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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red Rash On Waistline, Itchy. Spread To Stomach, Sides, Knees. Tried Prednisone. What Do I Do?

I have a red blotchy rash that began on my waist line about a month ago. It spread across my belly down to hip bones. It has spread up my sides just below my underarms. Tried prescription steroid cream for 1 1/2 weeks no change. Saw my PCP and went on Prednosone (splg). Rash went away for a week and has returned. Now behind my knees. Does not really itch , but does a little. What do I need to do?
Fri, 5 Apr 2013
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Dermatologist 's  Response
Dear BushBear,
Hello and welcome to HCM.
You are suffering from fungal infection of the area known as Tinea cruris and Tinea corporis. Steroids are not at all the anywhere anytime part of treatment of this condition so immediately stop it otherwise your infection may get spread all over body. This condition is known as Tinea incognito ( you get initial benefit when you use steroids but then it flares up).
The best treatment is oral and topical treatment of antifungals with advice of your doctor which will improve the condition dramatically.
Other than that you should also understand that to prevent recurrent infection you must take daily bath with soap, maintain proper hygiene, wear cotton clothes, change your undergarments two times a day, maintain a dry environment to prevent growth of fungus.
With best health wishes,
Dr Sanjay Kumar Kanodia
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Red Rash On Waistline, Itchy. Spread To Stomach, Sides, Knees. Tried Prednisone. What Do I Do?

Dear BushBear, Hello and welcome to HCM. You are suffering from fungal infection of the area known as Tinea cruris and Tinea corporis. Steroids are not at all the anywhere anytime part of treatment of this condition so immediately stop it otherwise your infection may get spread all over body. This condition is known as Tinea incognito ( you get initial benefit when you use steroids but then it flares up). The best treatment is oral and topical treatment of antifungals with advice of your doctor which will improve the condition dramatically. Other than that you should also understand that to prevent recurrent infection you must take daily bath with soap, maintain proper hygiene, wear cotton clothes, change your undergarments two times a day, maintain a dry environment to prevent growth of fungus. With best health wishes, Dr Sanjay Kumar Kanodia