Overview
While both ringworm and eczema can cause red, itchy, and inflamed skin, they differ in appearance and cause. Ringworm is a contagious fungal infection that often presents as a circular, scaly rash with a clear center, while eczema is a non-contagious skin condition that causes dry, cracked, and sometimes oozing inflammatory patches. Ringworm tends to spread outward in rings, whereas eczema often appears in patches and is linked to or irritants.
Disease Summaries
Ringworm: Ringworm is a common fungal infection of the skin, not caused by a worm despite its name. It spreads through direct skin contact or contact with contaminated surfaces, animals, or soil. The fungus thrives in warm, moist environments and is more common in humid climates or among individuals who sweat heavily or share personal items. Symptoms typically include circular, red, scaly rashes with raised edges and clearer centers, often itchy or slightly painful. It can affect the scalp, feet (athlete's foot), groin (jock itch), or other body parts.
Eczema: Eczema or atopic dermatitis is a chronic inflammatory skin condition where the immune system overreacts to triggers, leading to itchy, red, and dry skin. The direct cause remains unclear, but it is associated with genetic factors, a defective skin barrier, and environmental irritants such as allergens, soaps, and stress. It commonly begins in childhood and tends to affect people with a family history of allergies or asthma. Flare-ups may involve patches of scaly, cracked skin, especially on the hands, face, elbows, or behind the knees, often accompanied by intense itching.
Comparing Symptoms
Overlapping Symptoms
- Itchy skin
- Red or inflamed patches
- Dry or scarry skin
- Skin irritation
- Discomfort or burning sensation
Ringworm Specific Symptoms
- Circular or ring-shaped rash with raised edges
- Clear or normal-looking skin in the center of the rash
- Spreads outward over time
- Contagious through skin contact or shared items
- Often affects moist areas like feet (athlete's foot) or groin (jock itch)
Eczema Specific Symptoms
- Dry, cracked, or thickened skin
- May ooze or crust over when scratched
- Triggered by allergens, irritants, or stress
- Often associated with asthma or hay fever (allergic conditions)
- Rash often appears on inner elbows, behind knees, or on hands
Treatment Approaches
Ringworm Treatment Approaches
Treatment involves antifungal medications, either topical for mild cases or oral for more widespread or scalp infections. Over-the-counter antifungal creams, lotions, or powders are commonly used, while prescription-strength treatments may be needed for stubborn infections. Keeping the affected area clean and dry, avoiding sharing personal items, and disinfecting contaminated surfaces help prevent recurrence and spread.
Eczema Treatment Approaches
Treatment focuses on reducing inflammation, relieving itching, and repairing the skin barrier. This includes the use of topical corticosteroids, calcineurin inhibitors, and moisturizers applied regularly. Antihistamines may help reduce itching, while antibiotics are used if a secondary bacterial infection develops. Identifying and avoiding triggers is key to managing flare-ups. In severe or resistant cases, phototherapy or systemic immunosuppressants may be considered.
Reviewed By:

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Yukiko Ueda, MD (Dermatology)
Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.
Content updated on Mar 27, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
David Boothe W, Tarbox JA, Tarbox MB. Atopic Dermatitis: Pathophysiology. Adv Exp Med Biol. 2017;1027:21-37. doi: 10.1007/978-3-319-64804-0_3. PMID: 29063428.
https://link.springer.com/chapter/10.1007/978-3-319-64804-0_3Avena-Woods C. Overview of atopic dermatitis. Am J Manag Care. 2017 Jun;23(8 Suppl):S115-S123. PMID: 28978208.
https://www.ajmc.com/view/overview-of-atopic-dermatitis-articleYee G, Syed HA, Al Aboud AM. Tinea Corporis. [Updated 2025 Feb 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
https://www.ncbi.nlm.nih.gov/books/NBK544360/