Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
170 Doctors are Online

Have itchy, red spots on legs and stomach. Tested negative for HIV. What could it be?

Jul 2012
User rating for this question
Very Good
Answered by

Practicing since : 1993
Answered : 1196 Questions
I have red round spots on my legs mostly and a couple on my stomach and arms that look like ringworm. It started with one spot on the back of my thigh that grew larger that looks like ringworm as well. They itch and sometimes burn. I went to Walgreens clinic and she scared me saying she has never seen so much ringworm in her life. Gave me ketacaonozale cream and lamisil pills. I've started cream but afraid to take pills. She said she was afraid I might have autoimmune. I took HIV test it was negative. Might it not be ringworm at all?
Thu, 13 Dec 2012 in Skin Rash
Answered by Dr. Praveen Rodrigues 5 hours later
Hi there.
If the doctor was a dermatologist, then yes it may just be 'ring-worm' or 'tinea corporis'. However, it is a touch difficult to concretely say so going by your description & from the image you presented. It looks more like some form of allergic vasculitis type of lesion with urticated/purpuric plaques. It may have been precipitated y some low grade viral infection. How long have you used the cream & has there been any benefit at all? I would suggest doing a simple CBC test (complete blood count with ESR) & a Platelet/BT/CT/PTT tests that will help you arrive at a diagnosis. Also, a skin biopsy of one of the lesions may be in order. I tend to agree with you that this does not seem to be a fungal infection going purely by the photograph you sent in. However, if so, lamisil pills are probably the order of the day...but before you start do a liver function test & a renal function test...then you are good to go. Cheers & do hope this has pointed you out in the direction of an informed consent. Good Luck!
Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Above answer was peer-reviewed by
Follow-up: Have itchy, red spots on legs and stomach. Tested negative for HIV. What could it be? 12 minutes later
It's not possible that it might be pityriasis rosea? And no the person that saw me was not a dermatologist, she was a nurse practitioner at a clinic. I have been on the ketacaonozale cream for 3 days. Is that long enough to see a difference if it is indeed ringworm? Allergic vasculitis sounds very scary.
Answered by Dr. Praveen Rodrigues 10 hours later
Hi there.
Pityraisis Rosea is by itself a differential diagnosis for vasculitis.
No Vasculitis esp allergic is far from scary & easily addressed.
If not a dermatologist, please consult with one on the ground & this will greatly help you. Yes 3 days is enough to see some result or change in the rash if fungal.
Had suggested a host of blood tests. Please get them done & review with your dermatologist with them.
Cheers & Good luck.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor