By: Sarah Baafi
A leading Ghanaian dermatologist has raised alarm over the growing misdiagnosis of fungal infections as eczema, a mistake he says is silently worsening skin conditions across the country.
Speaking on GTV Breakfast Show, Dr. Kofi Ansah Brifo popularly known as “The Skin Messiah” explained how the widespread use of steroid-based creams is complicating what should otherwise be easily treatable fungal infections.
Dr. Brifo, a dermatologist and founder of Skin Foundation Africa, noted that fungal infections, commonly referred to locally as “ɛkuro,” or ringworm, are frequently misunderstood and wrongly treated.
He explained that many Ghanaians first turn to pharmacies rather than hospitals when they notice rashes or skin discoloration. As a result, they are often given creams containing steroids.
“Steroids reduce inflammation, so the skin may look better initially,” he said. “But at the same time, they suppress the skin’s immunity and help the fungus multiply. That is where the real damage begins.”
According to Dr. Brifo, fungal infections thrive in Ghana’s humid climate and spread easily through contact, especially among children. Conditions such as tinea capitis, locally known as “kakawrewre,” are highly contagious and common in schools and households. When wrongly treated with steroids, these infections can worsen, leading to swelling, discharge, deeper skin damage, and long-term discoloration.
How to Tell the Difference
Dr. Brifo explained that although fungal infections and eczema may look similar, they are very different conditions.
Fungal infections often present with well-defined, scaly margins and may cause mild itching. They are contagious and linked to hygiene and environmental factors such as heat and humidity. Eczema, on the other hand, is not contagious and usually results from the skin reacting to irritants like chemicals, creams, or certain environments. Itching in eczema can be intense and sudden, depending on how a person’s body reacts.
He added that fungal-related discoloration is reversible with the right treatment, unlike vitiligo, which involves permanent loss of skin pigment.
Diagnosis may include a simple skin scraping test to identify fungal spores. However, prolonged use of steroid creams can interfere with test results, making diagnosis more difficult.
On treatment, Dr. Brifo emphasized the use of antifungal shampoos and creams, particularly for scalp and widespread infections. He also highlighted the role of controlled sunlight exposure, noting that ultraviolet light has antifungal properties that can support healing when combined with proper moisturization.
“Covering the skin constantly with makeup or heavy products delays recovery,” he explained. “Sunlight, when used wisely, actually helps.”
The dermatologist further warned that severe or persistent fungal infections may signal underlying health conditions such as diabetes or weakened immunity. In some cases, extensive fungal infections are the first visible sign of such conditions.
He also cautioned against the use of harsh cosmetic and skin-lightening products, which damage the skin barrier and increase vulnerability to infections.
Dr. Brifo concluded by urging the public to seek professional medical care rather than self-medicate.
“The right diagnosis makes treatment simple,” he said. “If we stop guessing and start seeing professionals, we can prevent unnecessary suffering.
