The Spots That Look Like Ringworm

Ringworm is a common fungal infection that often causes red, ring-shaped spots to appear on the skin, leading to confusion and concern. When you notice spots that resemble ringworm, take prompt action to assess the situation, prevent the infection from spreading, and seek appropriate treatment. In this comprehensive guide, we’ll explore what ringworm is, how to identify it, the steps to take if you see spots that look like ringworm, and the treatment options available.

Spots that look like ringworm

Despite its name, spots that look like ringworm is not caused by a worm. Instead, it is a fungal infection caused by dermatophytes, a group of fungi that thrive on keratin, a protein found in skin, hair, and nails. Ringworm can affect various parts of the body, including the skin, scalp, feet, and nails.

The infection typically presents as a red, circular, or ring-shaped rash with raised edges and clear centres. The area may be itchy, scaly, or inflamed, and the rash can expand over time. Ringworm is highly contagious and can spread through direct skin-to-skin contact, contact with infected surfaces, or sharing personal items like towels and combs.

Common types of ringworm

Ringworm can appear on different parts of the body and has various names based on the location of the infection:

• • • 
      

      • Tinea corporis: Ringworm on the body
      • Tinea capitis: Ringworm on the scalp, which may cause hair loss or scarring
      • Tinea pedis: Ringworm on the feet, commonly known as athlete’s foot
      • Tinea cruris: Ringworm in the groin area, also known as jock itch
      • Tinea unguium: Ringworm of the nails, also called onychomycosis

If you notice spots that look like ringworm, it is important to take them seriously, as early intervention can prevent the spread of the infection and reduce discomfort.

Step-by-step guide on what to do

1) Assess the spots and symptoms

The initial step when you see spots that look like ringworm is to assess their appearance and any associated symptoms. Ringworm typically appears as circular, red, or scaly patches with raised edges and a clearer center. Here’s what to look for:

• • • • Shape: Ringworm usually forms ring-shaped or oval lesions with defined edges. However, the rash can be irregular in some cases.
      • Colour: The spots may appear red or pink, with the edges being more intensely colored than the center.
      • Itching: Ringworm is often itchy, though not always. If the affected area is irritated or scratching is tempting, it may be an indication of ringworm.
      • Scaling: The infected skin may be scaly, dry, or cracked. In some cases, you may see small blisters around the edges.
      • Spreading: Over time, the infection can spread to other areas of the body if left untreated.

If the spots do not exhibit the classic ring-shaped appearance or if you experience other symptoms like fever, pus-filled blisters, or significant swelling, the issue may be caused by something else, such as an allergic reaction or another type of skin infection. In such cases, consulting a healthcare provider is recommended.

2) Determine the likely cause of the spots

While spots that look like ringworm are a cause for concern, they can also resemble other skin conditions. Some common conditions that can be confused with ringworm include:

• • • • Eczema: A chronic skin condition characterised by inflamed, itchy patches. Unlike ringworm, eczema is not caused by fungi.
      • Psoriasis: An autoimmune condition that causes red, scaly patches of skin. Psoriasis plaques may resemble ringworm but are often thicker and can be silver in appearance.
      • Contact dermatitis: An allergic reaction or irritation from contact with certain substances, such as soaps, detergents, or plants, can cause red, itchy rashes that look like ringworm.
      • Impetigo: A bacterial skin infection that forms sores or blisters. These can sometimes look like ringworm, especially in the early stages.
      • Nummular dermatitis: A skin condition characterised by round, coin-shaped lesions that resemble ringworm but are not fungal in origin.

To differentiate between ringworm and other skin conditions, consider the onset and progression of the rash. Ringworm typically expands in a circular pattern, while other conditions may not have such clear-cut borders. Additionally, if you notice blisters, oozing, or signs of infection like pus, it’s essential to seek medical advice immediately, as these could indicate a bacterial infection.

