I have fungal infection on my shoulders, breasts, and stomach with dandruff in scalp. Please help.

Hello,

Welcome to icliniq.com.

I understand your concern; from your history, I suppose you have already been diagnosed with fungal infection/tinea corporis, as there could be many reasons for red rashes like urticaria, eczema, atopic dermatitis, drug allergy, food allergy, fungal infection, folliculitis, seborrheic dermatitis, truncal acne, insect bite reaction, and photosensitivity. However, if you have already been diagnosed with tinea corporis/ fungal infection, you can apply (if age above 20 years) Luliconazole cream for local application twice daily for two weeks, tablet Cetirizine 10 mg once daily in the night for five days, Ketoconazole soap for washing twice daily, and Ketoconazole 2 % shampoo for scalp (apply for five to eight minutes on the scalp before wash, twice weekly).

I can give you oral anti-fungal medication only after seeing the photo of the lesion and grading its severity. Review after two weeks. Do not continue the medications without the doctor's advice. Also, follow some general measures. Wear loose, breathable clothes. Do not use strong soaps or detergents. Avoid wet clothes. Stay in a cool, well-ventilated room. Avoid itching to prevent secondary bacterial skin infection. Do not use body scrubbers. Do not share personal belongings. Sundry clothes and iron clothes before using them to prevent a potential fungal infection. Use only dry clothes. Iron your clothes before wearing them to kill the fungal molds. Frequent changing of bed linens and towels.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Yes, you can use it. Dose adjustment would be needed only for the pediatric age group and weight. Since your age was not mentioned in the query, it needed to be confirmed.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Hello,

Welcome back to icliniq.com.

I have seen the attached photos (attachment removed to protect patient identity); since the fungal lesions on the body are tinea versicolor, which is different from tinea corporis, instead of Luliconazole cream, you can apply Candid TV lotion. Since the lesions are minimal, you do not require an oral antifungal medication.

You can use Candid TV lotion to be applied on the lesions three to five minutes before bathing twice weekly for two weeks. You can continue using the Ketoconazole soap (antifungal soap) tablet and Cetirizine tablet (if itching is present). Review after two weeks to see whether to continue the medication or not. Do not continue the medications without the doctor's advice. I have seen the scalp photo, but it is not clear at all. However, for dandruff, you can take Nizoral shampoo (Ketoconazole 2 %) and apply it on the scalp for five to eight minutes before washing, with daily application for the first week and then twice weekly from the second week.

Continue until clearance. From the finger photo, it looks like a minor exfoliation, skin peeling, and not anything to be worried about. You can apply any moisturizer to that area.

I hope this helps.

Kindly revert in case of further queries.

Thank you.