Multiple, inflammatory elevations of the skin around the hair follicle are typical of fungal infections in the beard area. This image displays a circular border of tinea (ringworm), which is most evident on the neck, but it is also seen on the cheek. Tinea barbae occurs when hair follicles and the skin surface in the beard area are infected with fungus. Fungal infection of the hair follicles, leading to pus-filled lesions and red, crusted bumps of the beard region are typical of tinea barbae. This patient has fungal infection of the hair follicles, leading to multiple red bumps and crusts rather than  a circle shape of typical ringworm on the skin surface. This case of tinea barbae (a fungal infection of the beard area) has pus-filled lesions with crusting.
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Ringworm, Beard (Tinea Barbae)  Information for adults

Picture of Ringworm, Beard (Tinea Barbae): Multiple, inflammatory elevations of the skin around the hair follicle are typical of fungal infections in the beard area. Divider line
Multiple, inflammatory elevations of the skin around the hair follicle are typical of fungal infections in the beard area.
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Treatments Your Provider May Prescribe
To confirm the diagnosis of beard ringworm, your physician might scrape some surface skin material (scales) or pluck an affected hair and place it onto a glass slide for examination under a microscope. This procedure, called a KOH (potassium hydroxide) preparation, allows the doctor to look for tell-tale signs of fungal infection.

If you have many pus-filled lesions or if deeper lumps are present, your physician may wish to perform a procedure to grow out the fungus (fungal culture) in order to discover the particular organism that may be causing the infection. The procedure involves:
  1. Penetrating the pus-filled lesion with a needle, scalpel, or lancet.
  2. Rubbing a sterile cotton-tipped applicator across the skin to collect the pus.
  3. Sending the specimen away to a laboratory.
The fungal culture can take up to 3 weeks to produce final results.

Since beard ringworm usually requires oral antifungal pills in order to get rid of the infection completely, your physician will likely recommend one of the following oral medications:
  • Terbinafine
  • Itraconazole
  • Griseofulvin
  • Fluconazole
  • Ketoconazole
Beard ringworm should go away within 4–6 weeks after using effective treatment.


Last Modified: 22 Dec 2008