Getting a ringworm diagnosis Your doctor will diagnose ringworm by examining your skin and possibly using a black light to view your skin in the affected area. Depending on the type of fungus, it may sometimes fluoresce (glow) under black light. Your doctor may confirm a suspected diagnosis of ringworm by requesting certain tests: If you’re getting either a skin biopsy or fungal culture, your doctor will take a sample of your skin or discharge from a blister and send it to a lab to test it for the presence of fungus. If you’re getting a KOH exam, your doctor will scrape off a small area of infected skin onto a slide and place drops of a liquid called potassium hydroxide (KOH) on it. The KOH breaks apart normal skin cells, making the fungal elements easier to see under a microscope. 还建议biopsy 除外其他皮肤病的可能。 皮肤biopsy 造成感染的几率非常，非常低，中国妈妈自以为是, 自作主张，耽误宝宝治疗。然后说医生没诊断。
如果除外了湿疹和ringworm, 可以考虑 Granuloma annulare Granuloma annulare is a rash that often looks like a ring of small pink, purple or skin-coloured bumps. It usually appears on the back of the hands, feet, elbows or ankles. The rash is not usually painful, but it can be slightly itchy. It''s not contagious and usually gets better on its own within a few months. Granuloma annulare is more common in children and young adults, although it can affect people of all ages. It''s about twice as common in women. Types of granuloma annulare Here are some of the main types of granuloma annulaire: Localised granuloma annulare The most common type, localised granuloma annulare, appears in just 1 or 2 areas, tends to affect children and young adults, and usually gets better on its own after a few months. Pink, purple or skin-coloured patches typically appear on the fingers, backs of the hands, feet, ankles or elbows. They form rings that grow slowly until they''re about 2.5-5cm across. As the rings get bigger, they become flatter and more purple in colour before eventually fading. In localised granuloma annulare, the top of the skin feels smooth and, unlike in other skin conditions, such as pityriasis versicolor, ringwormor eczema, it is not rough, dry or scaly. The affected skin also feels firm as a result of inflammation in the middle layer of skin (dermis). There''s no change in the outermost layer of skin (epidermis). Widespread granuloma annulare More rarely, you can develop a widespread rash, known as generalised or disseminated granuloma annulare. It usually affects adults. Large pink, purple or skin-coloured patches appear on a larger portion of the body, including the trunk, arms and legs. The rash is sometimes made up of small raised spots that form symmetrical rings 10cm or more across. They''re often found in skin folds in the armpits and groin. Under the skin Granuloma annulare under the skin usually affects children. One or more firm, rubbery lumps develop under the skin. They can range from 5mm-4cm in size. They can appear on the shins, ankles, feet, buttocks, hands, scalp and eyelids. When to see a GP See a GP if you have an unexplained rash that does not disappear within a few weeks. They''ll usually be able to diagnose granuloma annulare from the appearance of your rash. A skin biopsy may be needed to diagnose the rarer types of granuloma annulare. A small sample of affected skin is taken so it can be studied under a microscope in a laboratory. A blood glucose test may also be recommended. This is because in rare cases granuloma annulare can be linked to diabetes. Treating granuloma annulare Unfortunately, there''s no really effective treatment for granuloma annulare. But in most cases, treatment is not necessary because the rash will disappear on its own within a few months to 2 years. For more severe cases, you could ask a doctor about the following treatments: steroid creams or ointments may help, but they must be used carefully because long-term use can thin the skin cryotherapy (freezing the bumps) may be an option for treating very small patches, but it can be painful and cause permanent scarring ultraviolet light treatment and powerful medicines (such as steroid tablets, antibiotics, antimalarial medicines, isotretinoin, ciclosporin and dapsone) have been reported to help in individual cases of widespread granuloma annulare, but for most people the symptoms of granuloma annulare do not justify using these treatments as they all have significant side effects If you find the appearance of the rash upsetting, you could try using skin camouflage products. Read more about skin camouflage products and Maria''s experience of using them. What causes granuloma annulare? The tissue underneath the top layer of skin (dermis) becomes hypersensitive and inflamed. It''s not clear what causes the skin to react in this way. Granuloma annulare is not caused by allergies and does not run in families. It''s sometimes associated with diabetes, although this is rare. 这个是个早期的表现
