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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Metastasizing Ringworm In Children

Hello, my daughter has ringworm. It has metastasized. It started on the right arm then moved to the legs, hair, back, buttock and now on her stomach. She is currently taking griseofulvin and using ketoconazole shampoo. I really don t think that it is working. Is there something else I can do or use. I ve washed all of her belongings and toys. Please help. Thanks
Fri, 12 Jun 2020
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Pediatrician 's  Response
Hi,

What is her age? Can you post picture of a lesion? Ringworm is a fungal infection, and usually responds well to above said medicines. It may take 7-10 days to see the result. If no response visible by 7 days, kindly get back to your dermatologist, as this indicates either the organism is resistant to the above drugs or the diagnosis is not correct(conditions like atopic dermatitis sometimes have lesions resembling ringworm).

Testing skin scrapings from the lesion will help to confirm diagnosis. Also, extensive ringworm may suggest underlying immunodeficiency conditions like uncontrolled diabetes. Meanwhile, try changing to ketaconazole ointment instead of shampoo, as this has more retention time.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Suggest Remedy For Metastasizing Ringworm In Children

Hi, What is her age? Can you post picture of a lesion? Ringworm is a fungal infection, and usually responds well to above said medicines. It may take 7-10 days to see the result. If no response visible by 7 days, kindly get back to your dermatologist, as this indicates either the organism is resistant to the above drugs or the diagnosis is not correct(conditions like atopic dermatitis sometimes have lesions resembling ringworm). Testing skin scrapings from the lesion will help to confirm diagnosis. Also, extensive ringworm may suggest underlying immunodeficiency conditions like uncontrolled diabetes. Meanwhile, try changing to ketaconazole ointment instead of shampoo, as this has more retention time. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician