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I have a circular black patch on the back with severe itching. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a black patch on my back which is almost circular and is itching constantly. It has become quite big in the last three to four months.

Can you please suggest what it could be and what I can do?

It feels good when I put hot water on it. It becomes very dry. It has a small line on its edges. The itching is happening continuously. It subsides a bit when I apply moisturizer. But the black patch seems to become darker.

Please help.

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Can you attach a picture of the lesion for an accurate diagnosis and treatment plan?

Please attach a picture of it.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

  1. Can you please suggest what cream or medicine should I take?
  2. Any diet changes?

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I do understand your concern.

I have seen the pictures (attachment removed to protect patient identity). It is a fungal infection (Tinea). Use Luliconazole cream twice daily for 15 days. Tablet Wincet (cetirizine) 5 milligrams twice daily for 15 days (if itching). Fucidin cream (Fusidic acid) in the daytime for seven days.

Some of the causes may be wearing tight clothes with improper aeration, too much sweat (humid and moist body part favors fungus growth), and increased humidity.

Precautions:

  1. Wear loose clothes with proper aeration.
  2. Wash hands.
  3. Keep skin dry (as fungus prefers warm moist temperatures).
  4. Take a bath properly (add neem leaves to water or any antiseptic liquid like Savlon or Dettol).
  5. Do not share your belongings.
  6. Wash clothes separately.
  7. Follow up for any doubts.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I got the creams. But I could not get a Wincet 5 milligram tablet. The medical person gave Cetcip-L 5 milligrams, which have Levocetirizine.

  1. Can I use that? Or can you suggest another alternative?
  2. Also, the cream (Fucidin) that you asked me to apply in the mornings only, can I apply that on top of the other ointment? Or should I apply only one cream at a time?

Please help.

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I do understand your concern.

An alternative is ok. One cream at a time. Do not mix.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

How to use the cream?

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Fucidin cream once a daytime (10 am) for seven days. Luliconazole cream twice daily for 15 days (2 pm) and (9 pm).

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have used the ointments prescribed. The itching and the dryness are not there anymore. The infection has gone and is no longer irritating.

Can you please suggest any creams from the area for normal skin color?

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Use Kojic soap for 20 days. Follow up if no response is seen.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answered byDr. Dhepe Snehal Madhav

Medically reviewed byDr. Vinodhini J.

Published At June 13, 2020
Reviewed AtFebruary 6, 2025

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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