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Please help with my recurrent fungal infection.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am getting itching in the area where I wear my undergarments. I tried many medicines for fungal infection, but it does not go away. It has been there for more than a year. It keeps recurring. Currently, I am applying Miconazole cream and Clotrimazole powder. Please help.

Answered by Dr. Suvash Sahu

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

With your given description, it looks like resistant tinea cruris infections or may be erythrasma (skin condition affecting the folds in the body). You have not mentioned the duration of individual drugs you have taken. Itraconazole is a good drug for this, but you have to take 100 mg daily for around 28 days. Along with this, you can try Sertaconazole cream with Fusidic acid cream to cover erythrasma twice daily for a minimum of three months. Follow certain general measures such as, avoiding heat, moisture, and maceration (softening by soaking). Dry the body folds, fingers, and toe webs thoroughly after bathing.

The Probable causes

May be not taken full duration of the course of medicines for fungal infection.

Investigations to be done

1. Blood sugar. 2. Skin scraping for KOH (Potassium hydroxide).

Differential diagnosis

1. Tinea cruris.

2. Erythrasma.

3. Candidal dermatitis.

Probable diagnosis

Recalcitrant tinea cruris.

Regarding follow up

Revert back after the tests to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Medically reviewed by iCliniq medical review team
Published At May 3, 2016
Reviewed At October 14, 2024

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Recurrent Fungal Infection Companion

How it works

Recurrent fungal infections can be frustrating. This section helps you understand what might be causing them and what treatment options are available.

1

Fungal
Infection

2

Why
Fungal

3

Treatment
Options

4

Prevent
Measures

5

Hygiene
Practices

6

When
Consult

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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