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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Off The Rashes Under The Armpits And Inner Thighs?

Hi, i have rashes under my armpits n inner thighs for past 3 3.5 wks... my doctor had me on cephalexin but wasnt working.. so been using ketoconazole cream he prescribed but doesnt seem to be working.. any idea on what pther treatment or what the rash is?
Wed, 30 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of fungal infection/tinea pedis. This is because closely opposing body folds e.g finger webs, thighs and groin, axilla, submammary folds etc can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation.

The black powder like thing that comes off on scratching is actually dead skin/ epidermis.

If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/sertaconazole/luliconazole cream, twice daily, regularly for 4 weeks. Etaze AF cream contains topical terbinafine+mometasone. I would rather prefer a plain antifungal like clotrimazole/sertaconazole/luliconazole because mometasone if used for too long can cause side effects like skin atrophy and striae

Since you are already using an Oral antifungal e.g oral terbinafine once daily. I would suggest you to continue with it for 4-6 weeks for a more complete cure

An OTC antihistamine e.g cetrizine 10mg once daily would help you in symptomatic itch relief.

Keeping the folds dry by using an antifungal dusting powder would help in preventing the recurrence.

regards
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How To Get Rid Off The Rashes Under The Armpits And Inner Thighs?

Hello and welcome to healthcaremagic I would keep a possibility of fungal infection/tinea pedis. This is because closely opposing body folds e.g finger webs, thighs and groin, axilla, submammary folds etc can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. The black powder like thing that comes off on scratching is actually dead skin/ epidermis. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/sertaconazole/luliconazole cream, twice daily, regularly for 4 weeks. Etaze AF cream contains topical terbinafine+mometasone. I would rather prefer a plain antifungal like clotrimazole/sertaconazole/luliconazole because mometasone if used for too long can cause side effects like skin atrophy and striae Since you are already using an Oral antifungal e.g oral terbinafine once daily. I would suggest you to continue with it for 4-6 weeks for a more complete cure An OTC antihistamine e.g cetrizine 10mg once daily would help you in symptomatic itch relief. Keeping the folds dry by using an antifungal dusting powder would help in preventing the recurrence. regards