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Ringworm
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Ringworm

Overview of ringworm

Ringworm is a term used to refer to the skin condition that is characterized by the formation of reddened, elevated circular or oval patches with unaffected central areas giving the appearance of a ring. One or more such areas or rings may be noticed in the affected individuals. This is caused due to a fungal infection of the skin and commonly affects scalp (tinea capitis) or the skin over the body other than bearded area, scalp, groin, hands or feet (tinea corporis). It has been observed that such infections affect about 10–20% of the individuals at least once in their lifetime. These infections may be observed both in adults and children.1,2

Causes of ringworm

Causes of ringworm

Ringworm is a fungal infection usually caused by dermatophytes that belong to the species of Trichophyton, Epidermophyton and Microsporum and are commonly referred to as tinea. The tinea infection can occur through   

Signs and symptoms of ringworm

Signs and symptoms of ringworm

Tinea capitis also referred as ‘ringworm of the scalp’ is commonly noted in school going children. This fungal infection is characterized by circular patches of hair loss on the scalp that may or may not be associated with inflammation of 

Diagnosis of ringworm

The diagnosis of ringworm infection is based on the signs and symptoms observed. Additionally, specific tests known as the Wood’s light examination and observation of the skin scrapped from the affected areas under a microscope may be performed to confirm the diagnosis. In certain long-standing cases a culture test of the affected skin may be advised.1

Treatment of ringworm

Treatment of ringworm

Tinea infections are generally treated with the administration of antifungal agents either in the form of tablets or skin creams/lotions. Commonly advised antifungal agents include griseofulvin, terbinafine, itraconazole

Complications of ringworm

Tinea infections are generally not associated with any severe complications. However, scarring and permanent hair loss may be noted in severe cases of tinea capitis. Secondary infection of the affected areas may also be noted that result in formation of pus-filled eruptions that may be painful and itchy. Tines infections may at times relapse after sometime.

Prevention of ringworm

Avoiding direct contact with the infected adults or children can prevent one from being infected. Early identification and treatment is necessary to prevent complications.  

Written by: Healthplus24 team
Date last updated: August 15, 2011

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References 

 

  1. Noble SL, Stamm PL. Diagnosis and management of common tinea infections. Am Fam Physician. 1998; 58(1): 177.
  2. Stern RS. The epidemiology of cutaneous disease. In: Freedberg IM, Fitzpatrick TB (eds). Fitzpatrick’s Dermatology in General Medicine. 5th edn. New York: McGraw-Hill, 1999, pp. 7–12.
  3. Habif TP. Superficial fungal infections. In: Habif P (ed.). Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 3rd edn. St. Louis: Mosby, 1996, pp. 362–408.
  4. Weinstein A, Berman B. Topical treatment of common superficial tinea infections. Am Fam Physician. 2002; 65: 2095–2102. 
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