HomeAnswersDermatologyscaly skinI have a scaly patch increasing in size on my wrist. Why?

Why is the scaly patch on my wrist worsening even after applying an antifungal and steroid cream?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At September 5, 2022
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I have a spot on my wrist that appeared two weeks ago as a scaly patch. I initially thought it was a ringworm infection, so I tried an anti-fungal cream, but that did not work, so I tried a steroid cream. However, it keeps getting larger and redder no matter what I do. What would this be? Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. I need some more information to sort this out. Is there excess scratching and rubbing? Is the spot spreading? Is it itching or burning? Are you a diabetic? Do you have a previous history of fungal infection? Do you have a previous history of allergies? Do you have a previous insect bite history? Do you have a fever? Kindly revert with the answers to the questions.

Patient's Query

Hello doctor,

I have no excess rubbing, and It does not appear to be spreading. I have no history of diabetes or allergies besides occasional dermatitis on my legs. I have had insect bites in the past. I have no fever. I have had athlete's foot and toe fungus for years. I hope this helps, doctor.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. I suppose it is hand dermatitis or allergic rash. I suggest you the following medications. However, consult your physician, discuss with them, and start taking the medicines with their consent. Apply Mometasone cream at night for ten days. Tablet Levocetirizine once at night after food for seven days. Miconazole nitrate cream in the daytime for ten days. A soap containing topical Azelaic acid and wheat germ oil can be used for a bath for two months. Apply Calamine lotion after bath for ten days. I also suggest the following. Avoid contact with pet or animal dander. Avoid scratching and rubbing. Avoid occlusion or friction. Avoid activities that cause sweating. Avoid trigger factors or known allergens. Thank you and take care.

Patient's Query

Hello doctor,

Thank you for the reply. So you do not think it is discoid eczema? I read that it is chronic and never really goes away. I am terrified it will not resolve. Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. Eczema and dermatitis are the same. Yes, it is discoid eczema. It presents with itchy red raised round lesion. It is a disease commonly occurring in middle-aged and elderly with winter exacerbation. Pruritus is present, and sometimes itching can be severe. Typical lesions are generally one to three centimeters or more in diameter and are usually round. Specific locations are the back of the hand, wrist, or legs. An allergy mediates it to bacterial antigens, hence also called microbial dermatitis. It is frequently seen in patients with dry skin. Fungal or bacterial infection can be associated. I need some more information to clear up your query. Is the spot oozing? Did you have contacts with irritant chemicals like formaldehyde, Neomycin, chromium, rubber, cobalt, or nickel? Do you have any liver issues? Have you taken medications for any illness before? Do you have a history of psoriasis? Revert with the answers. Thank you and take care.

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

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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