Brief Answer:
Answer few questions

Detailed Answer:
Hi
Thanks for being at healthcare magic

I have reviewed the attached photograph and according to me it is most probably a ringworm infection but I need to ask you few questions:

Which cream have you applied on these marks and for how many days?

Are they associated with itching or burning ?

Are you having similar rashes anywhere else on the body?

What do you mean by IBC? Does it mean infiltrative breast carcinoma?
Are you having any abnormal nipple discharge? Are you feeling any lump in the breast? Are you having any pain or abnormal sensation in the breast? Is their any family history of breast carcinoma? Are you feeling any lump in the axilla?

Kindly revert back with the answers

Regards
Dr Asmeet

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Brief Answer:
Doesn't seem to be IBC, can be ringworm, granuloma annulare or EAC

Detailed Answer:
I don't think your presentation is of inflammatory breast cancer as it usually presents with red and swollen breast involving one third or more of breast. There may also be pitting on the breast or it may look bruised.

In addition other symptoms include feeling of heaviness or burning in the breast, inverted nipple or swollen lymph nodes in the axilla or near collar bone.

As far as your presentation is concerned it can be ringworm infection, erythema annulare centrifugum ( EAC ) or granuloma annulare.

Ringworm infection usually presents with itching and should respond to antifungal medication but 4 days is too less a time for medicine to show any significant response. You should continue with the cream for another 1 week to see its response.

Erythema annulare centrifugum ( EAC ) is charactersised by asymptomatic red circles or half circles which usually last for few weeks. It can be associated with certain infections, drugs or cancers but usually it occurs without any cause.

Granuloma annulare also presents with circular asymptomatic lesions which is diagnosed by clinical examination or biopsy.

I would recommend you to continue the miconazole cream for another week and if there is no improvement consult a dermatologist and get a work up done including skin biopsy if required.

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