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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dark Patches On The Crease Of Buttocks

I have what appears to be a patch of DARK DRY skin on my lower butt cheek right at the crease, it s raised a little it feels like there is something under the skin, it itches some times only, but I have to mention that about a year ago i had really bad itch in that area & the waist area and dermatologist gave me Desonide pint. 0.05 % to use at the waist and for the Butt he gave me Hydrocortisone 1 % but I used the Desonide on the butt area sometimes instead of the Hydrocortisone, that help the itch back then , I don t have this condition anymore but the Dark patches only in the crease of the but is something came after, please I need your help, I can download pictures if I have too. Thank you
Thu, 29 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Your history seems to suggest that you had and rather still have a fungal infection at the crease. Itching and scaling being part of infection.
The dark patches are actually post-inflammatory hyperpigmentation/ PIH that is quite common with tinea/ fungal infections.
The creams that you used are purely topical steroids and though they would provide some symptomatic relief from itching as long as you use them, the infection is going to return once you stop these cream and moreover they would not resolve the infection.
If I was the treating doctor I would suggest you to use a topical antifungal like sertaconazole, luliconazole or bifonazole, twice daily. You may try an OTC topical antifungal e.g clotrimazole cream, twice daily for 4-6 weeks.
I would also suggest an Oral antifungal e.g weekly fluconazole for 4-6 weeks.
Oral antifungals together with topical antifungals are better able to take control of fungal infection.
Once the fungal infection resolves, pigmentation would resolve gradually.
I suggest you to visit a dermatologist for a confirmatory diagnosis and appropriate treatment.

Regards
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Suggest Treatment For Dark Patches On The Crease Of Buttocks

Hello. Thank you for writing to us at healthcaremagic Your history seems to suggest that you had and rather still have a fungal infection at the crease. Itching and scaling being part of infection. The dark patches are actually post-inflammatory hyperpigmentation/ PIH that is quite common with tinea/ fungal infections. The creams that you used are purely topical steroids and though they would provide some symptomatic relief from itching as long as you use them, the infection is going to return once you stop these cream and moreover they would not resolve the infection. If I was the treating doctor I would suggest you to use a topical antifungal like sertaconazole, luliconazole or bifonazole, twice daily. You may try an OTC topical antifungal e.g clotrimazole cream, twice daily for 4-6 weeks. I would also suggest an Oral antifungal e.g weekly fluconazole for 4-6 weeks. Oral antifungals together with topical antifungals are better able to take control of fungal infection. Once the fungal infection resolves, pigmentation would resolve gradually. I suggest you to visit a dermatologist for a confirmatory diagnosis and appropriate treatment. Regards