Can Telemedicine Treat Fungal Skin Infection (Ringworm) in Children?

Audience: pediatric

Ringworm, also known as tinea, is a common fungal skin infection that can affect children. It usually appears as a red, itchy, circular rash with clearer skin in the middle. Telemedicine can often help evaluate these symptoms by allowing healthcare providers to see the rash through video or photos. Many cases of ringworm can be treated with antifungal creams or medications that a doctor may recommend during a tele-visit. However, some situations require an in-person exam, especially if the infection is severe, spreading rapidly, or causing other symptoms. Telemedicine offers a convenient way to get advice and treatment quickly, but it is important to watch for warning signs that need urgent care. This guide explains what telemedicine can and cannot do for ringworm in children and how to prepare for and follow up after a telehealth visit.

Red flags — go in person / ER

• Rash spreading rapidly or covering large areas — seek in-person medical care promptly.
• Signs of bacterial infection such as increased redness, swelling, pus, or severe pain — get urgent evaluation.
• Fever or your child appears very unwell — seek immediate medical attention.

What telemedicine can do

• Initial evaluation of typical ringworm rash via video or photos.
• Providing guidance on antifungal treatments for mild to moderate infections.
• Monitoring treatment response with follow-up tele-visits.

What telemedicine cannot do

• Severe or rapidly spreading infections needing physical examination.
• Scalp ringworm with hair loss requiring specialized tests.
• Suspected bacterial skin infections needing in-person care or lab tests.
• Children with weakened immune systems or complex health issues requiring close monitoring.

What Is Ringworm?

Ringworm is a fungal infection that affects the skin, scalp, or nails. Despite its name, it is not caused by a worm. It usually causes a round, red, scaly rash that may itch or peel. In children, ringworm often appears on the body, scalp, or feet. It spreads through direct contact with an infected person, animal, or contaminated objects like combs or towels.

How Telemedicine Can Help

Telemedicine allows a healthcare provider to evaluate your child's rash through video calls or photos. During the visit, the provider can ask about symptoms, look at the rash, and suggest treatment options. Many mild to moderate cases of ringworm can be managed remotely with antifungal creams or oral medications prescribed after the visit. Telemedicine is convenient and can reduce the need to travel to a clinic.

When In-Person Care Is Needed

Some situations require a physical exam, such as:

In these cases, the provider may recommend an in-person visit for diagnosis and treatment.

Preparing for a Telemedicine Visit

To get the most from your tele-visit:

After the Telemedicine Visit

Follow the provider's instructions carefully. This may include:

If symptoms do not improve or new symptoms develop, contact your healthcare provider promptly.

How to prepare for your tele-visit

• Take clear, focused photos of the rash from multiple angles.
• Note the start date and any changes in the rash.
• List any symptoms such as itching, pain, or fever.
• Gather information on current medications and allergies.
• Find a quiet, well-lit place for the telemedicine visit.
• Prepare to describe any treatments already used and their effects.

After your tele-visit

• Use prescribed antifungal creams or medications as directed.
• Keep the affected skin clean and dry.
• Avoid sharing personal items like towels and clothing.
• Watch for any worsening or new symptoms.
• Schedule follow-up telemedicine visits if advised.
• Seek in-person care if red flags appear.

FAQs

Can ringworm go away without treatment?

Ringworm may sometimes clear up on its own, but treatment with antifungal creams or medications usually helps it heal faster and prevents spreading to others.

Is ringworm contagious to other family members?

Yes, ringworm is contagious and can spread through direct skin contact or by sharing personal items. Good hygiene and avoiding sharing towels or clothing can help prevent spread.

Can I use home remedies to treat ringworm?

Some home remedies may relieve symptoms, but they are not proven to cure ringworm. It is best to use antifungal treatments recommended by a healthcare provider.

How long does treatment for ringworm usually take?

Treatment typically lasts 2 to 4 weeks. It's important to continue treatment for the full duration even if the rash improves earlier.

When should I seek in-person care for my child's ringworm?

Seek in-person care if the rash spreads quickly, becomes very painful, shows signs of infection like pus, or if your child has other health problems affecting immunity.

Sources

1. Ringworm — MedlinePlus, U.S. National Library of Medicine / National Institutes of Health.
2. Tinea (Ringworm) Infections — Centers for Disease Control and Prevention (CDC).
3. Ringworm (Tinea) — Mayo Clinic.
4. Tinea Infections — Merck Manuals: Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have concerns about your child's health, please seek evaluation by a healthcare professional in person, especially if red flags or worsening symptoms occur.