32 year old married female, ,tinea cruris since 6 months,have vaginal spotting 2d,nonpreg,diagnosis?

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Causes for Tenia cruris are Overweight or obesity Poor hygiene Wearing tight undergarments Excess sweating Undiagnosed Type 2 DM Coming to the treatment Rule out Diabetes mellitus Advice hygiene Oral antihistamines Oral antifungal s Antifungal creams Dusting antifungal powder in the morning and antifungal ointment in the night Ask to wear loose cotton clothes. Medicated soap or antifungal shampoo applied over effected area for some time and wash with plain water. Wash clothes daily and dry under sun light. Vaginal spotting , rule out vaginal candidiasis or other vaginal infection. Do USG abdomen and pelvis to rule out any abnormalities of uterus and ovaries.

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Fir Tinea, Tab Gris od for 15days Tab levocet at night Surfaz SN ointment at night Tyza dusting powder during day Keto soap Local hygiene Adv BSL fasting and PP As far as spotting is concerned, What are the PS/PV findings. Adv USG pelvis

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Two Tinea cruris and spotting are different matters Tinea cruris is to be treated on line of antifungal, including blood sugar if found Vaginal spotting is to be investigated clinically, pap smear and biopsy if needed

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For Tinea,

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Tinea crusis common in overweight and person wearing tight clothes or who sweat a lot Fungal infection respond well to antifungal cream For spotting do P/S and TVS Any history of IPill

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History of menses spotting 2 days check after 2 days upt keto 400 mg od4 to 6 week oint luliconazole od28 days

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