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Expert Q&A:
Is it my fault that my 5-month-old has ringworm?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


Is it my fault that my 5-month-old has ringworm?

Answer


The first question is whether your son has ringworm or a dry skin condition called eczema. These conditions can sometimes be difficult to tell apart, although eczema tends to involve several areas of the body with numerous patches, whereas ringworm may involve only one or two areas. Eczema also tends to itch, which is less common with ringworm.

Ringworm gets its name from the "ring-like" appearance, an outer red and scaly rim and a central area that may look more like normal skin. It's a very common fungal skin infection in children and can be passed from child to child (most common) and less commonly from cats or dogs to humans. Ringworm is not a sign of poor hygiene. In most cases, it's easily treated with an antifungal cream. If it involves the scalp (which causes redness, dry skin, and hair loss), however, oral medicine is required. So . . . feel no guilt, get the diagnosis confirmed, and with treatment your son should do fine.
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