, the likelihood of fungal scales entering the body increases. Treatment of patients with microsporia seems to be an important, socially significant problem. This disease usually affects not only children, but also their parents. Due to the high contagiousness of mycosis, children are prohibited from attending kindergartens and schools. They skip school hours, find themselves separated from the children’s collective for a long time. Parents are forced to interrupt work and take sick leaves for care.
The speedy recovery of patients with microsporia is achieved with timely recognition of mycosis and adequate treatment.It includes the combined use of systemic and external antifungal agents. Treatment can last from 2 weeks to several months, depending on how early it is started. Only your doctor can decide when to stop taking antifungal drugs. If at least one spore of the fungus is not destroyed, the disease will begin again after some time. The criterion for recovery will be three negative tests for fungus, with an interval of 7 days.
To beat shingles faster, try to follow some simple rules:
• Set aside synthetic and stiff clothing.It creates a greenhouse effect, which contributes to the rapid spread of microsporia. Choose cotton and soft clothing. It will not irritate and scratch already injured skin.
• Make sure the child does not come into contact with other children.
• Remove all carpets and soft toys for the duration of the illness: skin particles and hair with fungal spores on them can get on the fleecy surface, from which it will be very difficult to remove them.
• Vacuum and wash the floor frequently using disinfectants to prevent fungal spores from spreading throughout the room.
• Change and treat laundry more often with high temperatures – iron and steam, as well as wash, boil, iron the child’s clothes separately so as not to infect the rest of the family.
• Wash children’s toys after each play.
• Do not bathe your baby in a bathtub, as this can spread the infection throughout the body.
And finally, remember the rules for the prevention of microsporia: never let your child touch unfamiliar animals, and periodically check your pets for infections. Examine your baby carefully every day and during water procedures. And, of course, strengthen the defenses of the child’s body! A baby with good immunity is more likely to avoid infection, even in a direct encounter with lichen. Antiseptic hand gels, which are very convenient to use on the street and on the road, will also slightly reduce the likelihood of infection.
How to protect yourself from microsporia | Regional Skin and Venereal Diseases Dispensary, Khabarovsk
Microsporia is an infectious disease of the integument caused by specific fungi Microsporum canis and Trichophyto tonsurans. This disease is highly contagious, and children are most susceptible to it; ringworm in humans most often affects the skin and hair, less often the nails. If there are minor lesions on the skin or if a person has a reduced immunity, then infection is more likely.Usually, ringworm in humans results from contact with a sick pet (cat or dog) or stray animals, which are most often carriers of the fungus that causes the disease. You can also become infected through direct contact with a sick person or through the use of his personal hygiene items. However, most often, ringworm in humans appears precisely because of the contact with the skin of hair particles or skin of sick people or animals. If a single focus of the disease has appeared, then washing it with a washcloth or sponge contributes to its spread throughout the body.From the moment the fungus gets on the skin, hair or nails of a person and until signs of the disease appear, it can take from 5 days to 6 weeks. A common sign of ringworm is the formation of round or oval, inflamed patches on the skin that contain crusts or scales. A sick person may complain of mild itching in the inflamed area. It is possible that only one small spot appears and there is no itching, but, nevertheless, the ringworm that has arisen requires treatment immediately.If ringworm affects the hair in a person, then a large round or oval-shaped bald spot usually appears at the site of infection. In this area, the hair will be broken off at the level of 4-8 mm, as if they were trimmed with lichen. It is because of this that microsporia received the nickname “ringworm” among the people. Small inflamed spots, sometimes in large numbers, may appear around the bald spot. Complication of infection with this disease is possible in rare cases. This happens if a person has too low immunity, and the disease was not detected in time.Signs of the pathological development of the disease are suppuration of rashes, an increase in body temperature and inflammation of the lymph nodes. Complications of such a disease as ringworm lichen should not be allowed, timely treatment is necessary. An accurate diagnosis can only be made by a qualified dermatologist during examination. He may also take samples of infected skin for analysis under a microscope to confirm the diagnosis.
How to protect yourself from microsporia
Microsporia is an infectious disease in humans and animals caused by microscopic fungi.
