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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Small Rash On The Thigh

Hi, Ive been looking this up and Ive found others have had the same exact thing as me, but Ive also noticed that docters give them different answers to what it is. I have what seems to be a small rash the size of a quarter between my high left thigh going into my scrotum. Its not exactly bumpy but I see small red spots that look like they could be bumps, its smooth for the most part. Its irritated and has a feeling of being inflamed. Its also glossy and moist with something that smell awful. The moister coming from the rash apears to be clear. I had scratch it a few days ago, and all of a sudden all this happens. Like when I go to use the toilet I can smell my groin and its awful. Im shocked this affliction has come about so quickly and intensly.
Tue, 31 Mar 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

I suggest a likely possibility of Tinea cruris/ fungal infection.
Body folds like groin/ inner thigh area, axillae, sun-mammary area etc trap moisture as well as warmth and therefore provide a conducive environment for the fungus to grow, specially in summers.
Tinea of groins usually presents as patches of red, scaly skin.
The lesions of tinea may be composed of bumps as well as oval or round or ring shaped patches with central clearing.
If I was the treating doctor I would have started you on an antifungal cream e.g clotrimazole Or sertaconazole. It can be used twice daily.
Simultaneously I would have also liked to start you on Oral antifungals e.g fluconazole Or terbinafine.
Oral antifungals are faster acting and are therefore preferably combined with topical antifungals, specially if there is extensive involvement.
Oral as well as topical antifungals need to be continued for 4-6 weeks for a complete cure.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.
Fungal infections can recur if the conditions conducive for fungal growth tend to prevail.
General measures would include wearing loose fitting cotton clothes and cotton undergarments, bathing twice daily specially in summers.
Moreover, once the fungal infection has resolved, using an antifungal dusting powder regularly in the groin folds is useful in preventing a relapse.

Regards
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Suggest Treatment For A Small Rash On The Thigh

Hello. Thank you for writing to us I suggest a likely possibility of Tinea cruris/ fungal infection. Body folds like groin/ inner thigh area, axillae, sun-mammary area etc trap moisture as well as warmth and therefore provide a conducive environment for the fungus to grow, specially in summers. Tinea of groins usually presents as patches of red, scaly skin. The lesions of tinea may be composed of bumps as well as oval or round or ring shaped patches with central clearing. If I was the treating doctor I would have started you on an antifungal cream e.g clotrimazole Or sertaconazole. It can be used twice daily. Simultaneously I would have also liked to start you on Oral antifungals e.g fluconazole Or terbinafine. Oral antifungals are faster acting and are therefore preferably combined with topical antifungals, specially if there is extensive involvement. Oral as well as topical antifungals need to be continued for 4-6 weeks for a complete cure. An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching. Fungal infections can recur if the conditions conducive for fungal growth tend to prevail. General measures would include wearing loose fitting cotton clothes and cotton undergarments, bathing twice daily specially in summers. Moreover, once the fungal infection has resolved, using an antifungal dusting powder regularly in the groin folds is useful in preventing a relapse. Regards