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What Would Cause A Recurrent Red, Skin Peeling Rash In Between The Buttocks?

Posted on Wed, 20 Nov 2019

Question: Hello there back in Nov i have red spotted rash in butt crack and i have had this for 2 yrs now goes away with clotrimazole and betamethasone from drs! After 2 wks it would return with peeling skin once again! I since spoke to dr on this website and she told me that it was persistant fungal and get oral diflucan from dr which i took for 7 wks didnt return... i was also told wash skin 2 x daily and to use A& D ointment to keep sweat away and it worked til yesterday... i noticed skin small area in butt crack is peeling again is this something else and not fungal as what was mentioned! Is there something over the counter that can be used or is this psoriasis? Very annoyed about this returning once again! Thanks XXXXXXX

Answered by Dr. Dr. Kakkar (20 minutes later)

Brief Answer:
Candidal Intertrigo is the likely possibility

Detailed Answer:

Hello,

Perhaps you have Intertrigo which is inflammation of body folds, often accompanied by an overgrowth of the yeast, candida. Candidal Intertrigo presents as raw, red areas of body fold with satellite red, spotty lesions. Sweat, heat, and moisture are provoking factors for Intertrigo. Response to topical and oral antifungals suggests that you most likely have a candidal Intertrigo.

I request you to kindly upload a few images of the affected area in "Reports Section" so that I am able to have a look and guide you better.

If it is so recurrent I would suggest you use an antifungal dusting powder e.g Clotrimazole 1%powder, twice daily. It would keep the folds dry, and, being an antifungal, would also prevent the growth of the yeast. A powder is better than an ointment as it would absorb moisture and therefore prevent overgrowth of yeast.

Hope I have answered your question. Let me know if I can assist you further.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Kakkar (43 minutes later)

I hope u got pic best i can get they are sort of rounded! They antifungal i got is zeasorb amtifungal miconzanole nitrate 2%! Where do i find the one u suggested and is it safe for everyday use and can it be used more if needed? Is a dusting enough? Thanks XXXXXXX

Also does it come as a spray and does it stay on all day long... will it heal what has already started! So suggest which brand is best to use? And if i can find at local store? This is very annoying and i hope it keeps it away this time for good!! Thanks

Answered by Dr. Dr. Kakkar (11 hours later)

Brief Answer:
Regarding Intertrigo

Detailed Answer:

Hi,

The pic is not clear at all. I suggest you to use clotrimazole 1% cream for a week or 10 days since you say that it worked for you in the past. Thereafter you may continue with the antifungal dusting powder for maintenance to keep the condition at bay. 1% Clotrimazole dusting powder may be available at a drug store near you.

Hope I have answered your question.

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. Nagamani Ng