Diagnosis is often the first weak link in the care of fungal infections in rural areas.

 In overstretched clinics and informal settings, ringworm is frequently diagnosed by sight alone, with little attention to clinical nuance or alternative possibilities.

This has real consequences: this is a picture of a woman with leprosy in Bihar who was treated for months as having a fungal infection, her disease masked and altered by irrational steroid-based creams.