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Getting to the Root of Ringworm Causes and Prevention Children's Hospital Los Angeles

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You or your child can acquire tinea capitis from contact with a person or animal with the infection or from contaminated soil. You can also acquire ringworm from objects or surfaces that hide the fungus. The article covers the signs and symptoms of tinea capitis, its causes, treatment, and more. Other medical conditions, such as seborrheic dermatitis, psoriasis, and eczema, can cause symptoms that mimic those of tinea capitis. Although people of any age can develop ringworm, tinea capitis usually affects children.

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Being infected with ringworm is completely normal and does not indicate an altered or depressed immune system. Ringworm can appear on different body parts—arms and legs, hands or feet, trunk, scalp, genitals or groin area, and the face. There are different types of ringworm—and treatments—depending on the body part affected. For instance, ringworm of the hands and feet is called athlete’s foot; ringworm of the groin or genital areas is called jock itch. A healthcare provider might prescribe a steroid cream to manage inflammation if the ringworm has led to kerion. The steroid might help to reduce scarring and prevent permanent hair loss.

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Tinea capitis in adults and children

This involves looking at your hair or a scraping from a scaly patch of scalp under a microscope. Fungi called dermatophytes cause ringworm on the scalp. Fungi are organisms that thrive on dead tissue, such as fingernails, hair, and the outer layers of your skin. Dermatophytes prefer warmth and moisture, so they thrive on sweaty skin. Overcrowding and poor hygiene increase the spread of ringworm. Scalp ringworm can lead to a painful inflammation called kerion.

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There are a number of other skin conditions that look like it. It’s a skin infection that’s caused by moldlike fungi that live on the dead tissues of your skin, hair, and nails. You can get it in any of these places -- and on your scalp. Typically you need to use an antifungal cream to kill ringworm on the skin.

What are the symptoms of ringworm?

Tinea unguium affects roughly 10% of adults with older adults being most commonly affected. On the palms and between the fingers, the symptoms tend to be less obvious with dryness, peeling, and cracking (reminiscent of athlete's foot). You may also notice a callus-like thickening of the skin.

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These products come in cream, lotion, gel, spray, and powder forms. The fungal infection should disappear within two to four weeks. It’s important to use the medication for the entire length of time listed on the product, even if the condition seems to have disappeared. Tinea capitis is a fungal skin infection that affects the scalp and involves both skin and hair. The most common symptoms of tinea capitis are hair loss, dry and scaly areas of skin, inflamed skin, redness, and itch. A doctor can treat most other forms of ringworm with topical antifungal medications.

Doctors often prescribe oral medications to be used along with topical minoxidil because studies show the combination boosts hair production. Low-dose oral minoxidil (prescribed off-label) has been found to be effective and safe for most patients, Mirmirani says. Other oft-used drugs include finasteride (Propecia) and spironolactone. There is no scientific evidence that sleeping with wet hair causes a cold. The common cold is caused by viruses spread from person to person through droplets in the air from coughing or sneezing, or contaminated surfaces. Most adults experience a common cold infection about two to three times per year, whether or not they sleep with wet hair.

If you need to (or want to) go to bed with wet hair, there are steps you can take to help protect your hair from damage. While for most people, sleeping with wet hair is unlikely to cause serious health risks, there are some potential risks to consider. If the condition becomes serious, the infection can destroy hair follicles.

Skin and Hair

ringworm hair

Ringworm of the body (tinea corporis) causes a rash on the arms, legs, and other exposed body areas. It typically starts with a small, scaly area on the skin that itches. The scaly area progresses quickly to form the classic ringworm rash, circular in shape with slightly raised edges. As the rash spreads, the ring will grow outward in a symmetrical circular pattern. To treat it, your doctor can prescribe a medicine to kill the fungus.

Apple cider vinegar may cause open sores or inflammation. Tea tree oil has antifungal and antimicrobial properties but its effects aren’t well-known.

The appropriate treatment for ringworm is a class of drugs called antifungals. These come in topical formulations you apply to the skin or oral formulations you take by mouth. With fungal infections like athlete's foot or nail fungus, the transmission of bacteria can occur simply by walking barefoot on contaminated surfaces. This can lead to a severe bacterial infection known as cellulitis that involves deeper tissues. Athlete's foot (tinea pedis) is caused by the same group of fungi that cause ringworm. But, instead of a ring-shaped rash, you'll get dry, peeling, itchy skin, especially between the toes.

The non-inflammatory type of tinea capitis doesn’t usually cause permanent hair loss. It can cause black dot tinea capitis, which means your child’s hair shafts break at their scalp surface. Gray patch tinea capitis is another type of non-inflammatory ringworm. It means your child’s hair shafts break above the surface, leaving short stubs.

You also need to take a prescribed oral antifungal medication. Unaffected family members may benefit from using the shampoo as well. Ringworm infections that develop in unexposed areas of skin, such as under the fingernails or toenails, may also require oral antifungal medications. A Wood light is a special type of ultraviolet (UV) light. Your child’s healthcare provider will shine a Wood light onto your child’s scalp.

Did you know that ringworm is not actually caused by a worm? 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.

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