Dr. Aditi Dhanta
Dermatology
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 am having intense itching on my scrotum and penis and along the sides of my thighs, and also, some hard pimples are there on my scrotum. It occurred a week ago. I used Clobetasol propionate G, and there was no difference. Please help.
Hi,
Welcome to icliniq.com.
As per your history, there are two possibilities either you have scabies or fungal infection, and treatments for both are different. Before deciding on the treatment, I suggest you send me a photograph of the affected area.
Regards.
Patient's Query
Hello doctor,
Thank you. I am sending a photograph of my scrotum.
Hi,
Welcome back to icliniq.com.
After seeing the photographs (attachment removed to protect patient identity) of the affected region, my final diagnosis is of scabies with scabietic nodules. I am prescribing the following medications. Use Permethrin 5 % lotion application below the neck over the whole body and then wash off the next morning and repeat the same after one week. Over the nodules, apply Crotorax HC (Hydrocortisone and Crotamiton) cream twice daily applications at night and morning over the affected area. Take a tablet of Levocetirizine 5 mg in the evening. Review after 15 days.
Revert in case of queries.
Kind regards.
Patient's Query
Hello doctor,
Thank you. Is lotion to be applied once a week? What is the trade name of the lotion?
Hi,
Welcome back to icliniq.com.
Yes, the lotion is to be applied once a week. Permethrin is a generic name, and the brand name is Klmite cream or Pelol cream.
Hope this helps.
Regards.
Patient's Query
Hello doctor,
Thanks very much.
Hi,
Welcome back to icliniq.com.
Okay.
Revert in case of queries.
Kind regards.
Patient's Query
Hello doctor,
Thank you.
My father has been a diabetic patient for the last six years but is under control and has been having medications Paciwin and Metformin 500 mg BD for diabetes. The glucose level today was 242 mg/dL, which was elevated than other days. He is 44 years old. A few days ago, he was feeling uneasy wearing shoes, and now in between the lateral two digits of his right foot, some whitish scar type formed. Please see the attached photograph and advise what is right.
Hi,
Welcome back to icliniq.com.
I understand your concern.
I saw the pictures (attachment removed to protect the patient's identity). It seems that they are having fungal infections again. It is called pityriasis versicolor. I suggest tablet Fluconazole 400 mg stat given followed by a week and Luliconazole cream for local application in the evening and morning over the affected area.
Hope this helps.
Regards.
Patient's Query
Hello doctor,
Thanks. My father is a diabetic patient from last six years but glucose levels on average are under control but today glucose level was bit high that is 242 mg/dL. He is having Cetapin 500 mg BD for diabetes and he is also having Paciwin. He is 44 yrs old. Few days back he started feeling a bit uneasiness in shoes and now in b/w lateral 2 digits of his right feet is a whitish scar type formed please see the attached photo.
Hi,
Welcome back to icliniq.com.
The photographs (attachment removed to protect the patient's identity) showed soft corn and interdigital intertrigo. I suggest you use Candid cream (Clotrimazole 1 %, Benzyl alcohol, and Methylparaben) for local application in the evening and morning.
Revert in case of queries.
Regards.
Patient's Query
Hello doctor,
Thank you.
Any specific name for the cream?
Hi,
Welcome back to icliniq.com.
Use Candid (Clotrimazole) cream.
Regards.
Patient's Query
Hello doctor,
Thanks very much.
My mom is 43 years, and she is not having any specific disease. Only her GGTP is raised. But she is facing intense hair loss. What to do?
No regular medications were taken. Please see into it and answer.
Hi,
Welcome back to icliniq.com.
I suggest you start with the tablet Follihair (amino acids, vitamins, and minerals) once daily.
Kind regards.
Patient's Query
Hello doctor,
Thank you.
Do you suggest any shampoo or conditioner?
Hi,
Welcome back to icliniq.com.
I suggest you use normal shampoo and conditioner.
Regards.
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