HomeAnswersDermatologyskin rashI have two symmetrical rashes, about three millimeters in diameter, on my back. How do I treat them?

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

Share

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

iCliniq medical review team

Published At November 22, 2022
Reviewed AtJanuary 14, 2024

Patient's Query

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?

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.

Patient's Query

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.

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

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy