Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
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.
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.
The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. Symptoms include itching, burning, cracking, peeling, and bleeding feet. Treatment involves keeping the feet dry and clean, wearing shoes that can breathe, and using medicated powders to keep your feet dry.
Itching can be a common problem. Itches can be localized or generalized. There are many causes of itching to include: infection (jock itch, vaginal itch), disease (hyperthyroidism, liver or kidney), reactions to drugs, and skin infestations (pubic or body lice). Treatment for itching varies depending on the cause of the itch.
Jock itch is an itchy red rash that appears in the groin area. The rash may be caused by a bacterial or fungal infection. People with diabetes and those who are obese are more susceptible to developing jock itch. Antifungal shampoos, creams, and pills may be needed to treat fungal jock itch. Bacterial jock itch may be treated with antibacterial soaps and topical and oral antibiotics.
There are many causes of scalp hair loss. This featured article covers the common ones such as patchy hair loss (alopecia areata, trichotillomania, and tinea capitis), telogen effluvium, and androgenetic alopecia (male-pattern baldness, female-pattern baldness).
Fungal nails (onychomycosis) may be caused by many species of fungi but the most common is Trichophyton rubrum. Distal subungal onychomycosis starts as a discolored area at the nail's corner and slowly spread toward the cuticle. In proximal subungal onychomycosis, the infection starts at the cuticle and spreads toward the nail tip. Yeast onychomycosis is caused by Candida and may be the most common cause of fungal fingernail.
Children's health is focused on the well-being of children from conception through adolescence. There are many aspects of children's health, including growth and development, illnesses, injuries, behavior, mental illness, family health and community health.
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 ...