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February 6, 2012

Ringworm (Tinea)

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Ringworm
(Tinea)

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Doctor to Patient

Catching Ringworm from Pets

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Get the facts about extensively drug-resistant TB and multi drug-resistant TB.Ringworm is a common skin disorder otherwise known as tinea that can affect the skin on the body (tinea corporis), the scalp (tinea captitis), the feet (tinea pedis, or athlete's foot), or the groin (tinea cruris, or "jock itch"). Ringworm is not, as its name suggests, caused by a worm. It is caused by a fungal infection of the skin, and the fungi responsible for the infection are known as dermatophytes.

The fungi that cause ringworm tend to grow in warm, moist areas of the body, such as areas of frequent sweating. Most commonly, ringworm results in itchy, scaly, and reddened skin and bald patches if the scalp or beard areas are involved. The infection is highly contagious and is passed from person to person through direct skin contact or via contact with contaminated items such as toilet articles, clothing, and even by contaminated shower or pool surfaces.

Animals can also be affected by ringworm and may transmit the condition to humans. In this case, ringworm is an example of a zoonotic disease, or a disease transmitted from animals to humans. Although cats are affected by ringworm more than dogs, dogs are also commonly affected. In animals, ringworm causes raised, circular areas that frequently are crusted over and associated with hair loss. However, some infected cats may also carry the fungus without showing any symptoms. On the other hand, infected dogs almost always show the typical skin symptoms of ringworm.


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Doctor to Patient

What does the term ringworm mean?

The term ringworm or ringworms refers to fungal infections that are on the surface of the skin. The name is derived from the early belief that the infection was due to a worm, which it is not. Ringworm is a fungal infection in the skin. Nevertheless, the name ringworm remains. Some of these fungi produce round spots on the skin, but many do not. On the other hand, many round, red spots on the skin are not due to a fungal infection. A physical examination of the affected skin, evaluation of skin scrapings under the microscope, and culture tests can help doctors make the appropriate distinctions. A proper diagnosis is essential to successful treatment.

The medical term for ringworm is tinea. (Tinea is the Latin name for a growing worm.) Doctors add another word to indicate where the fungus is located. Tinea capitis, for instance, refers to scalp ringworm, tinea corporis to fungus of the body, tinea pedis to fungus of the feet, and so on.

Ringworm occurs in people of all ages, but it is particularly common in children. Ringworm is contagious and can be passed from person to person by contact with infected skin areas or by sharing combs and brushes, other personal care items, or clothing. It is also possible become infected with ringworm after coming in contact with locker room or pool surfaces. The infection can also affect dogs and cats, who may transmit the infection to humans. It is common to have several areas of ringworm at once in different body areas.

What causes ringworm?

Although the world is full of yeasts, molds, and fungi, only a few cause skin problems. These agents are called the dermatophytes, which means "skin fungi." An infection with these fungi is sometimes known as dermatophytosis. Skin fungi can only live on the dead layer of keratin protein on top of the skin. They rarely invade deeper into the body and cannot live on mucous membranes, such as those in the mouth or vagina.

Scientific names for the most common of the dermatophyte fungi that cause ringworm include Trichophyton rubrum, Trichophyton tonsurans, Trichophyton interdigitale, and/or Trichophyton mentagrophytes, Microsporum canis, and Epidermophyton floccosum.

What are the sources of skin fungi?

Some fungi live only on human skin, hair, or nails. Others live on animals and only sometimes are found on human skin. Still others live in the soil. It is often difficult or impossible to identify the source of a particular person's skin fungus. The fungi may spread from person to person (anthropophilic), from animal to person (zoophilic), or from the soil to a person (geophilic).

Heat and moisture help fungi grow and thrive, which makes them more commonly found in skin folds such as those in the groin or between the toes. This also accounts for their reputation as being caught from showers, locker rooms, and swimming pools. This reputation is exaggerated, though, since many people with "jock itch" or "athlete's foot" have not contracted the infection from locker rooms or athletic facilities.

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Ringworm

Athlete's foot facts

  • Athlete's foot is a common dermatitis of the webs of the toes and soles of the feet.
  • When caused by a fungus, athlete's foot may spread to the palm, groin, and body.
  • Fungal infections of the feet are contagious and can be spread person to person or by walking on contaminated objects and floors.
  • Athlete's foot may cause foot itching, burning, pain, and scaling.
  • When athlete's foot is caused by a fungus and it can be treated with antifungal medications, many of which are available over the counter.
  • Keeping the feet dry by using cotton socks and breathable shoes can help prevent athlete's foot.

What is athlete's foot?

Athlete's foot is a very common skin condition that affects the sole of the foot and the skin between the toes. It is usually a scaly, red, itchy eruption and occasionally may be weepy and oozing. It affects the feet of ...

Read the Athlete's Foot article »