Dermatology, by video or in person
Ringworm and Fungal Skin Infections
The signs, the danger signs that mean hospital now, and how to see a doctor by video from anywhere in Nigeria.
Signs to look for
Ringworm and Fungal Skin Infections
- A ring-shaped, itchy, scaly patch that may be clearer in the middle
- A patch that looks red, or darker than the skin around it
- Patches that grow or multiply
- Scaly patches with hair loss on the scalp
- An itchy rash in the groin and inner thighs
Ringworm is a common skin infection caused by a fungus, not a worm. It usually forms a ring-shaped, itchy, scaly patch that may look red, or darker than the skin around it on brown and black skin, often clearer in the middle. The same kind of fungus infects the groin, the feet (athlete's foot) and the nails, and on the scalp it causes scaly patches with hair loss, which is common in children. It spreads through close contact, shared towels, combs and bedding, and from animals. Most infections of the body clear with an antifungal cream used for the full time, even after the rash fades. Scalp and nail infections need tablets from a doctor.
Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.
Symptoms
- A ring-shaped, itchy, scaly patch that may be clearer in the middle
- A patch that looks red, or darker than the skin around it
- Patches that grow or multiply
- Scaly patches with hair loss on the scalp
- An itchy rash in the groin and inner thighs
- Itching, peeling or cracked skin between the toes
- Thick, discoloured or crumbly nails
When to See a Doctor
Go to a hospital now if a rash becomes hot, swollen and very painful, spreads quickly, or comes with a fever, which can mean a bacterial skin infection. See a doctor if a rash has not improved after using an antifungal cream as directed, if it is on the scalp, if it keeps coming back, if you have diabetes or a weakened immune system, or if you are not sure what the rash is. A doctor can look at the rash on a video call and advise on treatment; scalp ringworm in a child needs tablets prescribed by a doctor.
Treatment options
- An antifungal cream, gel or spray for the body, groin or feet, used daily for up to four weeks and for the full course
- Antifungal tablets and a medicated shampoo for scalp ringworm, prescribed by a doctor
- Treatment for nail infections, which takes months
- Keeping the skin clean and dry, and not sharing towels, combs or bedding
- Washing towels and bedsheets regularly
- Treating family members or pets who have it at the same time
Common Questions
Is ringworm caused by a worm?
No. Ringworm is a fungal infection. The name comes from the ring shape of the rash.
Why does ringworm keep coming back?
Usually because the cream was stopped when the rash faded, before the fungus had cleared, or because it is being caught again from a family member, a pet, or shared towels and combs. Use the treatment for the full course and treat everyone affected.
Can my child go to school with ringworm?
Yes, once treatment has started. Tell the school, and keep your child's towels, combs and caps separate.
Need Help?
A doctor on a video call, who advises on the right test and treatment, and tells you if you need to be seen in person.
See a doctor by videoIf any of the danger signs on this page applies, go to the nearest hospital now instead.
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Dermatology in Lagos →Dermatology in Abuja →Dermatology in Port Harcourt →Dermatology in Jos →Dermatology in Ibadan →Sources and further reading
The guidelines and patient information this page is checked against. Care in Nigeria follows the same evidence; what differs is the price and where it is done.
- Ringworm. NHS. Patient information.
- Athlete's foot. NHS. Patient information.
- Fungal nail infection. NHS. Patient information.
Links last checked 29 October 2026.
Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.