HomeAnswersDermatologyatopic dermatitisHow can we treat atopy with fungal infection?

I have darkened red spots on the chest with minimal itching. Can you tell me what it is?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 2, 2021
Reviewed AtAugust 31, 2023

Patient's Query

Hi doctor,

I have darkened round spots on the chest for the past six months, which does not change or spread. Can you please tell me what it is?

Hi,

Welcome to icliniq.com.

Before I could help with your complaint, I need you to answer the following questions. Do you have a history of atopy/allergies? Are you a diabetic patient? Do you have any spreading lesions or borders? Do you have any history of fungal infection in the past? Is there excessive sweating? Are you exposed to heat or moisture? When did it first appear? What is the duration of the lesion? Can you please tell me the previous treatment details, drug history, or drug allergy, if any? Did you have a fever? Thank you.

Patient's Query

Hello doctor,

Thank you for your reply. I do not have any allergies. I am not diabetic. I do not think they are spreading, certainly not fast. I noticed it about six months to a year ago, and I have not seen significant changes. The fungal infection that I had was the athlete's foot. I had strep throat twice over the last one or two years, but it could have been tonsillitis, which I am not sure about. I do dress in warm clothes most of the time around the house. If that is what you meant by heat or moisture, I guess these could cause me to sweat more than normal: I do not think I have excess sweating except for this. It appeared so long ago I have lost track of exactly when it appeared, but it may be within six to twelve months. I have not really had any big injuries, just the odd regular cut or scratch. I have no history of previous treatments, drug intake, or drug allergies. There is no fever. The only symptom I have is infrequent and minor itching, which I do not even notice. Can you help me with this?

Hi,

Welcome back to icliniq.com.

As per the details provided by you, it seems to be atopy with a fungal infection. I would suggest the following. Use Luliact cream (Luliconazole 1% w/w) twice daily for two months. Take Tablet Teczine-M (Levocetirizine 5 mg and Montelukast 10 mg) once a day after dinner for 10 days. Use Micogel cream (Miconazole 2% w/w) in the evening for two weeks. Bath with KZ (Ketoconazole) soap for months. Use Candid dusting powder (Clotrimazole 1% w/w) if there is excess sweating. Please avoid scratching or rubbing lesions as it may cause fungal infection to spread to different parts of the body. Wear loose, comfortable thin cotton clothes. Avoid occlusion or friction. Stay in a well-ventilated room or environment. Limit heavy exercise until the lesion heals as sweating or moisture may result in the spread of infection. For further details, can you please tell me if you had any connective tissue disorder or GI (gastrointestinal) disorder, or any systemic illnesses in the past?

Patient's Query

Thank you doctor for your suggestion,

In case of connective tissue disorder or GI disorder, or any systemic illnesses, I am undiagnosed.

Hello,

Welcome back to icliniq.com.

There are different variants of fungal infection which can be annular type (as seen in your case), eczematous annular type, and plaque type. General measures like maintaining good personal hygiene, avoid tight-fitting clothing or moist clothing.Topical therapy using Micogel (Miconazole), or Econazole, or Tyza cream (Terbinafine 1% w/w cream), or Luliact cream (Luliconazole) twice daily for two to four weeks will show results. Also, can you tell me the following. If there are any similar lesions in your family members? Did you use any steroid cream in the past? Is the lesion itchy at present?

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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