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Suggest Treatment For Blisters And Rash In Upper Thighs

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Posted on Tue, 16 Sep 2014
Question: I've had trouble with chafing over the past couple years. Got gold bond and other products and it's helped prevent it. A few months ago, I went through a stint of jock itch, and it went away after using some prescribed antibiotic cream. A few days ago, however, (I walk a LOT for work) I chafed more than usual and now I have what look like popped blisters and a small rash on my upper thigh/pelvis. Anyways - I've been with the same person sexually for over a year and this is the first time I've chafed like this. Is there any chance this could be anything other than chafing?
doctor
Answered by Dr. Kalpana Pathak (51 minutes later)
Brief Answer:
it could be intertrigo

Detailed Answer:
Hi,
Thanks for writing to us.
From the description it seems either you are having severe case of frictional intertrigo( chafing) or candidal intertrigo.
In such cases, the ideal treatment would be
dusting the area with antifungal powder multiple times in a day
Applying a combination of antibiotic steroid antifungal cream like mixing lotrimin (antifungal cream) with fluticasone( steroid) and fusidic acid/neosporin( antibiotic) and then using it twice daily over affected area.
Avoid wearing too tight or thick clothes( like denims)
Avoid wearing synthetic underclothes, wear cotton.
In case if you are overweight, please reduce your weight too.

Once lesions heal, continue with antifungal dusting powder to prevent further chafing.
Posting a pic would help me in confirming the diagnosis and making changes in my suggested treatment plan if required.
Hope this helped.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kalpana Pathak (12 hours later)
I uploaded a photo. The white is just the remnants of the cream. It looks a little better but you can still see the lesions and the splotchy parts. When I had jock itch, it was more concentrated and less splotchy. Is this what leads you to believe it could be intertrigo?
doctor
Answered by Dr. Kalpana Pathak (11 hours later)
Brief Answer:
it is frictional intertrigo

Detailed Answer:
Hi,
I have seen the attached pic.
It is frictional intertrigo or chafing of skin as you have mentioned.
Excessive sweating and friction causes intertrigo. Walking a long distance, tight clothes/denims, excessive weight contributes to it.
Treatment remains the same that I have mentioned in my previous post.
Jock itch or tinea cruris is ringworm of groins and is always caused by fungus of dermatophyte group. Intertrigo can be frictional, bacterial or due to yeast( type of fungus). It wasn't jock itch that led me to diagnose it as intertrigo. Your symptoms, attached pic and frequent walking schedule pin pointed towards diagnosis.
Hope this helped.
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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Suggest Treatment For Blisters And Rash In Upper Thighs

Brief Answer: it could be intertrigo Detailed Answer: Hi, Thanks for writing to us. From the description it seems either you are having severe case of frictional intertrigo( chafing) or candidal intertrigo. In such cases, the ideal treatment would be dusting the area with antifungal powder multiple times in a day Applying a combination of antibiotic steroid antifungal cream like mixing lotrimin (antifungal cream) with fluticasone( steroid) and fusidic acid/neosporin( antibiotic) and then using it twice daily over affected area. Avoid wearing too tight or thick clothes( like denims) Avoid wearing synthetic underclothes, wear cotton. In case if you are overweight, please reduce your weight too. Once lesions heal, continue with antifungal dusting powder to prevent further chafing. Posting a pic would help me in confirming the diagnosis and making changes in my suggested treatment plan if required. Hope this helped. Take care