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Tinea or psoriasis
Just want to ask whether it's tinea or psoriasis. I have been using antifungal treatment for 19 days. Still no improvement. It's because of diabetic symptoms or any hiv exposure early symptoms. Also it didn't spread to my partner. Kindly help. How will it cure ?
Answers (17)
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Long term treatment , ftom skin doctor .
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It appears like a fungal infection.Only a physical examination will help to determine the exact cause,do consult a dermatologist in your area
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You have to see a dermatologist for detailed diagnosis.
Avoid putting steroidal creams it may worsen after a period of time.
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Looks like fungal infection. Take tab griseofulvin 500mg one daily for 2 weeks.
Apply miconazole ointment twice each locally for 2 weeks.
Use mycoderm dusting powder after shower and when changing clothes.
Wear loose cotton clothes.
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Candid b cream twice daily for 2 weeks
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It looks like Tinea ..
Fungal infections need appropriate care and hygiene and prolonged treatment for 2-3 weeks usually..
If u miss any of these then it can recurr..
I need more details like wether there is any itching ,and is it present on any other body part? Whether it first responded to treatment then u stopped and recurred?? Which medication u are using..
Kindly consult me on Practo for detailed and informed management
Next Steps
Firstly maintain the area dry and hygenic
Always wear washed and dried clothes
Warmth and moist are good enviromnet for fungal growth ..So try to maintain the area dry as much as possible ..
Always clean and dry the area and then apply the antifungal ointment ( LULICONOZOLE 1%)
twice a day..
Tab.CETRIZINE 10 mg once everynight may be added if there is severe itching ..
ointment needs to be continued for 1 week more even after visible resolution of the lesion to prevent recurrence
Health Tips
If u have followed all of the above and still its persisting then Kindly consult a dermatologist for further evaluvation and treatment.
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Already answered go to dermatologist or homeopathy
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Need few more details for further evaluation. Please consult
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Need some more history from your side to give you better treatment plan and advice on your case
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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The whitish silvery scaly plaques in the groin with 19 days of antifungal treatment showing zero improvement points toward inverse (flexural) psoriasis rather than tinea cruris. Tinea typically shows a ring-like spreading border and responds to antifungals within 2-3 weeks. This is not related to HIV or diabetes â psoriasis is an autoimmune skin condition and is not contagious, which explains why it hasn't spread to your partner.
Next Steps
Please consult a dermatologist for a KOH skin scraping test and possible skin biopsy to confirm the diagnosis and get the right treatment.
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Hi!
Skin lesions like this after 19 days of antifungal are common with tinea and need a longer course or adjusted treatment. 😊
It's not psoriasis based on the appearance, and not suggestive of HIV from this alone.
Feel free to consult for proper evaluation and a suitable plan. 👍
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From the history and attached image, the lesion appears more suggestive of a fungal infection (tinea/cruris corporis) rather than psoriasis, although confirmation requires clinical examination. Psoriasis usually presents as thicker, well-defined plaques with silvery scales and often involves elbows, knees, scalp, or multiple sites.
Lack of improvement after 19 days can occur due to:
* Inadequate duration of treatment
* Incorrect application
* Use of steroid-containing creams previously
* Resistant/recurrent fungal infection
This is not a typical early sign of HIV by itself. Diabetes can predispose to recurrent fungal infections, so if symptoms are frequent, screening blood sugar may be useful.
Next Steps
Please have a consultation booked with me for further treatment.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
It's looking like Psoriasis plaque. Antifungal medicine will not affect to your disease state
For more discussion you can contact me directly on Practo
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Psoriasis
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Dr. Zoya Ali Rizvi
Internal Medicine
11 yrs exp
New Delhi
1.duration of lesion
. Location of lesion
3. Itching present or not
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