Brief Answer:
Kindly send pictures of the affected area.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the rash over the chest area.

In view to help you best I request you to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. or else you can send the pictures at

YYYY@YYYY

With attention " Dr Sanjay Kanodia "

Do let me know if you have any itching or burning or irritation over the affected area.

Hope to hear soon from your side.

With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Kindly upload few good resolution pictures of the affected area.

Detailed Answer:
Dear young lady,

Welcome back to the forum and thanks a lot for your follow up.

It is of utmost importance to see the area and then guide you accordingly. Without a picture it would be practically impossible to guide you for best possible treatment. Therefore I humbly request you again to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. or else you can send the pictures at

YYYY@YYYY

With attention " Dr Sanjay Kanodia "

Hope to hear soon from your side.

With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
"Irritant/ Contact dermatitis" ; not fungal infection.

Detailed Answer:
Hi,

Welcome back and thanks a lot for posting the pictures and taking all the pains for the same.

After analyzing the picture and correlating with the details I can make out the possibility of "Irritant/ Contact dermatitis" or in simple words allergy to contact of some irritant material rather than fungal infection.

To explain you elaborately about the possible condition - Due to exposure to any irritant material or sometimes anything coming in contact with the areas or by excessive sweating too it can cause the problem. So there can be initial redness and itching with mild irritation sensation. As we scratch it or due to exposure to environmental factors such as sunlight, sweating dust and hot humid climate, it can get aggravated.

Even in some cases sunlight and sweating itself can act as main factor causing rash. This is a quite simple problem which we see in our day to day practice and persist for only the time till the aggravating factor is present. So the most important part in your management is avoidance of the aggravating factor enumerated all above.

For the betterment kindly follow the suggestions below:

1. Avoid direct sunlight and hot – humid climate.

2. Wear cotton clothes and avoid synthetic clothes. The clothes should cover the entire neck and upper chest area so that direct sunlight should not be evident over the affected area.

3. Stay in cool environment(preferably AC) and avoid sweating.

4. Take two time bath once in morning and at night time which will soothe your skin and prevent the aggravation of the problem

5. Do not Pinch pop or squeeze or rub any area.

6. Do not use any deodorants or any cosmetics over and near the affected area.

7. Do cold compression over the affected area. Take a wet towel soaked in cold water and apply it for 5-10 minutes for 3-4 times a day.

For the part of treatment I suggest my patients to follow:

1. Apply over the counter available calamine lotion on the affected area in day and afternoon time. Apply it in very thin layer.

2. Apply plane cortisone or fluticasone or Mometasone cream in a thin layer in morning and at night time. Apply in a very thin layer so that it should not be visible to naked eye. You can apply it for 7 days and then stop it after that.

3. If there is any irritation or itching is present then can take tablet “Loratadine” or "Deslotatadine" tablet by mouth up to three to four times also if the itching is more.

You can meet a doctor and apprise him/her with my suggestions.

I hope these information's will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD-DERMATOLOGY

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Brief Answer:
Do follow the other of the suggestions discussed in the previous mail.

Detailed Answer:
Dear young lady,

Welcome back to the forum and thanks for your further follow up. The medications I have enumerated are basically prescription based medications which you need to get prescribed by a doctor personally. Even then Hydrocortisone (cortisone cream) and Desloratadine (Tab claritin) are available as over the counter drugs.

Do follow the other of the suggestions which I have discussed in the previous mail.

I hope these information's will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD-DERMATOLOGY

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