Having Skin Infection Around Neck And Shoulders. Having Irritation And Skin Becomes Dry. Applying Oral Medicine. Treatment?

Posted on Wed, 11 Sep 2013

Question: I usually get a skin infection around neck (back side front) and bit on shoulders. This is just like irritation and skin becomes dry afterwards.
Not sure whts is this as it keeps repeating itself every fortnightly (after I apply some oral medicine once or twice)

Answered by Dr. Sudarshan (3 hours later)

Brief Answer:
possibility of fungal infection, upload images

Detailed Answer:
HI,
Thanks for writing in.

The condition can be Pityriasis versicolor , a common fungal infection of skin.It can cause recurrent skin infection in chest ,back ,around neck.It usually cause black to white colored patches and leaves dry scaly skin.
The treatment consists of oral or topical antifungal drugs like fluconazole and ketoconazole.
However if you can upload the images of affected area,it will be of great help in confirming the diagnosis.Photos can be uploaded by "UPLOAD YOUR REPORTS /IMAGES " section.

Upload the images and we can continue the discussion here.
I will be available for follow up.
Regards.
DR Sudarshan
MD
Dermatology and STD specialist

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sudarshan (57 minutes later)

Thanks for a quick revert Doc.
As desired, I have attached images for the neck area.
Because I applied medicine over the past 2 days, I think it is not visible at all. Will get back home and revert to you with the name of medicine which I am applying.
You may then suggest a suitable course of action.
medicine name is Fucibet -- by ranbaxy
Thanks & regards,
XXXX

Answered by Dr. Sudarshan (24 hours later)

Brief Answer:
oral and topical antifungals to be used.

Detailed Answer:
Hi again XXXXXXX

I have gone through the images and details provided by you.

The images however do not show much visible lesions at present. Considering the location of lesions and recurrent nature it appears to be pityriasis versicolor a superficial infection of the skin.

I usually prescribe anti-fungal medicines for such a condition. You will need prescription from a physician for the same. I also advise ketoconazole lotion like Kz lotion daily 15 to 20 minutes before bath.

Maintenance treatment with ketoconazole containing shampoo will be advisable.

Fucibet will not help much as it contains steroid like beclomethasone.

A healthy lifestyle consisting of nutritious and hygienic food and regular exercise at least 20 min a day will help boost immunity.

Hope this helps.

I will be available for follow up.
Regards
DrSudarshan

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj