TINEA CORPORIS FROM LAST 2 YEARS , ITRACONAZOLE & FLUCONAZOLE DIDNT WORKED !

50 Y T2DM male (well controlled Last HBA1C 6.2%) having this lesions over buttocks from last 2 years , Patient said After taking non veg meal , lesion got Erythematous , Despite of completing monthly course of Itraconazole 200mg , fluconazole , topical Cudic GM cream , This Tinea doest go away, please prescribe a new line of Rx for this !

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@ is cudic gm cream contain steroid ? if stop tht & change the molecule amrolfine or luliconazole, systemic itraconazole once & tab terbinafine , advice azyhromycin along with tht , if still pt doesnt get the result start cap isotroin

Yes mam CUDIC GM contains clobetasol
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Recurrent tinea curesis... 1. Avoid steroids combination cream Advice Luliconazole lotion+amorolofine cream for 2-3months even after the lesion has Gone. 2. Itraconazole 200: 1 od for 1 month...then shift on fluconazole 150weekly for 6 months 3. Increase the immune system of patient- give Multivitamin 7G or 11 G for 2 months 3. Clotimazole Dusting powder to keep the area dry. 4. Deworm the patient as they too act on some species of fungus. 5. After the treatment completion boil all the clothes and iron them all.

Thank you doctor
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Pt Diabetec RESITANT TINEA CRURIS Rx Oint. LULICONAZOLE BD Oint. CLOBETASOL+MICONAZOLE FLUCONAZOLE 200mg STAT, Repeat 150mg from next week for the next 4 Weeks LEVOCETIRIZINE 5mg OD KETOCONAZOLE SOAP FLUCONAZOLE DUSTING POWDER BD Adv to maintain proper hygiene.

Thank you doctor
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? TENIA .. ? TC .. ? RESISTANT TENIA ..

Thank you doctor
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Refractory tenia cruri Pt is diabetic hence response is poor Adv to keep personal hygiene Regular dusting of clotrimazole powder Use moisturiser frequently Rx Lulicanazole 1%oint twice daily Terbenafine oint twice daily Orally cap flucanazole 200mg Tab belastine 20mg bd or Apermilastine 10mg tds Keep follow up If pt is obese adv wt reduction Check TFT

Thanx dr kute Ankush
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