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What can cause rashes under the armpit, back, and chest with no other symptoms?

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 39-year-old male. I noticed a couple of small rashes present under my armpit. Before three weeks, I had a rash on my chest and back. It was not itchy. It started to spread slowly in my chest and back. I have a few rashes on my upper arms. I have some different types of pimples on my buttocks and a few on my knees. I have tried using Hydrocortisone 1 % cream for two weeks. But there is no relief. I was taking Testosterone Enanthate 100 mg for a week, DHEA 25 mg, and Arimidex 1 mg for six months. But there was no relief. I changed the dose to 50 mg of DHEA, Arimidex 1 mg, and Testosterone Enanthate. I took a single dose of Testosterone Cypionate along with it. After a week, I did an HCG test. So, I stopped these medicines. My rashes are not gone. I do not have any hair loss, headaches, mouth issues, and pain. I do not have any past medical history. Please suggest.

Hello,

Welcome to icliniq.com.

I understand your concern.

You have these lesions due to a fungal infection called tinea versicolor. This fungus is present commonly in all people. But in some cases, it occurs in people having a lot of sweating or people taking steroids. It causes lesions on the chest and legs. You can take a capsule of Itraconazole 200 mg once daily with meals for seven days. You can use Ketoconazole soap for bathing. Use Itraconazole cream twice daily for three weeks. Your fungal infection can get cleared soon. However, hyperpigmentation takes a time of four to six weeks to resolve. I hope this helps you.

Thank you.

The Probable causes

You seem to have Malassezia furfur.

Investigations to be done

You need to do KOH (potassium hydroxide) scraping for confirmation.

Differential diagnosis

You seem to have pityriasis rosea.

Probable diagnosis

You can have tinea versicolor.

Preventive measures

Avoid having sweating.

Regarding follow up

Have a follow-up after four weeks.

Medically reviewed byDr. Sneha Kannan

Published At April 3, 2020
Reviewed AtFebruary 3, 2025

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