What medications can help resolve my persistent skin rashes and itching?

Question

Hello doctor,

I am a 19-year-old male dealing with persistent skin issues resembling ringworm or eczema for the past two to three years. Despite using a cream containing Chlorhexidine Gluconate, Clobetasol, Miconazole and Neomycin, Fluconazole cream, Cetirizine, and Dexamethasone, the problem keeps returning.

Itchy, ring-like rashes with small bumps that sometimes ooze fluid when scratched are the main symptoms. I am looking for recommendations on medications, including oral options, for a long-lasting solution to this recurring skin problem. Kindly help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understood your concern. Kindly attach a picture if possible for better evaluation. Based on your descriptions, it seems you have tinea cruris, and the cause of recurrence is the use of steroid-containing creams. Tinea cruris is a fungal infection of the groin.

I suggest you follow the below-mentioned instructions:

Do not keep the area wet at all. Use Clotrimazole powder frequently to keep it dry.
Avoid itching and do not scratch it. Change the undergarments regularly. Avoid excessive sweating and wet clothes.
Do not apply any general or steroid creams like cream containing Betamethasone Valerate, surface ointment containing Clotrimazole (1% W/W), Betamethasone (0.05% W/W), Tolnaftate (1% W/W), Neomycin (0.5% W/W), and Quadriderm, cream containing Chlorhexidine gluconate, Clobetasol propionate, Miconazole nitrate, and Neomycin sulfate.
Do not stop the medicine once you are cured. Continue medicine for a long time to completely kill the fungal.
Check for diabetes and thyroid and also it is really recurrent even after proper treatment.

It can be transferred. However, it is not a dread disease (life-threatening) and almost has nil complications. It can be easily prevented by the above-mentioned measures. Look, fungus always needs humidity and a wet area to penetrate. So, just do not give it a chance by keeping it dry.

Treatment part:

This time trend for fungal infection is that it is not responding to Terbinafine or Fluconazole may be because of resistant development.
You can take a tablet of Itraconazole 200 mg twice a day and apply Ketoconazole cream twice locally for one month. I suggest you consult a specialist, talk with them, and take the medications with their consent.

I hope this information helps you. Feel free to reach out if you have any further questions.

Thank you.