Patient's Query
Hello doctor,
I have been suffering from allergies for the past four days. I have been using Keto 4S cream thrice daily, Candiforce 200 mg once every two days after food, and Levocetirizine daily at night after dinner. Even after taking these medications, I have not observed any changes. Kindly help. Thank you.
Hello,
Welcome to icliniq.com.
Thank you for your query. I reviewed your history and image (attachment removed to protect patient's identity). The most likely possibility of the skin condition is post-inflammatory hyperpigmentation, also presented as lichen planus. Unfortunately, the history provided from your end is insufficient. Therefore, I request you to give a few more details. What are the symptoms associated with the lesions? Was the current medication prescribed by a doctor after the consultation? Did you notice any change in the appearance of the lesion? Any family history of similar lesions? The current medications, as you have mentioned in the history, are for the treatment of tinea infections which are fungal infections. In the case of tinea, the medicines need to be used for at least eight weeks to notice changes and reduce symptoms and intensity of lesions. Keto 4S cream, as mentioned, when used on tinea infections, would not show changes as it is a combination cream with ingredients contradicting the treatment of tinea, which may result in a flare-up of the current condition. Therefore, I would suggest you to stop the medications for three days and undergo the following before starting the treatment, depending on the report. KOH (potassium hydroxide) skin scraping test, where the skin scalings are scraped gently and tested to see the presence of fungal elements. In the absence of fungal elements, the current medication would not show changes, requiring a change of the current treatment. I suggest CBC (complete blood count), ESR (erythrocyte sedimentation rate), and CRP (c-reactive protein) tests be done to rule out the presence of allergic reactions and the presence of recent infections or inflammatory responses within the body. Kindly follow up with the above details. I hope this has helped you. Thank you.
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