Is it Eczema or Ringworm? How to Tell the Difference

Ringworm and eczema can appear in different ways on children’s skin. Ringworm rash has a circular pattern.

As a parent, it can be alarming when your child’s skin breaks out in a rash. What is it and what’s causing it are common questions. Two of the most common skin conditions that can affect children are eczema and ringworm. While both can cause discomfort and distress, they are very different in terms of their causes, symptoms, and treatments. Understanding the difference is the key!

First of all, ringworm is not a “worm” at all, which may put your mind at ease! Ringworm is instead a fungal infection caused by a group of fungi known as dermatophytes. It can be highly contagious and spreads through direct contact with an infected person, animal, or contaminated surfaces. Common sources of the infection include pets, playgrounds, and personal items like towels or combs.

Symptoms of Ringworm in Children include circular, red, and scaly patches with raised edges often with clear skin the middle, thus the “ring” terminology. It can be itchy like eczema, and may grow larger over time. But unlike eczema, ringworm is not typically associated with dry, flaky skin or thickened, leathery skin. Instead, it tends to form distinct circular patterns that expand outward. Wearing tight clothing or shoes that trap moisture can create an environment where fungi like ringworm thrive, so improving personal hygiene is a key prevention strategy. Keeping skin clean and dry is also a treatment strategy. Sharing personal items like combs, towels, or hats is never a good idea, but especially so if ringworm is in the mix.

In terms of treatment, antifungal creams or medications prescribed by a doctor can help clear the infection. Some find that hydrogen peroxide works well as a home remedy

Eczema or Ringworm: How to tell one from the other?

The easiest way to tell the difference between these two common conditions in kids is the shape and location of the rash: Eczema tends to be more irregular in shape, with dry, red patches often in skin folds (elbows, knees). Ringworm usually forms a round, ring-like shape with raised, scaly edges and a clear center.

Eczema is a red, itchy rash that often appears behind the knees or in the arm creases.

Eczema is not contagious, but ringworm is contagious and can spread quickly. If the rash is more generalized and your child has a history of allergies or asthma, it may be eczema, and moisturizing, along with other treatments, can help.

If the rash doesn’t improve with home care or if you’re uncertain about what it is, see a healthcare provider. A doctor can provide a definitive diagnosis and recommend the appropriate treatment.

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