如果除外了湿疹和ringworm, 可以考虑 Granuloma annulare Granuloma annulare is a rash that often looks like a ring of small pink, purple or skin-coloured bumps. It usually appears on the back of the hands, feet, elbows or ankles. The rash is not usually painful, but it can be slightly itchy. It''s not contagious and usually gets better on its own within a few months. Granuloma annulare is more common in children and young adults, although it can affect people of all ages. It''s about twice as common in women. Types of granuloma annulare Here are some of the main types of granuloma annulaire: Localised granuloma annulare The most common type, localised granuloma annulare, appears in just 1 or 2 areas, tends to affect children and young adults, and usually gets better on its own after a few months. Pink, purple or skin-coloured patches typically appear on the fingers, backs of the hands, feet, ankles or elbows. They form rings that grow slowly until they''re about 2.5-5cm across. As the rings get bigger, they become flatter and more purple in colour before eventually fading. In localised granuloma annulare, the top of the skin feels smooth and, unlike in other skin conditions, such as pityriasis versicolor, ringwormor eczema, it is not rough, dry or scaly. The affected skin also feels firm as a result of inflammation in the middle layer of skin (dermis). There''s no change in the outermost layer of skin (epidermis). Widespread granuloma annulare More rarely, you can develop a widespread rash, known as generalised or disseminated granuloma annulare. It usually affects adults. Large pink, purple or skin-coloured patches appear on a larger portion of the body, including the trunk, arms and legs. The rash is sometimes made up of small raised spots that form symmetrical rings 10cm or more across. They''re often found in skin folds in the armpits and groin. Under the skin Granuloma annulare under the skin usually affects children. One or more firm, rubbery lumps develop under the skin. They can range from 5mm-4cm in size. They can appear on the shins, ankles, feet, buttocks, hands, scalp and eyelids. When to see a GP See a GP if you have an unexplained rash that does not disappear within a few weeks. They''ll usually be able to diagnose granuloma annulare from the appearance of your rash. A skin biopsy may be needed to diagnose the rarer types of granuloma annulare. A small sample of affected skin is taken so it can be studied under a microscope in a laboratory. A blood glucose test may also be recommended. This is because in rare cases granuloma annulare can be linked to diabetes. Treating granuloma annulare Unfortunately, there''s no really effective treatment for granuloma annulare. But in most cases, treatment is not necessary because the rash will disappear on its own within a few months to 2 years. For more severe cases, you could ask a doctor about the following treatments: steroid creams or ointments may help, but they must be used carefully because long-term use can thin the skin cryotherapy (freezing the bumps) may be an option for treating very small patches, but it can be painful and cause permanent scarring ultraviolet light treatment and powerful medicines (such as steroid tablets, antibiotics, antimalarial medicines, isotretinoin, ciclosporin and dapsone) have been reported to help in individual cases of widespread granuloma annulare, but for most people the symptoms of granuloma annulare do not justify using these treatments as they all have significant side effects If you find the appearance of the rash upsetting, you could try using skin camouflage products. Read more about skin camouflage products and Maria''s experience of using them. What causes granuloma annulare? The tissue underneath the top layer of skin (dermis) becomes hypersensitive and inflamed. It''s not clear what causes the skin to react in this way. Granuloma annulare is not caused by allergies and does not run in families. It''s sometimes associated with diabetes, although this is rare. 这个是个早期的表现
不痒 只在一条手臂 现在完全遍布了一条手臂
我们看了他自己的儿医 另外一个口碑很好的儿医 还有一个皮肤科儿医（斯坦福附属） 都是三个老医生 结果都不知道是啥东西！尝试了一个月的口服和涂的抗生素加激素 完全控制不住。 宝宝刚满一岁 以前有湿疹 换了neocate之后湿疹好差不多了 同期长出了这些东西 求大家推荐好医生！在湾区。
可怜的小宝宝，希望快快好起来！
这个不像湿疹啊。好像是ringworm, 你找医生看看吧
家里小孩得过。
ringworm。我娃脸上长过一次，去CVS药剂师给了个治脚气的药膏，说都是一样的。
你既然不愿意biopsy, 那么就涂点antifungal cream试试看啊，反正也没有副作用
我有每天早上用anti fungal的药 晚上用抗生素 这两种药里面都有激素 但是都没起色 三医生开的药有很大重复性
用的是哪种antifungal?
