Conversation: The conversation between human and AI assistant.
[|Human|] Hello, my daughter has ringworm. It has metastasized. It started on the right arm then moved to the legs, hair, back, buttock and now on her stomach. She is currently taking griseofulvin and using ketoconazole shampoo. I really don t think that it is working. Is there something else I can do or use. I ve washed all of her belongings and toys. Please help. Thanks
[|AI|]  Hi, What is her age? Can you post picture of a lesion? Ringworm is a fungal infection, and usually responds well to above said medicines. It may take 7-10 days to see the result. If no response visible by 7 days, kindly get back to your dermatologist, as this indicates either the organism is resistant to the above Chat Doctor.  Testing skin scrapings from the lesion will help to confirm diagnosis. Also, extensive ringworm may suggest underlying immunodeficiency conditions like uncontrolled diabetes. Meanwhile, try changing to ketoconazole ointment instead of shampoo, as this has more retention time. Take care. Hope I have answered your question. Let me know if I can assist you further.