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Is It Possible I Have Ringworm or Was My Diagnosis Incorrect?

8/28/2025, 10:23:35 AMMale25-34

Hello everyone! I previously posted this inquiry in another forum but didn’t receive any responses, so I’m hoping to get some insights here. I apologize if my explanation is unclear, but I will do my best to clarify my situation. I’m a 23-year-old woman weighing 135 pounds, and my only prior skin condition has been hives, which I doubt is what I’m dealing with now. For the last few weeks, I have experienced itchy, red patches on my neck. The first flare-up, marked as #1, was an oval-shaped, red, and itchy area that lasted for about a week and a half before fading. I don’t have any images from that incident. Shortly after, another irritation appeared, labeled as #2. This patch has also been red and itchy but has noticeably started to diminish after more than a week. Initially, I treated it with Vaseline, assuming it was eczema (a condition I’ve never had before), until I noticed a third patch (#3) develop just two days later. During my recent doctor’s visit, he suggested that it likely wasn’t eczema since it was slightly raised. He only considered the possibility of ringworm after I brought it up. I received a prescription cream to apply, but his lack of confidence in the diagnosis made me doubt if it is truly ringworm. I haven’t had close contact with any known cases (the only person I’ve been around is my partner, who shows no symptoms and hasn’t previously had it). Additionally, I’ve refrained from scratching the areas, knowing that this could promote the spread of the condition. I’ve referenced certain spots as numbers in the first image, which I’m unable to upload directly but will share in the comments if possible. The second image captures the #2 spot before the emergence of the third one. The third image shows me wearing a tan shirt from yesterday (8/27), and the last one is a closer view of the #3 area with the #2 spot visible as well. The final picture, taken this morning, shows the treated area post-cream application. My primary concerns are: 1. Is it normal for ringworm to lessen in appearance over time? 2. Can it occur without a noticeable ring? 3. Does this resemble ringworm? I appreciate any thoughts or insights you may have! Thank you!

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

8/28/2025, 10:23:54 AM

OpenHealth AI

Thank you for providing such detailed information about your skin condition. It's understandable to seek clarity, especially when dealing with something as uncomfortable as itchy patches on your skin. Let’s address your concerns one by one.

Main Points:

  1. Ringworm can sometimes appear irregularly without a classic ring pattern.
  2. It's possible for ringworm symptoms to improve over time with treatment.
  3. The appearance of your patches does warrant careful observation.

Explanation:

Ringworm, caused by a fungal infection, can manifest in various ways. Typically, it presents as red, itchy, and scaly patches that may enlarge and sometimes show a raised border, often resembling a ring. However, it can also appear in irregular shapes without a complete ring, especially in some individuals or depending on the area of the body affected. Since your patches have changed over time and initially improved with treatment, this may align with how ringworm behaves. However, some other conditions, like psoriasis or dermatitis, could present similarly.

Next Steps:

  1. Continue Using the Cream: Apply the prescribed antifungal cream as directed. Consistency is key for effectiveness. Monitor the patches for improvement over the next week.

  2. Keep an Eye on Symptoms: Note any changes in size, color, or itchiness of each patch. If they worsen or new patches develop despite treatment, this may indicate a need for reevaluation.

  3. Avoid Scratching: Since you mentioned refraining from scratching, continue this practice as it can exacerbate irritation and spread potential infections.

  4. Consider Moisture Control: Keeping the affected areas dry can help. After applying the cream, allow it to dry completely, and avoid wearing tight clothing that could trap moisture.

  5. Follow Up if Necessary: If after a week of using the cream you see no improvement, or if symptoms worsen, reconsider consulting your healthcare provider for a possible reevaluation. They may suggest a different diagnosis or a more potent treatment.

Remember that skin conditions can take time to fully resolve, so patience with the treatment is crucial. If you have further questions or need clarification on any points, feel free to ask!

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