Getting a ringworm diagnosis Your doctor will diagnose ringworm by examining your skin and possibly using a black light to view your skin in the affected area. Depending on the type of fungus, it may sometimes fluoresce (glow) under black light. Your doctor may confirm a suspected diagnosis of ringworm by requesting certain tests: If you’re getting either a skin biopsy or fungal culture, your doctor will take a sample of your skin or discharge from a blister and send it to a lab to test it for the presence of fungus. If you’re getting a KOH exam, your doctor will scrape off a small area of infected skin onto a slide and place drops of a liquid called potassium hydroxide (KOH) on it. The KOH breaks apart normal skin cells, making the fungal elements easier to see under a microscope.
还建议biopsy 除外其他皮肤病的可能。
皮肤biopsy 造成感染的几率非常，非常低，中国妈妈自以为是, 自作主张，耽误宝宝治疗。然后说医生没诊断。
Nystatin-Triamcinolone 1%
Nystatin是针对yeast infection, tinea corporis是dermatophyte infection, Nystatin没用，要用terbinafine
谢谢啊 你说的这个好像是OTC就有啊 治脚气的是吗？
也奇怪这一点，一半食物过敏造成的皮疹会对称长。但也有例外，我也见过只长一侧的。
如果除外了湿疹和ringworm, 可以考虑
Granuloma annulare Granuloma annulare is a rash that often looks like a ring of small pink, purple or skin-coloured bumps. It usually appears on the back of the hands, feet, elbows or ankles. The rash is not usually painful, but it can be slightly itchy. It''s not contagious and usually gets better on its own within a few months. Granuloma annulare is more common in children and young adults, although it can affect people of all ages. It''s about twice as common in women. Types of granuloma annulare Here are some of the main types of granuloma annulaire: Localised granuloma annulare The most common type, localised granuloma annulare, appears in just 1 or 2 areas, tends to affect children and young adults, and usually gets better on its own after a few months. Pink, purple or skin-coloured patches typically appear on the fingers, backs of the hands, feet, ankles or elbows. They form rings that grow slowly until they''re about 2.5-5cm across. As the rings get bigger, they become flatter and more purple in colour before eventually fading.
这个是个早期的表现
谢谢这些有用的信息啊 所以三个医生都不确定我感觉判定湿疹和细菌感染副作用至少 应该最先尝试 接下去每一个类别的皮肤病 如你所贴 都是需要活体取皮才可以确认 因为用药可能有一定副作用 好吧 我打算再去找一个皮肤科专家 如果四个医生都建议取皮 那就取皮吧。。。
正解 ring worm 我娃以前得过
奶粉的原因，你可以试试 walgreen的low iron的formula
插一句歪楼的话补充一下，如果楼主的娃已经满了一周岁的话不过敏情况下可以只喝全脂牛奶不用吃奶粉了（如果是母乳喂养的可以继续+喝全脂牛奶）。
长过湿疹的娃一般皮肤比较敏感，容易得各种各样的皮肤病。你这个激素加抗生素都没法控制，我感觉确实湿疹的可能性不大。