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What causes circular shiny skin rashes on chest, back, and scalp?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 32-year-old male. I have a small skin rash with shiny patches in a circle in the chest and on the back, once found on the scalp too. It itches when I sweat. I also have dandruff on the head and ear itching it is dry and no ear wax is produced. For skin, I have tried Surfaz SN and Zole F ointment before and it goes away for a few days and it comes back. Now, I am not taking any medicine for that.

For ear infections, I tried Otobiotic and Myclin-O ear drops and it came back when I stopped the medication.

I had peptic ulcer before, I occasionally take some Domperidone and Esomeprazole tablets which are the only medications I take. Besides that, I take some supplements vitamins, calcium, magnesium, and iron.

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

By the given description it may be a fungal infection or seborrheic dermatitis or other conditions too. Please send a clear picture of the lesions. Please send the details like duration, treatment taken for it, other symptoms, other diseases apart from those mentioned for clarification.

For dandruff, avoid hard water for hair wash. Wash hair once or twice per week. Use shampoo like Scalpe shampoo twice a week.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply,

I have attached an image of the lesion. Treatments taken are Zole F and Surfaz-SN ointment. Surfaz-NS had no effect at the same time but Zole-F showed some results while taking it but when stopped, it came back. I had peptic ulcer before and occasionally I take Domperidone and Esomeprazole tablets. Besides, I take some supplements vitamins, calcium, magnesium, and iron.

Thank you.

Hi,

Welcome back to icliniq.com.

I have seen the attached image (attachment removed to protect patient identity). Continue treatment for dandruff as suggested earlier. It may be due to fungal infection or seborrheic dermatitis. Please clean the area with warm water twice daily. See that there is adequate ventilation.

Apply topical antifungal cream like Terbinafine (Sebifin or Terbin) twice daily. You can use dusting powders to avoid sweat.

Consult your dermatologist for examination and management if it does not subside.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At July 14, 2020
Reviewed AtFebruary 10, 2025

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