What it is
Ringworm (dermatophytosis) is a superficial infection of the skin, hair, and occasionally nails caused by fungi called dermatophytes. In cats, Microsporum canis accounts for the vast majority of cases. These fungi digest keratin — the structural protein of hair and the outer skin layer — causing localised hair loss and skin changes.
The "ring" in the name refers to the circular shape of lesions on human skin; in cats, the appearance is variable and does not always present as a perfect ring.
How cats become infected
Ringworm spreads through direct contact with an infected animal, contaminated bedding, grooming equipment, or environmental surfaces. Spores shed from infected animals can remain viable on surfaces for up to 18 months — making environmental decontamination a critical part of any treatment programme.
Kittens, long-haired cats, and cats from multi-cat environments (rescue centres, catteries) are at higher risk. Some cats — particularly Persians — appear genetically predisposed to more severe or recurrent infection.
Signs in cats
Circular areas of hair loss
The classic presentation: roughly circular patches of patchy to complete hair loss, most commonly on the head, ears, and forelimbs. The skin within the lesion may appear scaly or crusty.
Broken hair shafts
Hair in affected areas is brittle and breaks at the follicle rather than shedding cleanly. Under a Wood's lamp (UV light), M. canis-infected hairs fluoresce apple-green — though only around 50% of strains fluoresce, so a negative result does not rule out ringworm.
Skin scaling and crusting
The affected skin may develop a dry, flaky appearance. In more severe cases, crusty plaques form. Pruritus (itchiness) is variable — some cats scratch affected areas; others show no apparent discomfort.
Carrier cats (no signs)
Some cats — particularly longhairs — carry dermatophytes without showing clinical signs. These asymptomatic carriers are a significant source of environmental contamination and transmission to other animals and people.
Diagnosis
Definitive diagnosis requires laboratory testing. A Wood's lamp examination is a useful screening tool but has limited sensitivity. Fungal culture (dermatophyte test medium, DTM) is the gold standard — results take 2–3 weeks. PCR testing is faster and increasingly available through veterinary diagnostic labs. Your vet will advise on the appropriate test based on clinical presentation.
Treatment
Treatment has three components that must all be addressed simultaneously:
- Systemic antifungal: oral itraconazole or terbinafine — continued for a minimum of 4 weeks beyond apparent clinical resolution, confirmed by a negative culture
- Topical treatment: antifungal shampoo (miconazole/chlorhexidine) or lime sulphur dips — reduces environmental spore shedding during treatment
- Environmental decontamination: vacuuming (disposing of the bag), hot washing of soft furnishings, and dilute bleach or antifungal spray on hard surfaces
In multi-cat households, all cats should be tested and treated where indicated. Isolating the affected cat during treatment reduces cross-contamination.
Zoonotic risk
Ringworm is among the most common zoonotic infections in the UK. Infected cats can transmit M. canis to humans, causing itchy, ring-shaped lesions on skin or scalp. Children and immunocompromised adults are most susceptible. If family members develop unexplained skin lesions while your cat is being treated, they should see a GP or pharmacist. Human ringworm is typically treated with topical antifungal cream (clotrimazole, terbinafine).