Dr. Jyotisterna Mittal
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,
Seven months back, I developed a small scaly white patch on the left-hand side of my scrotum. It did not change but my groin then became damp and very itchy. After a short period, both groins were like that. Last month, I saw a dermatologist who thought it might be eczema and prescribed Eumovate ointment, but this only seemed to cause a flare. When I saw the dermatologist, I had the smallest of light red flecks on my right wrist (inner). However, since then the rash has spread to both arms (elbow) and also to both armpits. The armpits feel hot and sting. The rashes on the arms are painless and not itchy as well as not raised. In the past, I have taken Daktacort, Canesten creams, antifungal tablets and Penicillin capsules. I have attached the pictures for your reference. Please help.
Hi,
Welcome to icliniq.com.
I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and understood your concern.
Investigations to be done
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Hi doctor,
Thank you for your reply.
The rash on my arms is patchy whereas the groin area is blotchy. Do you think they are one and the same? Is it possible the arms could be rose?
Hello,
Welcome back to icliniq.com.
Yes, it is very common for fungal infections to present in this way. Tinea cruris (fungal infection of the groin) and tinea corporis (fungal infection of the body; may be multiple) and they frequently coexist. Further, the lesions may be smaller round lesions initially and slowly grow outwards and become larger in size. This may cause the confluence of smaller lesions and they become a larger lesion. Hope it helps.
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Dermatology
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