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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Stop Development Of Sore Red Rash In Thigh And Scrotum?

I went out hiking and developed a sore red rash between my upper thigh and scrotum. it burns a little and has an odor and is moist. I normally wear briefs for underwear, but during this hike I wore boxer briefs and fairly tight long underwear. Any idea whats going on and how to help it?
Tue, 29 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.

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 Stop Development Of Sore Red Rash In Thigh And Scrotum?

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. 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