3) Avoid scratching and spreading the infection

If you suspect that the spots are ringworm, avoid scratching the affected area. Scratching can worsen the infection, cause skin damage, and potentially lead to secondary bacterial infections. Moreover, scratching increases the risk of spreading the fungal spores to other parts of your body, your clothing, or other people.

To prevent spreading the infection:

• • • • Keep the affected area covered: Use a clean bandage or dressing to cover the spots if they are in an area where they can be easily scratched or exposed to clothing and bedding.
      • Wash your hands frequently: Wash your hands with soap and water after touching the affected area to prevent spreading the fungus to other parts of your body or to others.
      • Avoid sharing personal items: Do not share towels, razors, or clothing with others until the infection has been treated and cleared.

4) Begin over-the-counter treatment

In most cases, ringworm can be treated effectively with over-the-counter antifungal treatments. These treatments are available in the form of creams, ointments, sprays, and powders. Common OTC antifungal medications include:

• • • • Clotrimazole
      • Miconazole
      • Terbinafine
      • Ketoconazole
      • Tolnaftate

To use these medications:

• • • • Clean and dry the affected area: Gently wash the area with mild soap and water and pat it dry with a clean towel. This helps to remove dirt and debris that could interfere with the effectiveness of the antifungal cream.
      • Apply the antifungal treatment: Follow the instructions on the package, applying a thin layer of the antifungal cream or spray to the affected area, including the surrounding skin. Be sure to cover the entire ring-shaped lesion, even if it looks like it is starting to heal.
      • Continue use for the full recommended period: Even if the rash appears to improve, it’s important to finish the full course of treatment, which typically lasts for 2 to 4 weeks. Stopping treatment prematurely may allow the infection to return.

5) Seek medical advice if the spots do not improve

If the spots do not improve within a couple of weeks of using OTC antifungal medication, or if the infection worsens, it may be time to seek medical attention. A healthcare provider can properly diagnose the infection and recommend stronger treatments if necessary.

In some cases, ringworm may require oral antifungal medications, especially for more severe infections, or those that affect the scalp, nails, or deeper layers of the skin. Common oral antifungal drugs include:

• • • • Terbinafine
      • Itraconazole
      • Fluconazole

Your doctor may also conduct tests, such as a skin scraping, to confirm the presence of dermatophytes and rule out other conditions that mimic ringworm.

6) Practice good hygiene to prevent recurrence

Ringworm is highly contagious, so maintaining good hygiene is essential to prevent the infection from spreading or recurring. Here are some hygiene practices to follow:

• • • • Wash your hands regularly: Especially after touching the infected area, wash your hands with soap and water to prevent the spread of fungal spores.
      • Keep the affected area clean and dry: Fungi thrive in moist environments, so make sure the affected area is thoroughly dried after washing. You can use a clean towel to pat the skin dry.
      • Avoid tight, moisture-trapping clothing: Wearing breathable fabrics like cotton and avoiding tight clothing can help prevent excess moisture, which encourages fungal growth.
      • Disinfect shared items: Clean towels, bedding, and other personal items regularly. If possible, avoid sharing personal items like towels or combs until the infection is fully treated.

7) When to consult a doctor

While ringworm is usually treatable with OTC medications, there are situations where professional medical attention is necessary:

• • • • If the spots do not improve or continue to spread after using OTC treatments.
      • If you experience additional symptoms, such as swelling, pus, or fever, which may indicate a secondary infection.
      • If the infection affects your scalp, nails, or deeper layers of skin, requiring stronger treatment.
      • If you have a weakened immune system due to conditions like diabetes, HIV, or cancer treatments, you may be more vulnerable to more severe fungal infections.

In summary

When you notice spots on your skin that resemble ringworm, take prompt action to assess, treat, and manage the infection. By observing the symptoms, beginning OTC antifungal treatments, and practicing good hygiene, you can effectively manage mild to moderate cases of ringworm. If the infection does not improve or worsens, seeking professional medical advice will ensure proper diagnosis and treatment, preventing complications and the spread of the infection. With the right care, you can eliminate the infection and return to clear, healthy skin.