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Suggest Remedies For A Rash On The Shin

Posted on Mon, 23 May 2016

Question: Rash on shin. It was 2 inches wide and I had it for 4 weeks. I put cortisone on it, nothing happened. I began putting Ketoconazole on it and it doubled.

Here is the photo

Answered by Dr. Muhammad Ali Rauf (7 hours later)

Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes. i would be in a better position to guide you anything if you answer following questions please:

1. any history of insect bite?
2. any history of fever or pain at the site of rash?
3. what is your normal daily routine?
4. any history of trauma to that site?
5. do you or anyone in the family has history of diabetes, hypertension or other illness?
6. are you on any medication?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

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

Follow up: Dr. Muhammad Ali Rauf (1 hour later)

1. No. Had a few scratches there when i noticed the rash.
2. No.
3. Appeared a few days after working in the yard cutting down trees. Otherwise office worker.
4. Scratches.
5. No.
6. No.

I think it is ring worm.

Answered by Dr. Muhammad Ali Rauf (6 hours later)

Brief Answer:
Please see details

Detailed Answer:
Hello

Thank you for getting back with the answers & i apologise for the delay. I have gone through them as well as the image. Most probable differential in this case would be Eczema & tinea (fungal infection). As there is no history of itching so Eczema would be on top of the list. Your primary doctor was right in referring you to a dermatologist for confirmation. I would recommend same because some of the medicines given for eczema are prescription only meds and only he can prescribe them. Following measures will help to resolve it:

- hydrocortisone 1% cream - apply in small quantity over the patch.
- cetirizine one at night for 3 days
- If there is a secondary bacterial infection, appropriate antibiotics would be required to tackle the same.
- Long duration hyper-pigmented and thickened lesions, application of steroid with Salicylic acid preparations.
- Application of moisturizing agents or emollients like vaseline.

These steps will help to reduce the symptoms. Meanwhile visit hospital to get an appointment for a "Consultant Dermatologist"

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

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