Hello doctor, My buttocks got some skin disorder. It is filled with a lot of small white pimples and it gets dead and skin became very bad. It looks very dirty and I feel very uncomfortable. No itching no pain sometimes rarely feels itchy. In my teenage, it stared I guess. Now, I am 28 years old. Please suggest to me and near the anus area I mean where buttocks meet, the skin is discolored. Please suggest to me.
Hi. I have seen your query and concern. I have examined your picture (attachment removed to protect patient identity). It seems you have tinea incognito with superadded folliculitis. Follow certain general measures. Do not keep the area wet at all. Use Clotrimazole powder frequently to keep it dry. Change the undergarments regularly. Avoid excessive sweating and wet clothes. Do not apply any general or Steroid creams like Betnovate, etc. Do not stop the medicine once you cure. Continue medicine for a long time to completely kill the fungal. Check diabetes and thyroid it is really recurrent even after proper treatment. Treatment: Apply 2 % Sertaconazole (Onabet) plus Fusidic acid (Fucidin) cream local application twice daily plus tablet Azithromycin 500 mg once daily for five days. Get review after five days for further course of action.