How to manage itchy lesions in the groin area that keep recurring despite previous treatment?

Hello,

Welcome to icliniq, and thank you for choosing us as your provider for health care.

I have gone through all your details and appreciate your concern.

Tinea cruris, a fungal infection in the groin area, can be caused by various factors, including moisture and sweat buildup, the area being less exposed, weakened immunity, and direct contact with an infected person. These infections often recur due to persistent moisture buildup and weakened immunity. To prevent recurrences, I recommend thoroughly drying the affected area after a bath and allowing it to air under a fan for 15 minutes daily. Regularly wiping away excess sweat and using antifungal powder to absorb moisture are also important. Here are my suggestions:

1. Lulifin (Luliconazole) cream: Apply it three times daily to the affected areas for three to four months.
2. Keto soap (Ketoconazole): Use it to lather with water on the affected area, leave it for three minutes, and then wash it off. Use a regular soap on unaffected areas. Avoid sharing towels or personal items with close contacts.
3. Capsule Becosules Z (multivitamins and zinc): Take one after dinner for two months to boost your immunity.
4. Abzorb topical powder (Clotrimazole): Apply this powder every two to three hours to the affected area to absorb excess moisture and sweat.
5. Capsule Itraconazole 200 mg: Take one daily after dinner for three weeks.
6. Avoid wearing tight-fitting undergarments and clothes.
7. After a bath, make sure to thoroughly dry your body and allow it to air under a fan for 15 minutes.
8. Do not skip meals and avoid hot and spicy foods or anything that increases body temperature.
9. Consume cooling foods like fruits and vegetables and drink at least 85 fluid ounces of water per day.
10. Treating close infected contacts is also important.
11. Wipe away excess moisture and sweat whenever they occur. The goal is to prevent dampness, as under moist conditions, fungi can multiply and spread more rapidly.

As you correctly pointed out, long-term treatment for four to five months is necessary. Therefore, it is important to stay consistent with the topical medications and soap for four months or until two weeks after the rashes completely subside.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.