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    Ringworm of the Body

    Updated at March 27th, 2023

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    Definition

    • Skin infection with 1 or more ring-shaped spots
    • Has a rough edge and clearing of the center
    • Caused by a fungus

    Health Information

    Symptoms

    • Round pink patch
    • Clearing of the center as the patch grows
    • Raised, rough, scaly border
    • Usually ½ to 1 inch (12–25 mm) in size
    • Ring slowly increases in size
    • Mildly itchy

    Cause

    • A fungus infection of the skin. It is not caused by a worm.
    • Can often be spread to humans from puppies or kittens who have it
    • Rarely, can be spread human-to-human. It requires direct skin contact to be passed this way. An exception is that an epidemic from ringworm can occur among wrestlers. This is because of close body contact during matches.
    • Sometimes, caused by fungus in the soil.

    Prevention of Recurrent Ringworm

    • Avoid contact with infected pets until they are treated by a vet.

    Care Advice

    1. Overview:
      • Ringworm is a fungus infection of the skin.
      • Often it’s caught from puppies or kittens that have it.
      • Here is some care advice that should help.
    2. Antifungal Cream:
      • Use Lamisil, Micatin or Lotrimin cream 2 times per day. No prescription is needed.
      • Put it on the rash and 1 inch (2.5 cm) beyond its borders.
      • Continue the cream for at least 7 days after the rash is cleared.
    3. What to Expect:
      • It goes away in 3 to 4 weeks.
      • If it comes back, suspect the household puppy or kitten.
      • Take your animal to the vet for diagnosis and treatment.
    4. Return to School:
      • Your child doesn’t have to miss any child care or school for ringworm.
      • Sometimes, ringworm of the skin can be passed on to others. It requires direct skin-to-skin contact.
      • The pet type cannot be spread from your child to other children. It is only passed from animal to human.
      • After 48 hours of treatment, ringworm does not spread to others at all
      • Can return to wrestling after 3 days of treatment. Continue treatment until gone.

    Call Your Doctor If

    • Rash gets bigger or spreads after 1 week on treatment
    • Rash is not gone by 4 weeks
    • You think your child needs to be seen
    • Your child becomes worse


    Author: Barton Schmitt MD, FAAP

    Copyright 2000-2020 Schmitt Pediatric Guidelines LLC