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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Brown Spots On Pubic Area

Hello, I have a few brown spots around my pubic area. In one area of the brown spot, it sometimes itches badly but rarely. They kind of look like birthmarks but I feel they are something different. I also have brown spotting on both sides of my legs right where the scrotum and the legs rub.
Mon, 23 Mar 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

I suggest a possibility of fungal infection/ tinea. Itching is a feature of fungal infections.
Tinea classically involves body folds like groins, axilla, sub mammary folds.
The anatomy of the folds is such that they trap moisture and warmth and thus are conducive for fungal growth specially in hot and humid weather in summers.
This can be confirmed by making a KOH wet preparation from a small amount of scale scrapped from the edges of spots and looking under the microscope for fungal elements i.e hyphae.
Treatment of a confirmed fungal infection is with one of the topical antifungals like clotrimazole, terbinafine, bifonazole etc
Oral antifungals like fluconazole , terbinafine , may also be started if the infection is extensive and for faster relief.
I suggest that you visit a dermatologist for a confirmatory diagnosis as well as for the needful.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.

Regards
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Suggest Treatment For Brown Spots On Pubic Area

Hello. Thank you for writing to us I suggest a possibility of fungal infection/ tinea. Itching is a feature of fungal infections. Tinea classically involves body folds like groins, axilla, sub mammary folds. The anatomy of the folds is such that they trap moisture and warmth and thus are conducive for fungal growth specially in hot and humid weather in summers. This can be confirmed by making a KOH wet preparation from a small amount of scale scrapped from the edges of spots and looking under the microscope for fungal elements i.e hyphae. Treatment of a confirmed fungal infection is with one of the topical antifungals like clotrimazole, terbinafine, bifonazole etc Oral antifungals like fluconazole , terbinafine , may also be started if the infection is extensive and for faster relief. I suggest that you visit a dermatologist for a confirmatory diagnosis as well as for the needful. An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching. Regards