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CHILD’S HEALTH/SKIN DISORDERS: RINGWORM (TINEA CORPORIS)
Ringworm is a very itchy fungal infection which is caught from animals and occasionally humans. It is quite common and does not necessarily indicate poor hygiene. It usually responds well to treatment.
Cause
Ringworm is caused by the fungus Tinea corporis, which is commonly caught from young animals, mainly household pets, or strays.
Clinical features
The rash initially appears as a very itchy, red ring on the skin, with a lumpy or raised edge. If you look closely you will see that there are scales present. The centre of the ring is usually clear. The rash grows gradually in size over several weeks, and may spread to involve other areas. If the scalp is involved you may notice a small bald patch with stubbles of hair present. The doctor may use a special light to help in making the diagnosis, or may examine some skin scrapings under the microscope.
Treatment
Ringworm usually responds well to treatment with special antifungal cream, but you need to be persistent and apply the cream twice a day for several weeks. Be sure to keep applying the cream for a week after the rash has disappeared, to prevent recurrence. Discourage your child from scratching the area. Treat all affected family members, and consult your vet for appropriate treatment if your pet is the guilty party. Ringworm is not highly contagious between humans, so you do not need to keep your child away from kindergarten or school. Your doctor may prescribe special antifungal tablets. These need to be taken under medical supervision.
When to see your doctor
• if there are several lesions present;
• if the sores are painful;
• if the rash does not start to improve after a week’s treatment;
• if the rash is spreading despite treatment;
• if there are bald patches in the hair.
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