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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rashes On The Skin Of The Neck. Tried Hydrocortisone Cream. Any Suggestions?

I have developed a rash , so to speak. Roughly 3 weeks ago it started as a single red patch of skin on the side of my neck a little less than 1/4 across. Within a couple of days it had grown into an oval about 1/2 x 1 with the original area appearing whitish as if it had been a topical burn such as touching a hot oven rack. About that time I spotted another oval patch in my armpit which developed a whitish patch in the center, as well. At 3 weeks the original patch is now approximately 7/8 x 1.5 and is mostly just red. No other symptoms other than a slight itching when exposed to heat and sweat (working out). The second patch has enlarged a little, but not as much as the original. However, over the past 3 days I have had a succession of new small red patches (8) which are noticeably growing per the previous pattern. These new patches have no recognizable pattern, but are random in placement beginning at armpit level and now extending below the waistline. I have tried a hydrocortisone cream and plain raw aloe , but to no observable benefit.
Wed, 31 Jul 2013
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General & Family Physician 's  Response
Hello dear,

The case history as mentioned in your post suggests that it might be due to fungal infection.
Management includes:
1. Keeping the area dry & avoid too much exposure to water or sweat formation.
2. Antihistamine preparations like cetirizine to provide symptomatic relief.
3. Application of topical antifungal cream to tackle the causative organism.
4. Topical antibiotics can also be applied to prevent secondary bacterial infections.

If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause.
So that appropriate management steps could be taken.

Also avoid wearing tight clothes...as it will cause sweating & aggravate the infections.

Wishing a good health.
Take care
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Rashes On The Skin Of The Neck. Tried Hydrocortisone Cream. Any Suggestions?

Hello dear, The case history as mentioned in your post suggests that it might be due to fungal infection. Management includes: 1. Keeping the area dry & avoid too much exposure to water or sweat formation. 2. Antihistamine preparations like cetirizine to provide symptomatic relief. 3. Application of topical antifungal cream to tackle the causative organism. 4. Topical antibiotics can also be applied to prevent secondary bacterial infections. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight clothes...as it will cause sweating & aggravate the infections. Wishing a good health. Take care