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Q. How to treat two symmetrical rashes, about three millimeters in diameter, on my back?

Answered by
Dr. Dhepe Snehal Laul
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 22, 2022 and last reviewed on: Dec 08, 2022

Hi doctor,

I have two symmetrical rashes, each about three millimeters in diameter, on my back. I noticed them about a month ago and used 1 % Clotrimazole twice daily without much change. I am on 150 mg of Fluconazole per week, but the family medicine physician I just saw is not convinced it is ringworm. However, she said to finish the Fluconazole course just in case and start a topical steroid. She took a biopsy, and the results will be back in one to two weeks. I am taking Finasteride, Minoxidil, and Adderall. In the meantime, is it good to use a topical steroid in addition to oral Fluconazole?

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#

Hello,

Welcome to icliniq.com.

I understand your concern.

It is Tinea corporis (fungal infection). I suggest the following,

  • Avoid steroid cream application as it may worsen the lesion.
  • Apply Luliconazole cream twice daily in the morning and night for three weeks.
  • Apply Miconazole cream in the evening for three weeks.
  • Tablet Teczine-M (Levocetirizine and Montelukast) once at night after food for seven days.
  • Ketoconazole soap for a bath for two months.
  • Avoid scratching and rubbing of lesions.
  • Avoid activities that cause sweating.
  • Avoid friction.
  • Maintain proper hygiene.
  • Keep your nails short.
  • Discontinue Fluconazole.

I hope you find it helpful.

Kind regards.

Hi doctor,

Why should I discontinue the oral Fluconazole?

#

Hello,

Welcome back to icliniq.com.

Instead, take tablet Terbinafine 250 mg daily after dinner for two weeks. Terbinafine is effective on dermatophytes (different fungal species). Fluconazole is effective on yeast. Tinea corporis is a superficial fungal infection caused by dermatophytes, so the tablet Terbinafine is effective. I suggest,

  • Avoid activities that cause sweating.
  • Avoid moisture, heat, and friction.
  • Wear loose, comfortable thin cotton clothes.
  • Keep the area clean and dry.

I hope you find it helpful.

Kind regards.


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