Like all fungal infections, ringworm is persistent and requires a lengthy
treatment.  We live in a warm, humid area of the US, and my children used to
get ringworm from a neighbor's dog fairly regularly.  It required about 6
weeks of daily tx with a topical antifungal to resolve.  Just like other
fungal overgrowths, if you quit treating before it fully resolves, it comes
back.

When I saw it for the first time on one of my clients, it was a woman who
had the characteristic circular lesion on the inside of her upper arm.  She
had a very weepy looking nipple, no visable thrush in baby, and due to
placement of the lesion on her arm, I assumed that's what we were looking at
on the nipple.  I communicated my suspicision to the MD and she was tx with
an antifungal.  I cautioned her that because of my previous exper she was
looking at an extended treatment.  It took many weeks before it went away,
tho it improved vastly as soon as she began using the med.  I wish I could
remember whether we had her just pump on that side, but can't for the life
of me recall how we managed the nursing.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html

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