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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for black patches in groin area

Hi, I have been suffering from the fungal infection since last 8o-10 weeks. The groin area, feet and near/behind left skin are the affected areas. Have tried creams like Daktrine gel, flubact gm, emusone m.. also the tablet af 150. While taking medication, the infection disappears. However, once i stop taking medicines, it reappears. The skin near ear (on face) has got changed and it shows a blackish patch. The skin at groin area has deep red/black patches. Can you consult??
Wed, 4 May 2016
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Dermatologist 's  Response
Hello
Fungal infection indeed is very problematic if it becomes recurrent.
1st of all You keep these precaution in mind
1. Dont keep the area wet at all . Use powder frequently to keep it dry
2. Avoid itching and don't scratch it
3. Change the under garments
4. Don't apply and general or steroid cream like betnovate etc
5. Don't stop the medicine once you cure. Continue medicine for long time to completely kill the fungal
6. Avoid excessive sweating and wet cloths
7. Check diabetes and thyroid it is really recurrent even after proper treatment.
Now treatment part
1. Ketoconazole cream tab+ terbinafine 250 mg for 2 month
2. Terbinafine cream +fluconazole 150 mg twice in week for 2 month
3. Tab itraconazole 200 mg once in a day any cream for 1 month
these are treatment combinations. continue it
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