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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Dark Itchy Rashes In Outer Thigh,back And Buttocks

Hello. To whom it may concern. I am a 28 year old healthy female. I run, work out and eat rather healthy. I am African American, with light yellow pigmented skin. About three years ago I discovered an itchy rash of the inner thigh and groin area. I noticed it was linked to sweat so I avoided tight clothing because the dark rash also caused severe itch all over my skin. At first I thought the dark rash was from scaring due to shaving. However, the dark blotchy rash soon spread down my inner thigh, arms, face and chest. The blotches look almost map like, with hundreds of tiny and large dark speckles. I have tried to seek help from 3-5 different doctors. No one can help me. I have been on anti fungal medication, and topical creams. But nothing has ended the spreading of this rash. I have been diagnosed differently nearly every time: From contact dermatitis to a skin yeast/fungal infection, to hyper pigmentation. Again no one seems to be able to help me.Today the dark rash has spread to my outer thighs, lower back and buttocks. It looks like several dark bruises on my outer thighs, and my goin area looks permanently scarred. I cant even wear a bathing suit. My skin is itchy and almost always more dry than any other part of my body. The itch is not as terrible but whenever I begin to itch I know that the skin rash is moving or spreading and darkening. Spots on my skin often begin very light in color and then darken. Spots are mostly light all over my body, but extremely dark on my thigh and groin area. To me it is unsightly. I just need help.Sincerely,Judene
Mon, 29 Dec 2014
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Judging from your description and the distribution of the rash it does look like a fungal infection/tinea cruris.
Patches of fungal infection present as round or annular lesions with central clearing and raised margins; the margins extend peripherally to form irregular geographic/ map like pattern.
The patches are scaly and the lesions are usually itchy.
Lack of response to antifungals could be because of Inadequate treatment Or Re-infection Or Resistance.
You seem to have an extensive involvement and would definitely require a combination of both topical and Oral antifungals.
For a confirmatory diagnosis I would suggest a KOH wet preparation made from a small amount of scale scrapped from one of the skin lesions, to look for fungal elements.
Treatment of a confirmed fungal infection would be with topical antifungals like either sertaconazole, Luliconazole Or Amorolfine, twice daily for 4-6 weeks.
Oral antifungals should also be started along with topical antifungals. Fluconazole, Terbinafine, Itraconazole etc are all effective oral antifungal agents for widespread involvement.
These are all prescription medications and therefore I suggest you to visit a dermatologist for the needful.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.

Regards
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Suggest Medication For Dark Itchy Rashes In Outer Thigh,back And Buttocks

Hello. Thank you for writing to us at healthcaremagic Judging from your description and the distribution of the rash it does look like a fungal infection/tinea cruris. Patches of fungal infection present as round or annular lesions with central clearing and raised margins; the margins extend peripherally to form irregular geographic/ map like pattern. The patches are scaly and the lesions are usually itchy. Lack of response to antifungals could be because of Inadequate treatment Or Re-infection Or Resistance. You seem to have an extensive involvement and would definitely require a combination of both topical and Oral antifungals. For a confirmatory diagnosis I would suggest a KOH wet preparation made from a small amount of scale scrapped from one of the skin lesions, to look for fungal elements. Treatment of a confirmed fungal infection would be with topical antifungals like either sertaconazole, Luliconazole Or Amorolfine, twice daily for 4-6 weeks. Oral antifungals should also be started along with topical antifungals. Fluconazole, Terbinafine, Itraconazole etc are all effective oral antifungal agents for widespread involvement. These are all prescription medications and therefore I suggest you to visit a dermatologist for the needful. An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching. Regards