The Pediatrician Answers:
Diagnosis can be made firmly by taking a culture of a scaping of the margin, but many times the physician will make the diagnosis by the appearance of the lesion. The fungi are found all over the world and are spread by contact with infected people, animals, or nonliving items (such as clothing or bed linens) that have been in contact with infectedpeople or animals.
Treatment is usually with an antifungal cream such as miconizole, clotrimazole, terbinafate, econazole, tolnaftate, naftifine, ciclopirox, ketoconazole, oxiconazole, or sulconazole. Some of these preparations can be purchased without a prescription (such as Lotrimin = clotrimazole); others require a prescription.