Rash in between the thigh and genitals. Applied hydrocortisone cream, no improvement. Suggestions?
Patient: Hi, a few days ago I got what appeared to be a flare up of athletes foot . Then my toes and top of my foot swelled a little. Cleaned and dried it thoroughly, used the normal AF cream. That seems to be getting better. No I have a rash on my upper quad that seems to swell a little too. Its in the area where my underwear line would be on my leg. Itchy. Tried hydrocort cream, doesnt seem to help. any ideas? Doctor: sounds like a fungal infection of the groin region. hydrocort might look as if it is helping initially, because it will suppress the symptoms, but the fungal infection will actually get worse in the meantime. try using the antifungal cream that you have used on the foot. something with clotrimazole or terbinafine would be perfect. use it twice daily for 2 weeks. if the itching is really severe, use the AF cream in combination with hydrocort. Once this has settled down, use a powder with 1% clotrimazole as a preventive measure for the next few weeks. especially if you are in humid weather or perspire a lot.