Concluded Case

ATYPICAL TINEA CRURIS et CORPORIS

18 years female itching and burning on her genetals buttocks and left axilla since 6 months. consulted dermatologists. respond to treatment but after few days again she develops same areas again. what is your diagnosis? how to treat this case without recurrence.?

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Concluded answer

The Right diagnosis of this condition is ATYPICAL TINEA CORPORIS and CRURIS... Here visual shows LICHENIFICATION and PIGMENTATION..The fungus that melanizing itself by producing MANNINS capsulting structures around it, so it protects the fungal filaments. And appearing as thick and pigmentation..

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SIR, It's a case of: - RECALCITRANT TINEA CORPORIS N CRURIS. - Where Lesions of Tinea INCREASES it's IMMUNE STATUS N MODIFIED their MORPHOLOGY--- - KOH PREPARATION / TISSUE SCRAPPING RX: - Wash da areas by Ketoconazole Soap TDS - Topical Amorolfin 0.25% BDS - Fluconazole Powder QDS - C. Itraconazole 200 mg, ODS for 4Wks - Antihistaminic SOS - Personal Hygiene.

Add to the list Check her BSL levels... Any relevant family history
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It's RECALCITRANT TINEA with IRRITANT CONTACT DERMATITIS. She is given history of applying different types of ointments and Ayurvedic products. So she develops this. TREATMENT Stop all topicals Sitz bath and keep that area dry as much as possible. Cap ITRACONAZOLE 200 mg daily for 3 weeks Morning AMORLOFINE cream Night Salicylic acid with momentasome application for half an hour daily for 1 week and wash with ketoconazole soap again applying AMORLOFINE cream. Fluconazole dusting powder after application. Antihistamines to combat the itching.

Respected @Dr. P.kishore Kumar SIR, Why Mometasone Sir? I mean what is da role of Mometasone N Salisylic Acid, here--- I don't understand, SIR--- Can U Please Clarify SIR, if Possible? Thanks.
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The Right diagnosis of this condition is ATYPICAL TINEA CORPORIS and CRURIS... Here visual shows LICHENIFICATION and PIGMENTATION..The fungus that melanizing itself by producing MANNINS capsulting structures around it, so it protects the fungal filaments. And appearing as thick and pigmentation..

Recalcitrant tinea corporis and cruris Koh..test 1.cap.itracanazole 200 od..1month 2.topical lulicanazole od /amorolfine 0.25 bd 3.hygine 3.keto soap for bath 4.clortrimazole dusting powder

It is clearly (typical site & quite typical presentation) a case of Tinea corporis with cruris (primary pathology)....but the patient has developed Mild ICD (most likely to anti-fungal cream because only the infected area has burning, where the patient would have applied topical anti-fungal... Need further history in that regard because it could be some home remedy for fungal infection which leads to irritation of skin). Treatment : - Avoid "class" of topical anti-fungal used earlier if there is positive history. - Cap Itraconazole 200mg OD. - Give mild steroid and Anti-fungal (different class) combination. - Antihistamine. - Very Strict care to prevent fungal spread as well as to avoid anything which irritate skin.

Tinea corporis or atopic dermatitis or irritant contact dermatitis

Recalcitrant Tinea with Irritant Contact Dermatitis

Tinea Cruris

After 5th day see the respond to above said treatment.

Tinea corporis

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