08/01/2026
Tinea Corporis in Children Living with HIV: When Ringworm Becomes Severe
Tinea corporis (ringworm of the body) is a common fungal skin infection in children, but in children living with HIV, it often presents in a more severe, widespread, and recurrent form.
What causes it?
Tinea corporis is caused by dermatophyte fungi such as Trichophyton, Microsporum, and Epidermophyton. Reduced immunity in HIV allows these fungi to multiply easily on the skin.
How does it appear?
Circular or ring-shaped rashes with raised edges
Itchy, scaly patches on the trunk, arms, legs, or face
Multiple lesions that may merge into large plaques
Poor or slow response to usual topical treatment
Why is it worse in children with HIV?
Impaired immunity leads to extensive skin involvement
Frequent recurrence after treatment
Higher risk of spread to scalp (tinea capitis) and nails
Why early treatment matters
If not treated promptly, tinea corporis can become chronic, disfiguring, and a source of repeated skin infections, affecting a child’s comfort, sleep, and self-esteem.
Management and prevention
Early antifungal treatment (topical or systemic when severe)
Keep skin clean and dry
Avoid sharing towels, clothes, or bedding
Treat household contacts and pets if necessary
Consistent ART use to improve immunity and reduce recurrence
Key message:
In children living with HIV, tinea corporis is more than a simple ringworm. Early treatment and good HIV control are key to healthy skin.