Bowditch Island ringworm, also known as tinea imbricata, is a skin infection caused by a fungus. It primarily affects individuals residing in tropical regions, particularly on Bowditch Island. However, this condition has several synonyms that describe the same ailment. It is often referred to as "tokelau", originating from the Pacific island it is prevalent in. Additionally, the term "anak bulu" is used in Indonesia to depict this fungal infection. Another synonym, "Chinese letter", is used because the skin lesions resemble Chinese characters. Lastly, it is commonly known as "sandpaper ringworm" due to its rough and scaly appearance. Recognizing these synonyms facilitates better understanding and awareness of this condition across different cultures and regions.