Looking for expert advice on skin condition.

Medical Case Details:

Hi,

A male patient of 35-years-old complains of severe itching around the groin, perineum, and around the inner thighs. Images are attached here. It looks like a fungal infection caused due to excess sweat and moisture. The patient has been using Hydrocortisone ointment and Itchguard without any improvement. He started using Clotrimazole ointment for the last two days with mild relief; however, he still complains of itching in the groin, especially at night. What could be the proper diagnosis and treatment? Any advice would be helpful.

Thanks.

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Discussions

Dr. Bharat Joshi
Dentist

As per my knowledge , terfendamine could be a good substitute.

24.Sep, 11:00am

Dr. Albana Greca
General Practitioner

Hello,

It seems like funga infection (tinea cruris), however, I was also thinking of genital psoriasis too.

To my experience, terbinafin cream is an excellent choice in this case. While, I always alternate with antibiotic oitnment too (gentamycine + bacitracine or fusidic acid).

I use to prescribe oral antifungals (miconazole or terbinafin ) for at least 2 weeks, and anti-itching antihistamine for the first few days.

I hope your patient will get better in 2 weeks time. I always recommend re-evaluation.

Thank you.

24.Sep, 01:47pm

Dr. Sheetal Kamble
Homeopathic Physician

Thanks for the response.
Patient wants to avoid any oral medications hence he is continuing to use Clotrimazole ointment with hydrocortisone and antihistamine tablets. However, his condition seems to be the same. He still gets itching at night and has to scratch inorder to get the relief.

I have attached a recent pic here for clear understanding.

Any suggestion would be helpful.

Thanks

File Attached: 174586-mcasecmt-5f74532b3af08-1356.jpg

30.Sep, 03:13pm

Dr. Bharat Joshi
Dentist

Hello Dr,
as per my knowledge , let him continue the antifungal powder .in addition you can prescribe luliconazole twice a day for 1 week.convinse him for oral medication combination of itraconazole and terfendaminw for 1 week and evaluate after 15 days

30.Sep, 03:29pm

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