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Suggest Treatment For Post-inflammatory Pigmentation In The Groin Area

Posted on Mon, 1 Aug 2016

Question: Hi doc,
I am a 25 year old male. XXXXXXX origins fair complexion.
I was obese before and used to do lot a cardio. I think I sweat a lot too. Might have gotten a groin fungal infection in the past but nothing recently. For the past 6 years or so. Area around my groin has become darkened. Inner thigh area. I think this is a friction and post fungal hyper pigmentation. As I lost weight the area of hyperpigmentation. Has decreased but in the areas where thighs meet just below the testicles it is still dark. As I am keeping the area dry it is becoming mildly lighter. But still I really like this girl I met and I a too embarrassed and it is affecting my sex life. Any suggestions should I use any topical cream. Am a medicine resident so too embarrassed to go to the derm clinic where other residents will be there. Should I use any cream? Thanks

Answered by Dr. Dr. Kakkar (10 minutes later)

Brief Answer:
Use a mild topical steroid+ antifungal combination cream

Detailed Answer:
Hello. thanm you for writing to us

I am dr.kakkar(dermatologist). i have gone through your query and i have noted your concern.

i suggest you to use a mild topical steroid+antifungal cream combination e.g clotrin- B cream Or candid- B cream, twice daily for 2 weeks. The antifungal would take care of any persistent fungal infection and the mild topical steroid would take care of post inflammatory pigmentation.

regards

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

Follow up: Dr. Dr. Kakkar (24 minutes later)

Hi Dr.Kakkar
Thanks for the quick follow up. I am confident there is no active fungal infection at this moment. But for hyperpigmentation secondary to friction and sweating. Is a steroid cream the best bet to reduce skin hyoerpigmentation. Just asking out of curiosity. What about something like hhdroquionine or melaquin? I was trying to understand the concept behind why there would be skin hyper pigmentation from skin friction and sweating and if this is common
Thanks. Sorry for so many questions
Thanks

Answered by Dr. Dr. Kakkar (22 hours later)

Brief Answer:
Dont use hydroquinine or melaquin

Detailed Answer:
hi.

hydroquinone or melaquin would be too irritating over delicate groin skin. A mild topical steroid would work ideally in case of pigmentation which is most likely post inflammatory hyperpigmentation due to past fungal infection Or friction, rubbing which induces skin lichenification and darkening Or due to acanthosis nigricans.

regards

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

Follow up: Dr. Dr. Kakkar (6 hours later)

Thanks for that. Final question is what is the success rate with the steroid cream and if you have seen cases like this
Thanks

Answered by Dr. Dr. Kakkar (18 hours later)

Brief Answer:
Topical steroid creams work for post inflammatory hyperpigmentation

Detailed Answer:
hu.

A topical steroid cream is a very effective remedy for post inflammatory hyperpigmentation.

regards

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. Prasad