Dr. Rakesh Kumar Bahunuthula
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
Hi doctor,
I am having dry skin patches on my skin. They started about four weeks ago, and I first noticed them in my groin area. They are just dry, and they do not hurt or itch. Two weeks ago, I went to a pharmacy, and they suggested it could either be Pityriasis rosea, Pityriasis versicolor, or psoriasiform eczema; and they prescribed Fluconazole tablets, Travocort cream, and Advantan ointment. I have been using them ever since, but the condition has spread all over my body, especially on my hands, groin, thighs, and upper back areas.
Hi,
Welcome to icliniq.com.
Your clinical images are more in favor of Pityriasis rosea (attachment removed to protect patient identity). It is an exanthem, secondary to viral infection, usually triggered by a sore throat. The good thing is that it needs only supportive management as the condition resolves in three to four weeks' time without any further complications. There is no need to panic, and you do not need to use Fluconazole as it is not fungal.
Probable diagnosis
Treatment plan
Regarding follow up
Patient's Query
Thank you doctor,
Thank you so much for your response. It has been over 5 weeks now. It is more than the maximum stated of 4 weeks. Could there be any explanation for this?
Hi,
Welcome back to icliniq.com.
In few patients, there can be extended lesions even up to three months. But it is rare. With the use of the prescribed medication, your lesions will resolve early.
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Dermatology
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