Dr. Dhepe Snehal Madhav
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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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. And 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.
Hi,
Welcome to icliniq.com.
Can you attach the picture of the lesion for an accurate diagnosis and treatment plan? Please attach a picture of it.
Thank you.
I appreciate your trust in icliniq.com and for giving me the chance to serve you.
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Patient's Query
Hi doctor,
Thank you for the reply.
Can you please suggest what cream or medicine should I take. Any diet changes?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
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:
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
I got the creams. But I could not get Wincet 5 milligrams tablet. The medical person gave Cetcip-L 5milligrams which has Levocetirizine. Can I use that? Or can you suggest another alternative? Also, the cream (Fucidin) which you asked me to apply in the mornings only, can I apply that on top the other ointment? Or should I apply only one cream at a time?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Alternative is ok. One cream at a time. (Do not mix).Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
How to use the cream?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Fucidin cream once a daytime (10 am) for seven days.Luliconazole cream twice daily for 15 days (2pm) and (9 pm).
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
Ma’am, 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?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Use Kojic soap for 20 days.Follow up if no response seen.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
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Venereology
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