A feature of dermatology in recent years has been the increased incidence of fungous diseases. Attention has been drawn to the fact that ringworm infections in particular are seriously increasing (Ingram, 1944) and that ringworm of the scalp, which had become a comparatively rare disease, is again threatening to attain epidemic proportions.Comment has never been lacking on the association of ringworm in man with animal contacts and on the finding of " animal-type " fungi in human lesions. Possibly because it is not always easy to trace the infection from animal to man, this association has been presented in the light of an uncommon occurrence. It is our belief that the importance of the animal source of infection in human ringworm has been insufficiently stressed in this country, and that animal infections occur far more often than is commonly supposed. The mycological findings in ringworm specimens submitted to cultural methods of investigation'show a high proportion of fungi hitherto considered unusual in human lesions, especially in ringworm of the scalp, and suggest either that we are witnessing an increase in the incidence of ringworm in man caused by dermatophytes usually parasitic on the lower animals, or that infection by these types of dermatophytes has in the past been incompletely assessed.In a consideration of the epidemiology of ringworm a distinction is drawn between tinea circinata and tinea tonsurans.A survey of the literature shows that, in the former, animal sources of infection have been recognized from time to time; but in the case of tinea tonsurans the connexion appears not to have warranted any detailed consideration. Kinnear (1931) reported that the occurrence of infection of the scalp with microspora other than M. audouini, was very rare in this country. Ashton (1932), investigating the frequency of ringworm in cattle, concluded, after interviewing nearly 400 insurance practitioners, that ringworm derived from animals was not uncommon in certain districts, but chose particularly the glabrous skin rather than the scalp. More recent English publications (Roxburgh, 1944; Shanks, 1944) advocate treatment of tinea tonsurans only by x-rav epilation, and, except for suppurative cases, make no mention of the conservative method, which is permissible where the causative organism is an animal type.The prevalence of the different types of pathogenic fungi is known to vary from country to country and, indeed, from locality to locality. Sabouraud was at pains to emphasize the frequency of animal-type infections in ringworm subjects in France. In the United States the importance of animal types of fungi has for long been realized. The practical significance of these epidemiological considerations was recognized by Lewis and Hopper (1937), who correlated and confirmed the findinigs of earlier American workers (Bloch, Jadassohn, Miescher, etc.). These had suggested that scalp infections caused by microspora pathogenic to animals are curable by topical methods alone. The topographical variability in ...