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Q. I have itchy whitish-gray patches in my groin area. What could it be?

Answered by
Dr. Deepti Shukla
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 11, 2020

Hello doctor,

I am a 21-year-old male. There are whitish-gray colored patches on the groin area which are roughly round and approximately 2 cm in diameter and itches a lot especially during night time. Kindly tell me what the condition is.

Dr. Deepti Shukla

Dermatology Venereology
#

Hello,

Welcome to icliniq.com.

I went through your photo (attachment removed to protect patient identity). You have white patches as well as redness.

Now redness and itching are due to fungal infection, but white patches are different. White patches are either due to leucoderma or vitiligo. I need to ask you a few questions to make a definitive diagnosis for white patches.

Since when do you have these white patches? Does it started after applying some cream? One year back you had a similar complaint, did you have white patches or redness and itching? Is this white patch increasing in size? Did it resolve spontaneously previously? Please revert with answers so I can suggest you diagnosis and treatment for white patches. Treatment for fungal infection i.e. candidiasis are tablet Fluconazole 150 mg one tablet today after dinner and one tablet after 10 days, Clotrimazole cream (Candid gold) cream apply once daily at night for three weeks, and tablet Allegra 180 mg one tablet daily at night for 10 days.

Do not apply Benzoyl peroxide lotion.


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Thank you doctor,

The white patches are from two to three years, but they did not itch until now. Itching started just one week ago, and I had the same one year ago also but it resolved. And I did not apply and cream and all in groin so patches were not its side effects. And the size is same it does not increase.

Dr. Deepti Shukla

Dermatology Venereology
#

Hello,

Welcome back to icliniq.com.

So without any history of application of any cream, these patches do look like vitiligo patches. You need to apply Tacrolimus and steroid cream on these white patches. But let this infection subside first as steroid should not be applied on fungal infection

Apply Tacrolimus 0.1% cream once daily in small quantity on white patches at night for three weeks, Fluticasone cream once daily on white patches in small quantity at the afternoon for two weeks.

Kindly follow up in three weeks so fungal infection can be assessed, and further approach can be suggested accordingly.


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