what is the diagnosis and management.
34 male,no comorbidities... Perianal rash (chronic ) with severe(worse at night) itching.. Serous discharge plus/minus. No relief with candid locally,candid powder etc Diagnosis and management.
Multiple perianal fissures with perianal pruritis Fucibact oint twice daily Deworming with albendazole Antibiotics like tab cefixime+ofloxacin 1bd Bulk laxatives Tab Levocetrizine5mg 1bd Review after one week
Times cruris Atarax bd Levocet bd Keto400 mg od4 to6 weeks Oint Luliconazole bd
Fissure
2 fissures
?Fissure ?Tinea Cruris Rx Tab Atarax 25mg bd Cap candistat 200mg od Luliconazole oint
TINEA CRURIS INFECTION TAB .TERBENAFIN MICONAZOLE OINTMENT
DX M. A. F. (MULTIPLE ANAL FISSURES) Rx Jatyadi oil (l/a) Sitz bath with panchkawal kwath*2 times a day
Tinia cruris. Tab fluconazole 200mg per week*4
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