· Scales of the skin affected by fungi, fragments of hair, wool containing viable fungi, falling off with the lesion, infect the patient’s belongings – clothes, hats, bedding, household items (washcloths, brushes, books, toys, etc.). Fungi are highly resistant to many adverse environmental factors and are able to maintain pathogenicity (infectivity) for a long time.
· Infection with these fungal diseases can occur both through direct contact with sick animals or humans, and through contact with various environmental objects infected with fungi.
· Of great importance for the prevention of fungal diseases (microsporia) is not only timely and correct specific treatment, but also careful observance of the rules of personal hygiene and disinfection of clothing and linen, premises and various household items through which infection can occur.
· Among animals, cats, especially kittens, are the most common source of microsporia infection. Unfortunately, sometimes, instead of treating sick animals, they are often thrown out into the street.Such a wandering, homeless animal becomes a source of infection for people, especially children.
· If you suspect a disease with microsporia, you should immediately consult a doctor, visit him carefully and do not stop treatment without the doctor’s permission. Careless and incomplete treatment can lead to the return of the disease.
To prevent infection with microsporia of others, certain rules must be observed:
· Parts of the body affected by fungi must be covered with bandages (cover the head with a cap or scarf made of easy-to-wear fabric).
· Use individual bedding, towels, linen, clothing, comb, washcloth and other items.
· Store clothes, hats, used linen and other personal items of the patient separately from the belongings of family members.
Do not visit a hairdresser, sauna, shower, swimming pool, etc., until the doctor’s permission.
· As directed by the doctor, timely, correctly and systematically decontaminate the items used by the patient: boil linen for 15 minutes in 1–2% soap and soda solution or iron with a hot iron, and wash combs, toys, brushes warm with soap and water.
Microsporia and trichophytosis or ringworm
On the basis of the order of the Health Department of the Khanty-Mansi Autonomous Okrug-Ugra, anti-epidemic and preventive measures for microsporia and trichophytosis are being carried out at the Nefteyugansk Regional Hospital.
Within the framework of the events, the dermatovenerologist Mikhailova M.V. conducts explanatory conversations with patients, talking about the signs and symptoms of diseases. In addition, on an ongoing basis in the BU “Nefteyugansk Regional Hospital”, there is a specialized promotion of the prevention of dermatophytosis, through the means of disseminating information material.
It should be noted that when the diagnosis is confirmed, the dermatovenerologist immediately goes to check the patient’s immediate environment in order to identify infections.
The first signs of ringworm may be small red patches that form around the hairs on the scalp (rarely on the eyelashes or eyebrows).After a few days, these spots fade and become scaly, and the hair becomes faded and begins to break at a height of a few millimeters from the surface of the skin. Bald spots are formed. The scalp becomes brush-like with short, stiff fibers. Sometimes, bald spots appear to be covered with black dots. This is the first stage in the development of ringworm. Later, the lichen lesions enlarge and become round or oval. At the same time, they are covered with gray, very dense scales.The size of the foci of ringworm can reach up to 10 cm in diameter or more. Nearby foci may merge. Sometimes ringworm may not cause hair loss and may only look like “severe dandruff” that suddenly appears in a healthy baby all over the scalp.
If you notice the symptoms described above in yourself or your child, immediately consult a dermatologist or infectious disease doctor.
If the doctor confirms that you are sick with ringworm, he will be able to prescribe the correct treatment for you, without which the disease can develop for a very long time, can cause a number of extremely unpleasant complications and can spread to other people.It is also possible that after examination, the doctor will determine that in your case the disease is not ringworm and requires a completely different treatment. In some cases, symptoms similar to ringworm develop in diseases such as alopecia areata, atopic dermatitis, lichen planus, psoriasis, etc.
To clarify the diagnosis, it is usually enough for a dermatologist to examine the lesions of “lichen” on the skin of a sick child or adult. The doctor can also examine the lichen using a Wood’s lamp (it emits ultraviolet light).To finally confirm the diagnosis, the doctor may conduct a microbiological analysis of the hair and culture of fungi.
