Q. What is the treatment for ringworm?
Hi doctor,
I have ringworm on the thighs, arms and chest for four months. When I used Fourderm, it was fine for two weeks. But again, it came back. I have not taken any oral medicines yet. I am on BP medicine Stamlo Beta. My age is 59 years.
Hi,
Welcome to icliniq.com. Dermatophytosis or ringworm infection is caused by fungi that invade and grow in dead keratin. Tinea corporis is the fungal infection of the body, including the trunk and arms. Risk factors for recurrent fungal infections include any immunocompromised state like diabetes. Have you ever been tested for diabetes? Do you have intense itching? Do you have isolated or large confluence of lesions at the sites you have mentioned? Are there any extensive skin lesions? How is the response to topical therapy?
Apart from medical management, following preventive measures are to be followed: good nail hygiene, good skin hygiene, and avoid dampness or wetting of the skin. Wear loose-fitting and clean undergarments as well as clothes. Coming to medical management, topical antifungals are effective for treating most cases of tinea corporis. Systemic therapy is given in immunocompromised individuals, extensive skin lesions, and those refractory to topical therapy. For you, as you are responsive to topical agents and your lesions are not extensive, I would advise you to take the following therapy. Topical therapy has to be applied to the lesion and at least 0.07 feet beyond this area twice daily for at least two weeks. Use Candid powder or Clotrimazole powder topically after a shower twice daily, or apply Monistat or Miconazole ointment or lotion sparingly to avoid maceration. Apply Luzu or Luliconazole 1% once daily after a shower for one week. If you have intense itching, take tablet Levocetirizine twice daily until the itching subsides. Do not scratch as this may lead to secondary bacterial infection. Revert back with the answers if yes to an internal medicine physician online.
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