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What Causes Multiple Reddish Lesions On Right Leg?
Question: Hi, I asked this question to a doctor last night. I thought I'd get a second opinion of snot doctor, maybe a skin specialist. I've been diagnosed with tinea corporis and tinea crusis. I had a secondary
infection which is much better since I finished my course of antibiotics. I've been taking lamisil for th. last 7 days. my rash seems to be better and has not spread at all but it has turned a bright red/purple colour and also had many pimples on my rash. the pimples are also getting better too. is there anything else I can do to help me get rid off this rash.
infection which is much better since I finished my course of antibiotics. I've been taking lamisil for th. last 7 days. my rash seems to be better and has not spread at all but it has turned a bright red/purple colour and also had many pimples on my rash. the pimples are also getting better too. is there anything else I can do to help me get rid off this rash.
Brief Answer:
I suggest to add Oral antihistamine e.g cetrizine and topical antifungal
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Images.
In one of the image I can see multiple, red colored lesions scattered on whole of right leg and I can also see a close up of scaly lesion with excoriated lesions/ pimples in another Image.
The red, excoriated pimples/ lesions on the patches are probably secondary to scratching.
Tinea is usually itchy. I would like to know whether this rash is itchy? Do you scratch a lot?
I would also like to know whether tinea was a clinical diagnosis Or was it also confirmed with a lab test as to be fungal in origin?
Are you using any topical preparation for the patches?
I request you to upload a few more digital Images (including groin), as many as you can for my review.
Oral tablet that you have been taking contains terbinafine which is a fungicidal and a good choice in such widely distributed fungal infection.
I would suggest that you add an OTC oral antihistamine e.g cetrizine 10 mg once or twice daily, for symptomatic relief from itching.
This would prevent scratching and excoriations.
Topical antifungal cream e.g terbinafine 1% cream, twice daily may be added and would be helpful in faster clearance of fungal infection.
The course of oral and topical and oral antifungals usually lasts 4-6 weeks.
Regards
I suggest to add Oral antihistamine e.g cetrizine and topical antifungal
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Images.
In one of the image I can see multiple, red colored lesions scattered on whole of right leg and I can also see a close up of scaly lesion with excoriated lesions/ pimples in another Image.
The red, excoriated pimples/ lesions on the patches are probably secondary to scratching.
Tinea is usually itchy. I would like to know whether this rash is itchy? Do you scratch a lot?
I would also like to know whether tinea was a clinical diagnosis Or was it also confirmed with a lab test as to be fungal in origin?
Are you using any topical preparation for the patches?
I request you to upload a few more digital Images (including groin), as many as you can for my review.
Oral tablet that you have been taking contains terbinafine which is a fungicidal and a good choice in such widely distributed fungal infection.
I would suggest that you add an OTC oral antihistamine e.g cetrizine 10 mg once or twice daily, for symptomatic relief from itching.
This would prevent scratching and excoriations.
Topical antifungal cream e.g terbinafine 1% cream, twice daily may be added and would be helpful in faster clearance of fungal infection.
The course of oral and topical and oral antifungals usually lasts 4-6 weeks.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thank you for your reply. Well this started about 5 weeks ago. I seen 2 doctors that both said it was a allergy from sonething I had eaten. The doctor prescribed me prednisolone which i took for 3 weeks. I went back to work which is on a mine site in a remote location whilst I was taking this medication which I thought would help my rash but it become much worse. it is 45 degrees everyday and I sweat prefucly which obviously made my rash spread. My groin area got a secondary in devotion which is fine now. I work a 4 week on 1 week off roster so once I flew out 9n my break I went straight to hospital where a skin specialist diagnosed me with tinea crusis and tinea corporis. She told me to stop taking the predisilone straight away and prescribed me zithormax and miaact antibiotics fir the infection which cured my secondary infection. she has also prescribed me lamisil which I've been taking fir 7 days now. The rash does become itch mainly at night when I'm in bed but 8 ve berm taking antihistamines to help with the itching
Brief Answer:
I suggest you to continue with topical and oral antifungals for 4-6 weeks
Detailed Answer:
Hi.
Thank you for follow up Images.
These are definitely suggestive of Tinea; Tinea Incognito to be more precise.
"Tinea incognito" refers to superficial fungal infections with clinical presentations that have been modified by the administration of steroids (oral or topical); in your case secondary infections (i.e pustules) and florid growth.
I suggest you to continue with Oral terbinafine for at least 4-6 weeks.
You may continue with either Loratadine Or Cetrizine, once or twice daily for symptomatic relief.
Topically I would suggest terbinafine cream, to be applied twice daily for 4-6 weeks.
Regards
I suggest you to continue with topical and oral antifungals for 4-6 weeks
Detailed Answer:
Hi.
Thank you for follow up Images.
These are definitely suggestive of Tinea; Tinea Incognito to be more precise.
"Tinea incognito" refers to superficial fungal infections with clinical presentations that have been modified by the administration of steroids (oral or topical); in your case secondary infections (i.e pustules) and florid growth.
I suggest you to continue with Oral terbinafine for at least 4-6 weeks.
You may continue with either Loratadine Or Cetrizine, once or twice daily for symptomatic relief.
Topically I would suggest terbinafine cream, to be applied twice daily for 4-6 weeks.
Regards
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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