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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hello: My husband is 62. He has excama being treated

Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4278 Questions

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Posted on Thu, 4 Apr 2019 in Skin Hair and Nails
Question: Hello: My husband is 62. He has excama being treated by Eucrisa ointment - 2% prescribed by doctor a year ago. Continued use. The excama is in the entire buttock area from top of buttock's but not reaching to the rectum (opening). From what I saw last night, the area was purplish gray (against chocolate XXXXXXX XXXXXXX skin), a bit redish in areas, a bit seeping and some slightly round blotches on top of the area affected. The outer area of the affected area was becoming hard and swollen. I immediately had him take a warm bath to remove the Eucrisa cream and cleaned the area. He said that the warm water aided the itching and burning. I told him to put nothing on the affected area; but, to sleep without his undershorts so that air could circulate into the affected area. He also took liquid Benedryl. This morning, the major discoloring of purple was gone. The swollen area of excema has decreased noticeably. Looking up for home remedies, we put gel form of Aloe Vera-100% gel to delete risk of drying during the day. He also took another dose of Benedryl before leaving for work. (He went to bed at 11:00pm and awoke for work prep. at 4:30am. If a few hours, these bad symptoms had decreased. He has a doctor appointment for March 26th. Any thoughts on next steps. I prefer to use more herbal or home remedies as he has placed several kinds of creams combined on the area along with the Eucrisa (before he showed me last night the affects). One cream was a Preparation H hemroid cream and something else that I am not sure title.
ADDITIONALLY: He found a swollen nodule in the front groin area about the size of a green pea vegetable. It was not sensitive to touch last night but was a bit sensitive this morning. I understand that infections in one area can cause swollen lymph nodes in other areas.
doctor
Answered by Dr. Asmeet Kaur Sawhney 49 minutes later
Brief Answer:
Seems to be slightly infected eczema

Detailed Answer:
Hi
Welcome to ask a doctor service
I have gone through your query and understand your concern.
According to me his eczema seems to be slightly infected.
I would recommend him to apply a topical antibiotic like neosporin ointment and steroid cream like cortisone cream on the affected areas twice daily till the time he sees the dermatologist.
Also keep the area moisturised by frequent and regular application of a moisturizing cream containing white soft paraffin.
Avoid soaps, wear loose fitted clothes including cotton underwear, use lukewarm water for bathing and stay away from chemicals.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Asmeet Kaur Sawhney 52 minutes later
Not sure if you saw my additional information:
Last night he found a nodule in the groin area (perhaps the INGUINAL Lymph node) the size of a green pea vegetable. No noticeable sensitivity to touch last night; however, was slightly sensitive to touch this morning. Can you confirm any thoughts on this nodule? I know that nodules (lymph) often appear with infection...…..
The other topical cream that he had been placing on the purplish eczema was
NEOSPORIN Eczema essentials ...Dail moisturizing cream. by Relipid. He mentioned that this did not seem to stop any itching or burning up to last night. He does have a general itching in the groin area that has continued for several months. This also was being treated by the Eucrisa; but, did not seem to be eliminated. Does stress also add to the general itching and increase in the eczema?
…..I did receive your last note. I will print it out for details given.
….What symptoms do I need to be aware of for the slight infection besides the swelling if this might increase before March 26th appointment. I know that general fatigue and temperature increase may happen, right?
...He has been treated in the past year and half for a seemingly fungal symptom that occurred on his back. It seemed to be causing discoloring of his skin from "chocolate" to a beige. It did continue down into the "presently affected area of the eczema" but looked nothing like what I saw last night in the purplish swelling. The dermatologist had given him a cream to place on his back. He also advised to periodically go to the tanning bed to cover the discoloration. My husband does not seem to complain about the "fungus" system when the tanning bed heat is being applied to the area. ( Not sure if all that I just wrote might be connected?)
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Follow up: Dr. Asmeet Kaur Sawhney 5 minutes later
Did you receive my detailed reply to your diagnosis? I can't tell by what it says:
"Asked by Me, 0 minutes ago". I know it takes time to digest the information.
doctor
Answered by Dr. Asmeet Kaur Sawhney 21 minutes later
Brief Answer:
Redness, swelling, warmth, pain, oozing point to infection

Detailed Answer:
The lymph node enlargement seem to be due to infection in the pubic area.
Swelling, hardness and reddishness along with sensitivity point to some infection.
Pain, swelling, warmth in the affected area, oozing and redness are your clues to progressing infection.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Asmeet Kaur Sawhney 25 minutes later
Okay. I will keep this discussion file OPEN until my husband arrives home. If he has any other questions, I will write. I realize that we need to close the discussion next or it will automatically close in the 2 days time as given.
Thank you for your patience and advice!
doctor
Answered by Dr. Asmeet Kaur Sawhney 0 minute later
Brief Answer:
Welcome

Detailed Answer:
Welcome and all the best.
Above answer was peer-reviewed by : Dr. Raju A.T
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