Hello doctor, Seven months back, I developed a small scaly white patch on the left hand side of my scrotum. It did not change but my groin then became damp and very itchy. After a short period both groins were like that. Last month, I saw a dermatologist who thought it might be eczema and prescribed Eumovate ointment, but this only seemed to cause flare up. When I saw the dermatologist, I had the smallest of light red flecks on my right wrist (inner). However, since then the rash has spread to both arms (elbow) and also to both armpits. The armpits feel hot and stings. The rashes on arms are painless and not itchy as well as not raised. In the past, I have taken Daktacort, Canesten creams, antifungal tablets and Penicillin capsules. I have attached the pictures for your reference. Please help.
Hi. I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and understood your concern. 1. You can get KOH (potassium hydroxide) examination of skin done to confirm the diagnosis of fungal infection. 2. Do not apply antifungal cream before you give a sample for KOH examination. 3. You may get your blood sugar levels tested, as increased fasting blood sugar (FBS) may cause recurrent fungal infections. 1. You are most probably suffering from a fungal infection. It most commonly affects areas like groins and armpits. Both scaly white and moist itchy lesions can occur. Sometimes, hypersensitivity lesions may also be seen along with fungal infection. 1. If I were your physician, I would recommend you to take tablet Terbinafine. The adult dose of Terbinafine is 250 mg once daily for three weeks. 3. Along with that, apply topical cream containing a combination of Terbinafine and a topical steroid like Mometasone. 4. You can take antihistamines like tablet Levocetirizine 5 mg twice daily or tablet Loratadine 10 mg twice daily. Avoid hot humid climate, keep the affected area dry and avoid synthetic innerwear. Revert back after three weeks with the investigations to a dermatologist online.--->