Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor.
I am 26 years old, 5 feet 10 inches tall, and 219 pounds, with no family history of health issues or allergies. I have been dealing with this problem for a month, and it is just getting worse. It all started with these red coin-sized patches on my pelvic area, between my left leg and groin. They have now combined to become completely flat. They did not itch. It simply merges and does not disappear. The main issue began with a single pea-sized red area on my foot that itches sometimes, and it has now progressed to this. Over the last month, red, somewhat itchy areas have appeared all over my body, mostly on my shoulders, with one spot on my stomach looking like this. I do not have health insurance, I cannot afford to visit a dermatologist, and I am concerned since it appears to be getting worse gradually. I also used Cortizone 10 Plus on my feet and saw no change, and I have been using a moisturizing and healing lotion on my body with no success. I even changed my laundry detergent and soap to fragrance-free hypoallergenic options, yet nothing worked. I am quite concerned, and any advice or suggestions would be highly appreciated.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I read your query and I reviewed your photo. (attachments removed to protect the patient's identity) It appears to be tinea cruris et corporis. Tinea cruris is a groin fungal infection that can be treated with some standard procedures. Keep the area dry at all times. To keep Clotrimazole powder dry, apply it often. Avoid scratching and itching. Undergarments should be changed frequently. Avoid excessive perspiration and moist clothing. Do not use any general or steroid creams, such as Betnovate or Surfaz ointment, Clotrimazole (1 % W/W), Betamethasone (0.05 % W/W), Tolnaftate (1 % W/W), or Neomycin (0.5 % W/W). Do not stop taking the medication once you have been cured. Continue the medication for a prolonged period to destroy the fungus. Diabetes and thyroid problems should be investigated. Even after good therapy, it is extremely recurring. It is transferable. However, it is not a deadly condition and has nearly no complications. The above-mentioned actions can easily be avoided. Fungi usually require moisture and a wet atmosphere to thrive. Simply keep it dry to prevent giving it a chance.
Here are the treatment options: If your fungal infection is not responding to Terbinafine or Fluconazole, it might be due to resistance development. You can take Itraconazole (an antifungal) 200 mg twice a day and tablet. For one month, apply KZ (Ketoconazole) cream twice locally. All medications should only be taken after speaking with your doctor or a dermatologist in your area.
I hope this helps.
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Dermatology
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