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Common signs include:
Occasionally, a more widespread, itchy rash with many small bumps on the face, arms, legs and less often the chest, abdomen and back may develop. This is NOT an allergic reaction but is a sign that the immune system is reacting to the infection. It is usually treated with antihistamines and topical corticosteroid medications.
Sometimes, children with ringworm develop a severe reaction to the infection in their scalp (called a kerion). The child will have swelling, pain and pus in the scalp; fever may also develop. If your child develops these symptoms, he or she should be seen by a primary care provider right away.
Your doctor may want to take a swab culture from your child’s scalp to confirm the diagnosis.
Griseofulvin is the most common antibiotic used to treat ringworm. For it to work properly, you must give it to your child with whole milk or fatty food, such as ice cream. Your doctor may also decide to use another antibiotic instead, such as terbinafine (Lamisil). It is very important that you follow the medication instructions exactly as prescribed.
Ringworm can be managed by your primary care provider as long as you follow the treatment plan exactly as prescribed.
Referral to a specialist is needed only if your child:
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