What could be the reason for scaly, itchy, sometimes bleeding skin rashes that worsen during summers?

Hello,

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You have a fungal infection called tinea cruris (ringworm). It is contagious and spreads from person to person and from one place to another if not treated. Have you used any creams so far? Since how many days have you had this? Any known allergy to any medications like Terbinafine or Itraconazole?

My advice:

Consult your specialist, talk to them, and take medications with their consent.

1. Take Terbinafine 250 mg, one and a half tablets (according to your body weight), at night after dinner for four weeks.

2. Apply Sertaconazole cream to the affected area twice a day for eight weeks.

3. Use a Ketoconazole soap to wash the affected area and your regular soap for other body areas.

4. Use a Clotrimazole dusting powder, and apply it to the skin folds in the morning and night after applying Sertaconazole cream.

5. Take the tablet Teczine 5 mg (Levocetirizine 5 mg, and Montelukast 10 mg) after dinner.

Along with medicines, the following skin care tips need to be followed during fungal infections.

1. Wear dry loose cotton clothes and inner garments which are 100 % pure cotton. Make use of fans or air conditioners at night to keep the affected part well-ventilated.
2. Take a bath twice a day, and always use lukewarm water. Avoid using very hot water to take a bath. Hot water favors fungal growth in the body. Wash the affected parts with cold water once you are done taking a bath. Always use a fresh dry towel to wipe off water from the body. Make sure skin folds are totally dry before wearing clothes.
3. Use antifungal dusting powders for your skin folds such as underarms, thigh folds, below breasts, and in between the toes.
4. Wash your clothes, towel, and bedspread using hot water and dry them in sunlight.
5. Eat healthy food, and keep your body weight ideal for your height because being overweight and having poor nourishment leads to reduced immunity which increases the chances of getting a fungal infection.
6. If you are diabetic, check your blood sugar level frequently and make sure your blood sugars are within the normal range because uncontrolled blood sugar is a risk factor for fungal infection.
7. Ask if any of your family members have a similar fungal infection. If so, encourage them to take treatment.
8. Check your pet animals for rashes; if there are any, take them to a veterinary doctor for treatment. Dogs and cats are also sources of infection.
9. Always complete the full course of medications prescribed by your dermatologist. Incomplete treatment results in the recurrence of fungal infection, which is more resistant to treatment.

Do not do the following:

1. Do not scratch. Scratching makes the rash worse. Ask your dermatologist for anti-itching medicine.
2. Do not wear synthetic clothes or tight-fitting jeans which do not allow air to flow through them, and do not wear wet inner clothes. Do not wear inner wears while at home, and allow air to flow freely through the affected part.
3. Do not share your personal items such as clothes, towels, soap, or comb with your family members or friends.
4. Do not use over-the-counter medications for ringworm. Most of these creams contain steroids in them, which give faster relief from itching, but they make the ringworm spread to a larger area and also make the routine treatment insufficient.
5. Do not use home remedies such as garlic paste to get rid of ringworm. This would burn your skin and may leave a permanent scar.

Proper and timely medications from a dermatologist and these skin care measures would help faster relief from symptoms, speedy recovery, and less chance of recurrence.

Hope this helps.

Thank you.