Eczema or Ringworm? Identifying Skin Conditions on Your Legs - Dermatology

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Is it eczema or tinea?


Could you please clarify if the lesions on the calf are eczema or tinea? I have seen a doctor who diagnosed it as eczema some time ago.
Is it still effective to apply the ointment? Thank you.
Sometimes it itches, and it tends to be redder after showering.

Hsu, 30~39 year old female. Ask Date: 2020/09/11

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication..." Therefore, online diagnosis is also not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/09/11

More Info


When it comes to identifying skin conditions such as eczema and ringworm, it is essential to understand the characteristics of each condition to make an informed decision about treatment. Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that often presents as red, itchy, and inflamed patches on the skin. It can be triggered by various factors, including allergens, irritants, stress, and changes in temperature or humidity. Eczema often appears in areas that are prone to dryness, such as the legs, arms, and face.
On the other hand, ringworm (tinea) is a fungal infection that typically presents as a circular, red, and scaly rash with a clearer center, resembling a ring. It can occur on various parts of the body, including the legs, and is often itchy. Ringworm is contagious and can be spread through direct contact with an infected person or animal, or by touching contaminated surfaces.

In your case, since a physician has already diagnosed your condition as eczema, it is likely that the symptoms you are experiencing align more closely with this diagnosis. The fact that you experience itching and increased redness after bathing is also consistent with eczema, as water can sometimes exacerbate the condition.
Treatment for eczema typically involves the use of topical corticosteroids to reduce inflammation and itching. Moisturizers are also crucial in managing eczema, as they help to restore the skin barrier and prevent dryness. It is important to apply moisturizers immediately after bathing when the skin is still damp to lock in moisture. If you are currently using a topical medication prescribed by your physician, it is essential to continue using it as directed, even if you do not see immediate improvement. Eczema can take time to heal, and consistent treatment is key.

If you notice that your symptoms are not improving with the current treatment or if they worsen, it is advisable to follow up with your healthcare provider. They may consider adjusting your treatment plan or exploring other options, such as phototherapy or systemic medications, especially if your eczema is severe or persistent.

In contrast, if you suspect that your condition may be ringworm or if you notice any changes in the appearance of your rash, such as the development of a circular pattern or scaling, it would be prudent to seek a second opinion or further evaluation. Ringworm typically requires antifungal treatment, which is different from the management of eczema.

In summary, while your current diagnosis is eczema, it is crucial to monitor your symptoms and maintain open communication with your healthcare provider. Proper management of eczema involves a combination of topical treatments, moisturizers, and lifestyle modifications to minimize triggers. If there are any changes in your symptoms or if you have concerns about the possibility of a fungal infection, do not hesitate to seek further medical advice.

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