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What Does Red Rash In Buttocks And Testicles Mean?

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Posted on Tue, 17 Feb 2015
Question: Rash in my butt. Red from top of butt all the way down and the skips a small area but is on the back of my testicles a little. Slight soar bellow anus where it is the most red. Using Lamasil for past few days. Live in a dry environment but was in the bahamas on a cruise where it began. Not sexually active in past few weeks, and only one trusted partner in last 6 months.
Used hydrocortisone today.

I would like to correct that I have been applying lotramin (clotrimazole) not lamasil for the past 2 days.
doctor
Answered by Dr. Dr. Kakkar (5 hours later)
Brief Answer:
I suggest a possibility of Intertrigo

Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it.

I keep a possibility of Intertrigo, which is inflammation of the body folds.

Intertrigo clinically presents as red, moist, scaly, sore patches of skin on closely opposed body folds like butt cheeks, axilla, groins, submammary folds etc.

Closely opposing body folds trap sweat and moisture and therefore make the area prone to inflammation from rubbing against each other.

Candidal infection may superimpose (Candidal Intertrigo) thereby exacerbating the inflammation (redness and soreness).

You may continue using an OTC topical antifungal e.g clotrimazole 1% cream mixed with topical hydrocortisone cream (in equal proportions i.e 1:1), twice daily in the affected folds for 4- 6 weeks.

If I was the treating doctor I would have also started you on oral antifungals e.g Oral Fluconazole, in addition to the topical antifungal cream for 4-6 weeks. Oral antifungals are faster acting and better in controlling the candidal superinfection. Oral antifungals are prescription drugs.

It is important to keep the folds dry.

Once the condition has improved significantly on topical and oral antifungals (usually within 2-4 weeks), you may use an antifungal dusting powder e.g clotrimazole dusting powder in the folds, twice daily, for maintenance of improvement.

An antifungal dusting powder not only keep the folds dry but also inhibits the growth of fungus/yeast thus preventing recurrence/exacerbation of Intertrigo.

Regards
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. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Does Red Rash In Buttocks And Testicles Mean?

Brief Answer: I suggest a possibility of Intertrigo Detailed Answer: Hello. Thanks for writing to us at healthcaremagic I am Dr. Kakkar. I have gone through your query and I have understood it. I keep a possibility of Intertrigo, which is inflammation of the body folds. Intertrigo clinically presents as red, moist, scaly, sore patches of skin on closely opposed body folds like butt cheeks, axilla, groins, submammary folds etc. Closely opposing body folds trap sweat and moisture and therefore make the area prone to inflammation from rubbing against each other. Candidal infection may superimpose (Candidal Intertrigo) thereby exacerbating the inflammation (redness and soreness). You may continue using an OTC topical antifungal e.g clotrimazole 1% cream mixed with topical hydrocortisone cream (in equal proportions i.e 1:1), twice daily in the affected folds for 4- 6 weeks. If I was the treating doctor I would have also started you on oral antifungals e.g Oral Fluconazole, in addition to the topical antifungal cream for 4-6 weeks. Oral antifungals are faster acting and better in controlling the candidal superinfection. Oral antifungals are prescription drugs. It is important to keep the folds dry. Once the condition has improved significantly on topical and oral antifungals (usually within 2-4 weeks), you may use an antifungal dusting powder e.g clotrimazole dusting powder in the folds, twice daily, for maintenance of improvement. An antifungal dusting powder not only keep the folds dry but also inhibits the growth of fungus/yeast thus preventing recurrence/exacerbation of Intertrigo. Regards