Ringworm in Children

A common overgrowth of yeast (ie, fungus) on the skin is often referred to as “ringworm” and good news—it’s NOT a worm! In this article, we will discuss what “ringworm” is, how it spreads, common symptoms, diagnosis, and treatment options.

If you’re in Houston, Texas, and have concerns about your child’s skin health, Bootin and Savrick Pediatric Associates is here to help. Contact us today to book a visit!

A girl with ringworm on her body in Houston, Texas.

What is Ringworm?

Ringworm (also known as tinea) is a fungal infection that affects the skin, scalp, feet, or nails. It gets its name from the characteristic ring-like pattern it forms on the skin. This condition manifests as a red, circular rash with clearer skin in the middle, resembling a worm’s shape, which is how it earned its misleading name. Different types of ringworm include:

  • Scalp ringworm (tinea capitis): Appears on the scalp and can lead to hair loss in patches.
  • Body ringworm (tinea corporis): Occurs on various parts of the body.
  • Jock itch (tinea cruris): Affects the groin area, causing groin area itching.
  • Feet jock itch or athlete’s foot (tinea pedis): Leads to an itchy rash on feet.
 

Each form of ringworm presents slightly differently, but the underlying fungal infection remains the same.

What Causes Ringworm?

Ringworm is caused by fungi or yeast called dermatophytes, which naturally live on the outer layer of skin, hair, and nails. The fungi thrive in warm, moist environments like locker rooms and showers. An infected person or animal can spread the fungi, making personal hygiene crucial in preventing transmission

Children, especially those involved in sports or who have pets, are particularly vulnerable. Public spaces like schools and playgrounds increase the chances of contact with contaminated surfaces. Additionally, children with weakened immune systems may be more susceptible to developing ringworm infections.

Who Does it Often Affect?

While ringworm can affect individuals of any age, children are more likely to contract it due to their exposure in communal environments.

Children who participate in contact sports, like wrestling, or spend time in humid environments, may be more prone to foot fungus, jock itch and body ringworm ( tinea pedis, cruris and corpus, respectively). In addition, those with pets may encounter ringworm infections from animals.

Symptoms of Ringworm

The symptoms of ringworm can vary depending on where the infection occurs, but common signs include:

  • Itchy, scaly rash: This may appear as a circular or oval-shaped patch with a clear center.
  • Red, inflamed skin: Particularly around the edge of the rash.
  • Blister-like bumps: In more severe cases, small bumps may form around the affected area.
  • Scalp rash: If the infection occurs on the scalp, it may lead to patchy hair loss.
  • Feet itchy rash or groin area itching: In cases of athlete’s foot or jock itch.
  • Tender lymph nodes: If the infection spreads or worsens, nearby lymph nodes may become swollen and tender.
 

When these symptoms appear, it’s essential to monitor the area to see if it worsens or spreads.

When to See a Doctor

It’s crucial to seek medical advice if:

  • The rash does not improve after a few days of home treatment with antifungal cream.
  • The infection spreads to the scalp, causing hair loss.
  • There is an excessive amount of redness, swelling, or pus, indicating a secondary bacterial infection.
  • Your child develops a fever, which could indicate a more severe infection.
  • Your child has a weakened immune system and is more susceptible to infections.
 

Early medical intervention can help avoid complications and stop the infection from spreading.

How is Ringworm Diagnosed?

To diagnose ringworm, your pediatrician may examine the affected area and inquire about your child’s symptoms. In some cases, they may perform a skin scraping, where they collect a small sample from the infected area for microscopic examination. This allows for a definitive diagnosis, ensuring proper treatment.

If scalp ringworm is suspected, your doctor may also examine hair samples to confirm the presence of the fungus.

How is Ringworm Treated?

Treatment for ringworm typically involves antifungal medications. These can be topical (applied directly to the skin) or oral, depending on the severity and location of the infection.

  • Topical antifungal cream: Over-the-counter creams like clotrimazole or miconazole are commonly recommended for body ringworm and jock itch. These are applied to the affected area until the rash clears.
  • Oral antifungal medicine: In cases of scalp ringworm or widespread infections, oral medications may be prescribed. These help to treat the infection from within.
 

It’s important to complete the entire course of treatment, even if the lesion grows itching initially but starts to improve, to prevent recurrence.

Preventing Ringworm Infections

Preventing ringworm requires maintaining good hygiene and taking precautions in high-risk environments. Here are some tips to help prevent ringworm:

  • Keep skin dry: Make sure your child’s skin is clean and dry, especially in areas prone to moisture, like the groin area and feet.
  • Avoid sharing personal items: Encourage your child not to share towels, hairbrushes, hats, or clothing with others.
  • Regular handwashing: Teach your child to wash their hands after playing with pets, especially if the animal has bald patches that could indicate ringworm.
  • Clean communal areas: Disinfect frequently used surfaces in communal spaces like locker rooms and swimming pools.
  • Examine pets regularly: If you suspect your pet has a ringworm infection, take them to the vet for an evaluation.
 

These preventive measures can significantly reduce the risk of contracting or spreading a ringworm infection.

Caring for Your Child’s Skin Health

Ringworm in children is a common but treatable skin infection. With early diagnosis and proper treatment, most children recover quickly and can avoid complications. Maintaining good hygiene practices and being aware of symptoms are key to preventing future infections.

If you’re concerned that your child may have ringworm or another childhood condition, Bootin and Savrick Pediatric Associates in the Greater Houston area is here to support you. Our team of experienced pediatricians is ready to provide the care your child needs. Call us at 713-795-9500 today to schedule an appointment to ensure your child’s skin health stays on track!

Medically reviewed by Dr. Monica McGrann