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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Left Index Finger Dry. Pevaryl Spray, Diflucan Not Effective. Prescribed Alfacort, Aquaderm Creams. Possible Cause?

Good Day! I have a question my left index finger is dry but not really bad.. I don t know why? My first doctor gave me pevaryl spray and diflucan capsule for 1 month.. The diflucan capsule she give me 4 capsules and I take it once a week.. But I think it s not effective.. Then earlier I go to see a doctor again and she give me Alfacort Cream to put on the affected area of my fingers and Aquaderm skin creams for my hands.. I m worried cause my finger is not nice.. What is the probably cause of this Doc..? Thank you so much..
Wed, 3 Jul 2013
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Dermatologist 's  Response
Hi,
Thanks for writing to us.
from the description provided i could think of two possibilities.
Eczema
fungal infection
eczema presents as itchy dry red rash with peeling or thickening of skin
fungal infection may present as dry itchy skin with possible involvement of nail.

your first doctor thought its fungal infection and gave you an oral and topical antifungal while your second doctor diagnosed it as eczema.

The best way to diagnose these two conditions is to get a skin scraping done of affected area. The skin scraping can be checked for fungus.

hope that answered your query.
Take care
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Left Index Finger Dry. Pevaryl Spray, Diflucan Not Effective. Prescribed Alfacort, Aquaderm Creams. Possible Cause?

Hi, Thanks for writing to us. from the description provided i could think of two possibilities. Eczema fungal infection eczema presents as itchy dry red rash with peeling or thickening of skin fungal infection may present as dry itchy skin with possible involvement of nail. your first doctor thought its fungal infection and gave you an oral and topical antifungal while your second doctor diagnosed it as eczema. The best way to diagnose these two conditions is to get a skin scraping done of affected area. The skin scraping can be checked for fungus. hope that answered your query. Take care