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How to treat skin rashes in the armpits?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have got a skin problem in both armpits. Due to scratching the skin was torn. The images are attached.

Please help.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I have reviewed your query and concerns. Based on your descriptions and the provided pictures (attachment removed to protect patient identity), it initially appears you have tinea corporis in this area, possibly due to the use of steroid-containing creams. You have now developed eczematization, which is my assumption, as you have not provided a detailed treatment history. It could also be irritant contact dermatitis due to the use of Duo. Severe eczematization is now present, so I would advise against applying any products previously used. Begin applying Mometasone plus Sertaconazole 2 % twice daily to the affected area for seven days. After seven days, stop the Mometasone and continue with Sertaconazole. Additionally, take Terbinafine 250 mg once daily for 21 days and Cetirizine once daily for five days. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

Please schedule a follow-up review in five days, providing a detailed history.

Regards.

Patient's Query

Hi doctor,

Thank you for the reply.

After using the Candid clotrimazole cream, the problem almost disappeared, but when I stopped using the cream, it started again.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

Since you respond to Clotrimazole, it is tinea infection only. Do not worry it will get cured. You can follow the same medicine as I advised and use KZ (Ketoconazole) soap for bathing and avoid any duo until the disease subsides. Tinea or fungal infection need a minimum six weeks of treatment or maybe longer. I would suggest you continue topical 2 % Sertaconazole for six to eight weeks and stop Terbinafine after 21 days. Get reviews as and when needed.

Regards.

Patient's Query

Hi doctor,

Thank you for the reply.

Whether the Mometsone and Sertaconazole 2 % have to be applied at the same time?

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

Yes, you can take a small quantity of both over fingertip and can mix both and apply locally twice for seven days only then stop Mometasone and continue Sertaconazole only for two months twice daily. This Mometasone reduces your redness and eczematization.

Answered byDr. Suvash Sahu

Medically reviewed byDr. Vinodhini J.

Published At February 14, 2020
Reviewed AtFebruary 5, 2025

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