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Small Lumps And Itchy Skin Near Groin. Used Anti Fungal Cream. What To Do Now?

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Posted on Thu, 4 Oct 2012
Question: I have small lumps and itchy skin near my groin, i tried some anti-fungal before it subdued and now its shows up again.
doctor
Answered by Dr. Praveen Rodrigues (1 hour later)
Hello XXXXXXX
Have viewed your photographs & read your description. Is it possible that you have recently shaved this region & is it possible that this has been done 'against the grain' of the genral direction of growth of hair in the area. It does appear to be a 'pseudofolliculitis'.
I would recommend using a combination cream of a steroid (betamethasone)-antifungal(miconazole,ketoconazole) twice/daily over a 1 week period. Add on a systemic antifungal (fluconazole 200mg) taken ONE time (once/week) & XXXXXXX be repeated after a week..total 2 tabs. This regime should help suprress the lesions. Avoid shaving against the grain & perhaps apply this same cream immediately after shaving for 24 hrs followed by a BIODERMA company cream called Sensibio D.S. that is non-steroidal & can be used for long periods of time.
Trust this has answered your query & wish you a clear skin soon! Cheers!
Dr Praveen Rodrigues MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Praveen Rodrigues (40 hours later)
Yest I shave once in few months due to sweat, itchy and foul smell sometime. is there any other alternative to shaving to keep that space clean?
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Follow up: Dr. Praveen Rodrigues (8 minutes later)
you also mentioned XXXXXXX whats the full name of it, i can't able to find it.

Thanks
doctor
Answered by Dr. Praveen Rodrigues (10 hours later)
Dear XXXXXXX
At the outset, apologies regards 'amy'. We doctors' are not the most gifted when it comes to handwriting & guess the same extrapolates to typos. XXXXXXX should have read 'may' & the speed at which i type, probably accounted for it!
As for your query as alternatives to shaving, might i suggest going in for 'laser hair removal'. The art has been perfected over 2 decades almost now & but for the expense (that can vary from centre to centre & is probably cheaper in countries like India & the Far-East), it does get rid of 90% of the hair permanently & is what i would recommend. In addition, please get hold of any antifungal soap (2% ketoconazole) & use it in the area..keep it on for 10 mts or so & wash off & this may be done twice/week or alternate days more as a preventive measure & to ward off the 'smell' aspect. Cheers & trust this has answered your query & once again, apologies for sending you on a hunt for 'amy'...if you were single, that may have been an interesting search ;-) just kidding.
If we are good to go, please do close the query & trust my ratings will suffer on account of XXXXXXX :) Do hope the advice comes in handy tho'!
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Rodrigues

Dermatologist

Practicing since :1993

Answered : 1193 Questions

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Small Lumps And Itchy Skin Near Groin. Used Anti Fungal Cream. What To Do Now?

Hello XXXXXXX
Have viewed your photographs & read your description. Is it possible that you have recently shaved this region & is it possible that this has been done 'against the grain' of the genral direction of growth of hair in the area. It does appear to be a 'pseudofolliculitis'.
I would recommend using a combination cream of a steroid (betamethasone)-antifungal(miconazole,ketoconazole) twice/daily over a 1 week period. Add on a systemic antifungal (fluconazole 200mg) taken ONE time (once/week) & XXXXXXX be repeated after a week..total 2 tabs. This regime should help suprress the lesions. Avoid shaving against the grain & perhaps apply this same cream immediately after shaving for 24 hrs followed by a BIODERMA company cream called Sensibio D.S. that is non-steroidal & can be used for long periods of time.
Trust this has answered your query & wish you a clear skin soon! Cheers!
Dr Praveen Rodrigues MD