Q. How to treat scaly, itchy skin rashes on ankle?

Answered by
Dr. Rakesh Kumar Bahunuthula
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 05, 2020

Hi doctor,

I have a skin rash on my ankle. It has been there for six months now. I have tried Penicillin, steroid antifungal cream, and cider vinegar as well but it is slowly getting bigger. It is itchy with scaly flaky skin. I feel some fluid inside the red raised dots when I scratch it. It starts to smell after a while.

Dr. Rakesh Kumar Bahunuthula

Cosmetology Dermatology HIV/AIDS Specialist Venereology


Welcome to icliniq.com.

Indeed the clinical image (attachment removed to protect patient identity) is more in favor of tinea corporis which is a fungal infection of the body. It also has the potential to spread and using steroid-based creams will add to the resistance of the problem. Kindly mention if there are similar lesions elsewhere, if you keep your feet soaked for longer times and if you keep wearing the same socks.

Was this answer helpful?


Thank you doctor,

I do not find any other areas like this. I change the socks every day and often wear boots if it helps?

Dr. Rakesh Kumar Bahunuthula

Cosmetology Dermatology HIV/AIDS Specialist Venereology


Welcome back to icliniq.com.

It would be preferable to treat the lesion as tinea corporis. As you have only one single lesion, you can be managed with topical creams alone. However, you need to use them without fail regularly for a minimum of two weeks. The prior use of steroid creams could further increase the time for clearance of the lesion, as the immunosuppressive effect of steroids may last up to three to four weeks.

Fungal infections have a tendency for recurrence if the patient is not compliant with the treatment. Hence, it is strictly advisable to regularly use the prescribed cream with strict adherence. Also, avoid wet work and soaking your feet for longer durations, preferably avoid socks which would cover up to the lesion as it would retain the sweat locally and add to the problem.

Probable diagnosis:

Tinea corporis.

Treatment plan:

1% Clotrimazole cream (Lotrimin/ Canestan should be available OTC ) or Terbinafine cream (Lamisil OTC). To be applied on the lesion and up to 2 cm beyond the border twice daily for up to two weeks.

2) Tab Loratidine 10mg (Claritine OTC) or Levocetrizine 5mg
Once daily, after dinner, for 2 weeks

Preventive measures:

Avoid shoes and socks. Avoid soaked feet and wet work.

Regarding follow up:

Review after two weeks.

Was this answer helpful?


Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is the treatment for ringworm?

Query: Hi doctor, I have ringworm on the thighs, arms and chest for four months. When I used Fourderm, it was fine for two weeks. But again, it came back. I have not taken any oral medicines yet. I am on BP medicine Stamlo Beta. My age is 59 years.  Read Full »

Please suggest the best cure for xerosis.

Query: Hi doctor, I am suffering with xerosis. I had consulted many doctors and wasted so much money without any use. I am really fed up with this. Please suggest the best way to cure this.  Read Full »

Are itchy skin rashes, abdominal cramps and nausea symptoms of an allergic reaction?

Query: Hello doctor, I am very itchy. One time my finger itched in the same spot for like two or three days intermittently, then it was my foot. I have also developed skin rashes that come and go. Doctors say it is either eczema or some kind of skin condition or bug bite. These rashes come and go, one doc...  Read Full »



Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.