Q. I have dry scaly spots on my inner thigh and pubic area. Is it a sign of STD?
Hello doctor,
I have a rash and dry scaling spots on my inner thigh and pubic area, which looks like a poison ivy allergic rash. It does not itch. I am wondering what exactly it is and if it is a skin thing or an STD thing? I have attached photographs of this lesion.
Kindly help.
Hello,
Welcome to icliniq.com.
I have seen the picture you sent (attachments removed to protect the patient’s identity).
It is tinea corporis, a kind of fungal infection.
I suggest you apply Luliconazole cream (Luliact cream) twice daily for one month and apply Miconazole ointment (Micogel) in the evening for one month. Use Ketoconazole soap for two months.
Kindly avoid scratching and rubbing of the lesions as it may cause secondary bacterial infection.
Kindly give answers for the following;
1) Is the rashes spreading?
2) Are you diabetic?
3) Do you have excess sweating?
4) Do you wear tight clothes or inners?
5) Do you have chronic friction in between your thighs?
6) Is there an itching at night?
7) Are there chances of improper hygiene?
8) Is that area always humid?
Revert with the answers.
Regards.
Hello doctor,
Thank you for the response.
The answers are as follows;
1) Yes, it spreads.
2) I am not diabetic.
3) I do not sweat any more than an average person.
4) I do wear tight clothing.
5) There will be friction in between the thighs.
6) No itching at night.
7) Regarding hygiene, I shower two to three times a day.
8) Yes, my place is usually hot.
Thanks.
Hi,
Welcome back to icliniq.com.
The predisposing factors are improper hygiene, improper nutrition, geographic locations, direct contact with an infected person, or self infection from other sites.
This condition is called dermatophytosis, a kind of fungal infection. The medications mentioned above for two months will help in betterment.
I suggest you wear loose clothing, maintain proper hygiene, stay in a well-ventilated area, avoid sweating, do not scratch or rub the lesion, wash the site frequently with soap and lukewarm water, and pat dry after cleaning, and always keep that area clean and dry.
Kindly check your blood sugar levels.
Regards.
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