Q. I have itchy red spots around my chest and shoulder. Is it ringworm?

Answered by
Dr. Deepti Shukla
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 28, 2020 and last reviewed on: Nov 13, 2020

Hello doctor,

I have an itchy and big circular red spot on my back. I discovered it three days ago. And then yesterday, I also noticed more small red spots around my chest and shoulder. Is it fungal infection or ringworm? What is the best or fast remedy for this? I used to have these before when I was younger and was not a fan of topical cream, as I feel like it does not entirely kill its roots.



Welcome to icliniq.com.

Do not worry, dear. I will help you with your concern. From the history, it seems you have developed ringworm, which is also known as tinea corporis. Tinea is a kind of superficial fungal infection, which increases with sweating. Also, it has a tendency to recur if not treated properly.

Dear, I need to see these rashes to assess the severity and decide the dose and suggest your treatment accordingly. Please share a photo and also mention if you are taking any medicine for any other illness so I can rule out medicine interaction. Do not worry, I will start you on a proper course of antifungal treatment, and this ringworm will resolve in a few days.

Thanks and regards.

Hello doctor,

Thanks for the response, I am not taking any medications right now. I am only applying Nizoral cream for five days now and do not see any improvements. I have attached photos of my skin. It started with the big circle on the back, and when I started applying the ointment, I then observed new ones on my chest and some on my abdomen.



Welcome back to icliniq.com.

Thank you for sharing photos <attachment removed to protect patient identity>.

This is tinea corporis. I will suggest oral and topical antifungals.

  • Tablet Itraconazole 200 mg - one tablet daily after breakfast for two weeks.
  • Tablet Fexofenadine 180 mg - one tablet daily at night for ten days.
  • Sertaconazole cream - apply two times daily on rashes for three weeks.

You will see improvement in ten days but do not stop the medication, or the infection will recur. Do not miss taking the tablets and follow-up in two weeks.

Thanks and regards.

Hi doctor,

Thank you for replying. They only have 100 mg for Itraconazole. How should I proceed? Can you generate an online prescription for me?



Welcome back to icliniq.com.

No problem. 100 mg Itraconazole can be taken twice daily for two weeks. Try to get Sporanox brand, as it is effective. As we are from different countries, I cannot generate a prescription. I would suggest you get a prescription from your GP and then buy the medicines.


Thank you doctor,

I will consult my GP and get the medicines. I have attached a photo. Can you please tell me if this is the right cream? Thanks.



Welcome back to icliniq.com.

Yes, this is the cream <attachment removed to protect patient identity>. But, preferably go for the Onabet brand. Thanks.

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