Concluded Case

TI EA CRURIS due to TINEA RUBRUM infection

23 years male Itching and burning lesions What is the redline surrounding the lesion Type of the disease. Right treatment?

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Concluded answer

It is a case of TINEA CRURIS... presenting with an erythematous plaque with red-brown less scaly center Red line at margins suggestive of dermal nodules seen in chronicity of infection with TINEA RUBRUM... Treatment...best treatment option is Pulse therapy Itraconazole 200 mg 14 days every month for 3months ... Amorlifine topical application Clotrimazole dusting powder.

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Thank you Kishore sir for asking me to answer this case. Multiple erythematous patches with raised borders goes in favour of Tinea corporis. The reason for the redline surrounding the lesion is due to the disease activity. On the other hand, centre of the lesion indicates elimination of the fungus. I would prefer the following treatment: 1. Tab TERBINAFINE 500mg once daily for a month (as the drug is fungicidal) 2. TERBINAFINE cream twice daily 3. Advise on regular bathing with soap, proper washing of clothes etc

It is a case of TINEA CRURIS... presenting with an erythematous plaque with red-brown less scaly center Red line at margins suggestive of dermal nodules seen in chronicity of infection with TINEA RUBRUM... Treatment...best treatment option is Pulse therapy Itraconazole 200 mg 14 days every month for 3months ... Amorlifine topical application Clotrimazole dusting powder.

Red line surrounding lesion suggests still disease is active. Provisional diagnosis is tinea cruris ,can be confirmed after KOH examination of scales , treatment being oral antifungals( itraconazole) after LFTs for minimum 3 months and follow up of patient after that. Continuation of topical antifungal even after lesion subsides is one important thing

Tinea cruris