Ringworm is a fungal infection of the skin and/or nails. There are no worms, you’ll be happy to know. It can be present anywhere on the skin, including the scalp, groin (jock itch), and toes (athlete’s foot). It gets its name from the ringed rash it causes on the skin. Ringworm is NOT a sign of bad hygiene; anyone can get it. The fungus can be transferred from person to person directly (e.g. wrestlers) or indirectly (from shared combs, clippers, shower floors, etc.). Pets can also be a source.
The rash is typically itchy and unsightly. It may start off looking like a pimple and progress to look like a pink coin on the skin. On the scalp it may show as a scaly, itchy rash with thinning of the hair in the involved area. Between the toes you may see redness and cracking. On the nails fungal infections may cause thickening and discoloration.
Fungal infections on the skin usually respond to over-the-counter topical anti-fungal medications like Lamisil® or Lotrimin®. However if it is the first time a child has such a rash, it may be a good idea to have it seen at the office, as there are other rashes that can mimic ringworm. Fungal infections on the scalp and nails usually require oral medications. Scalp fungal infections may also benefit from certain shampoos (e.g. ketoconazol or selenium sulfide), which your doctor or nurse practitioner can discuss with you.
Milestones Pediatric & Adolescent Care 
When is the best time to get my infants ear pierced? Where should I get them done? Do you do piercings in your office if not can you recommend a place?
Thank you
Hi Robin, yes, we do ear piercings in our office. Usually I like babies to have at least to sets of vaccines (at 2 and 4 months typically) before doing ear piercings.