A circular rash isn’t always ringworm.

Treatment of a circular rash depends on the underlying cause.

In most cases, the condition can be managed, but hives with an allergic reaction calledanaphylaxiscan be life-threatening.

10 Causes of a Circular Rash

Illustration by Zoe Hansen for Verywell Health

If you experience trouble breathing, swelling, or chest tightness, call 911.

Illustration by Zoe Hansen for Verywell Health

1.

Lyme Disease

Lyme diseaseis a bacterial infection that is spread by the bite of an infected tick.

Lyme Disease

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People living in or visiting the Northeast and northern Midwest United States tend to get Lyme disease the most.

This photo contains content that some people may find graphic or disturbing.

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Lyme disease, bullseye rash

anakopa / Getty Images

anakopa / Getty Images

2.

Eczema

Eczema(atopic dermatitis) is a chronic inflammatory skin condition (meaning long-lasting and persistent).

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Nummular Eczema on the hand

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Granuloma Annulare

Granuloma annulareis a skin condition that affects people of all ages.

The skin condition is a circular ring of raised bumps that has a sunken center.

The cause is unknown.

Nummular Eczema (Dermatitis)

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It is a common co-occurring condition in people who have diabetes, heart disease, or thyroid disease.

DermNet /CC BY-NC-ND

4.

This causes skin cells to pile up, causing itchy, red, sometimes circular patches.

granuloma annulare

DermNet /CC BY-NC-ND

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Pityriasis Rosea

Pityriasis roseais a common skin condition that will usually go away without treatment.

It most often appears in younger people between the ages of 10 and 35.

Plaque psoriasis on the knee

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It is round or oval, red or pink, and has a raised edge.

These are usually smaller at 0.40.8 inches wide.

Lupus

Discoid lupusis an autoimmune disease that can cause a rash that can look somewhat circular (discoid).

Small plaques of scaly psoriasis in skin of color

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The rash is thick, raised, and scaly.

Sometimes, its also itchy.

The rash is usually on the face, ears, and scalp.

Pityriasis Rosea

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They can take days to a few weeks to heal.

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Contact Dermatitis

Contact dermatitiscan happen if an irritant or allergen touches the skin and causes a reaction.

Pityriasis Rosea on skin of color

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Substances like soaps, perfumes, and plants are common causes of a rash from contact dermatitis.

The discomfort it causes can usually be managed with topical creams that help with inflammation and itching.

Avoiding triggers is key to preventing the rash from coming back.

Discoid lupus on the eye lid

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Reproduced with permission from DermNet and Raimo Suhonendermnetnz.org2023

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Some people get hives occasionally and they clear up quickly without any issue.

However, some people develop chronic hives that can be harder to treat.

Contact Dermatitis

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Reproduced with permission from DermNet and Te Whatu Ora Waikatodermnetnz.org2023.

Tinea Versicolor

Tinea versicoloris a fungal skin infection by theMalasseziaspecies.

The patches may be lighter or darker than the surrounding skin.

Contact Dermatitis on the hands

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There may also be mild itchiness.

It is not related to poor hygiene.

As with all fungal skin infections, tinea versicolor is treated with antifungals.

A close up of urticaria from heat (heat rash)

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What Does Ringworm Look Like?

Ringworm is a skin infection due to a fungus.

It is common in children but can affect people of all ages.

Urticaria or Hives on the skin

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Reproduced with permission from DermNet NZwww.dermnetnz.org2022.

Seek immediate medical care or call 911 if you experience anaphylaxis.

Summary

Some rashes look like the common fungal infection ringworm but aren’t.

Tinea Versicolor of the torso

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Lupus Foundation of America.Lupus and Skin Rashes.

Centers for Disease Control and Prevention.Signs and symptoms of untreated Lyme disease.

National Institute of Arthritis and Musculoskeletal and Skin Diseases.Atopic dermatitis.

Ringworm rash on the side of a head

Reproduced with permission from ©DermNet NZwww.dermnetnz.org2022.

National Eczema Association.Seborrheic Dermatitis.

Johns Hopkins Medicine.Granuloma annulare.

American Academy of Dermatology Association.Psoriasis: Signs and symptoms.

Ringworm marking on the skin

Reproduced with permission from ©DermNet NZ and ©Raimo Suhonendermnetnz.org2022

University of Michigan Health - Michigan Medicine.Pityriasis rosea.

Villalon-Gomez JM.Pityriasis rosea: Diagnosis and treatment.AFP.

2018;97(1):38-44.

American Osteopathic College of Dermatology.Lupus.

National Eczema Association.Contact dermatisis.

American Academy of Dermatology Association.10 ways to get relief from chronic hives.

American Academy of Dermatology Association.Ringworm: Signs and symptoms.

Centers for Disease Control and Prevention.Treatment and Intervention for Lyme Disease.