My sister has rashes on her abdomen and beltline. She is fifteen, and weighs 62 kilos. She has a PCO resemblant condition, if this is relevant. The rashes subside when she uses Gentamycin and Loratidine, but reappear when she stops using these. Her doctor said shed have to take the anti-allergy for life, which seems to me as a rather odd treatment regime. What would you say?
Hello and welcome to Chat Doctor I would think of a possibility of fungal infection OR Tina. Tina is fairly common in the belt area and lower abdomen. She is overweight doesn't help her either. Clinically Tina presents as red, scaly, itchy plaques with raised margins and central clearing. The patches extend peripherally. I would suggest a KOH wet mount from the scale for a confirmatory diagnosis. Treatment for a fungal infection is with topical and oral antifungals. Topically she could use an OTC antifungal e.g. clotrimazole cream, twice daily for 2-4 weeks. Oral antifungals e.g. fluconazole can also be started for a confirmed fungal infection. The dosage would be 150 mg once every week for 4-6 weeks. An OTC antihistamine e.g. cetirizine 10 mg once daily would provide symptomatic relief from itching. Hope this helpsRegards