Natural sources of Microsporia can be cats (often stray), pigs and other animals. The causative agents of the disease live in the fur (bristles) of animals. Often, infected animals show no signs of ringworm. This phenomenon is called colonization.
You can get Trichophytosis from other people. As we have already shown in our special articles on this topic, fungi from the genus Trichophyton cause not only ringworm, but also a well-known fungus on nails, hands, feet, etc.For this reason, an adult or child can get ringworm from another person who has fungus on their feet, between their toes, on the palms of their hands, or on their nails.
Ringworm fungal spores can survive for a long time on combs, brushes, sofas, bedding, car seats, stuffed animals, and other items.
To minimize the risk of your infection:
- Make sure your child uses separate sheets and towels during the entire period of illness.
- Wash your hands thoroughly with soap and water whenever you touch any ringworm lesions on your baby’s skin or belongings.
- Wear disposable rubber gloves if you must apply ointment to ringworm lesions on your child’s head.
- Be sure to see a doctor to check if you are a carrier of ringworm fungus spores. This is possible even if you do not have any symptoms of the disease
If tests show that a family member has spores in the hair or skin of the fungus (especially microsporia) that causes ringworm (in medicine this is called carrier), the doctor will have to prescribe prophylactic antifungal treatment for all family members.This treatment is as follows: you need to wash your hair with an antifungal shampoo, twice a week, for 4 weeks (shampoo should be applied to the head for 10-15 minutes and then rinsed off).
Deprive what kind of disease, symptoms, diagnosis, treatment
Lichen is a generalized name for a group of various skin diseases, mainly expressed in small nodular rashes or severely itchy spots on the skin.The main danger of depriving children is infection in the wounds that form when combing the rash.
Consult a dermatovenerologist
Do not postpone treatment
Versicolor versicolor (pityriasis)
Pathogen: yeast-like fungi Pityorosporumorbiculare, Pityorosporumovale, Malasseziafurtur. All these fungi live on human skin constantly, the disease begins when there is a sharp increase in the number of their colonies.
Reasons for occurrence:
- increased sweating and sunburn during the hot season;
- hormonal disruptions;
- nervous strain, stress;
- disruption of the gastrointestinal tract.
- itchy spots on the skin that are pink, coffee, or brown;
- small peeling of the skin in the area of \ u200b \ u200bthe spots.
Tinea versicolor is usually treated with topical antifungal drugs.
Pink lichen (Gibert’s disease)
Causal agent: is not known exactly.
Reasons for occurrence:
- decreased immunity;
- skin damage.
- the formation of a large spot of light pink color on the skin, over time this spot begins to peel off, and smaller spots appear around;
- itching in the area of spots.
Pink lichen is usually treated with antiallergic drugs. It is also important to exclude any irritation of the skin with synthetic clothing and increase immunity.
Causative agent: varicella-zoster virus (herpesvirus). It is a contagious disease.
Causes of a person who had previously had chickenpox:
- decreased immunity;
- nervous strain;
- oncological diseases;
In addition, infection is possible through contact with a patient with shingles.
- pink swollen spots on the skin;
- painful sensations in the area of \ u200b \ u200bthe spots;
- the formation of bubbles with liquid on the spots;
- increased body temperature.
When these symptoms appear, it is necessary to urgently consult a dermatologist, as complications up to motor paralysis are possible.
Treatment for shingles is symptomatic – pain relievers and corticosteroids are used, and antiviral drugs are sometimes prescribed.
Ringworm (versicolor in dogs)
Contagious fungal disease.
Causative agent: fungus Microsporumcanis.
Causes of occurrence: infection through contact with a sick animal or human ringworm
- scaly oval spots;
- the appearance of bald spots on the hairy parts of the body;
- increased body temperature;
- suppuration on the spots.
Ringworm treatment is carried out with antifungal drugs and topical iodine solution.
If lichen develops, it is necessary to consult a dermatologist who will determine the type of disease and prescribe the appropriate treatment. This will prevent the possibility of recurrence of the disease and the occurrence of complications.
Make an appointment with a dermatovenerologist
Do not postpone treatment
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