What could cause a rapidly spreading rash between the leg and groin?

Hi,

Glad to hear from you.

I am here to answer all your questions.

I have reviewed the attached image (attachment removed to protect the patient’s identity). Fungal infection, indeed, is very problematic if it becomes recurrent. First of all, keep these precautions in mind.

1. Do not keep the area wet at all. Use powder frequently to keep it dry.

2. Avoid itching, and refrain from scratching it.

3. Change the undergarments.

4. Do not apply general or steroid creams like Betnovate.

5. Do not stop the medicine once you are cured. Continue medicine for a long time to completely kill the fungus.

6. Avoid excessive sweating and wet clothes.

7. Check diabetes and thyroid issues. It can be recurrent even after proper treatment.

Now, onto the treatment part:

1. Ketoconazole cream and tablet Terbinafine 250 milligrams for two months.

2. Terbinafine cream and Fluconazole 150 milligrams twice a week for two months.

3. Tablet Itraconazole 200 milligrams once a day and cream for one month.

Consult your specialist doctor, discuss with them, and take the medicines with their consent. Please follow up if you have any further queries about it.

I am thankful that you have confidence in me to help you.

Please stay safe and healthy. Thank you.