Tinea: Will My Child's Skin Condition Spread? - Dermatology

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Is it tinea?


Hello Dr.
Jiang, my daughter had two white spots on her face when she was 2 years old, and now that she is 4, I have noticed that the white spots have been getting larger and that another one has appeared on the right side.
I would like to know if tinea (ringworm) can spread and if this condition will improve.
I'm quite worried about it.

Mi Xue, 20~29 year old female. Ask Date: 2005/09/05

Dr. Jiang Zheen reply Dermatology


There are several conditions that can cause white spots on the face, including: 1.
Pityriasis alba: Generally not concerning and may resolve on its own.
2.
Vitiligo: More difficult to treat and can be a more troublesome condition.
3.
Tinea Versicolor: A fungal infection that requires antifungal medication.
It is best to consult a dermatologist for diagnosis and treatment.
Wishing you peace, Jesus loves you.

Reply Date: 2005/09/05

More Info


Dear Concerned Parent,
Thank you for reaching out with your concerns regarding your daughter's skin condition. It sounds like you are describing a possible case of tinea, commonly known as ringworm, which is a fungal infection that can affect various parts of the body, including the skin on the face.
Tinea can indeed spread, especially in children, as it is contagious. The fungus can be transmitted through direct skin-to-skin contact with an infected person or animal, or indirectly through contaminated surfaces, such as towels, clothing, or bedding. It is also important to note that the fungus can thrive in warm, moist environments, making it essential to keep the affected area clean and dry.

As for your concern about whether the condition will improve, the good news is that tinea is typically treatable. Antifungal medications, either topical (applied directly to the skin) or oral (taken by mouth), are commonly prescribed to eliminate the infection. Topical treatments may include creams or ointments containing clotrimazole, miconazole, or terbinafine, while more severe cases may require oral antifungal medications like griseofulvin or fluconazole.

It is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. A dermatologist or pediatrician can examine your daughter's skin and confirm whether it is indeed tinea or another skin condition, such as vitiligo or eczema, which can also cause white patches on the skin.
In the meantime, here are some general tips to help manage the situation:
1. Keep the Area Clean and Dry: Ensure that the affected area is washed gently with soap and water, and dried thoroughly. Moisture can exacerbate fungal infections.

2. Avoid Scratching: Encourage your daughter not to scratch the affected areas, as this can lead to further irritation and potential secondary infections.

3. Limit Sharing Personal Items: To prevent the spread of the infection, avoid sharing towels, clothing, or other personal items until the condition is resolved.

4. Monitor for Changes: Keep an eye on the affected areas. If you notice any changes, such as increased redness, swelling, or the appearance of new lesions, seek medical attention promptly.

5. Follow Treatment Instructions: If a healthcare provider prescribes antifungal treatment, be sure to follow the instructions carefully, completing the full course of medication even if the symptoms improve.

In summary, while tinea can spread, it is treatable with the right medical intervention. Early diagnosis and treatment are key to preventing further spread and ensuring your daughter’s skin condition improves. Please do not hesitate to reach out to a healthcare professional for guidance tailored to your daughter's specific situation.

Best wishes for your daughter's health and recovery.

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