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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Medication In Place Of Ketoconazole

Applying Ketoconazole Cream 2% for two weeks to ringworm looking areas on thighs. The areas are round with red edges that itch and sometimes have burning. Have now developed three on upper back near shoulder area. The Cream soothes but not with a complete healing. Advice and help are much needed. Thank you. Mrs. Carolyn Morgan
Mon, 29 Aug 2016
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General & Family Physician,  's  Response
Fungus thrives on warm and moist skin like groin and under scrotum. Contributing factors are high humidity, heat, perspiration, diabetes mellitus, obesity, friction from clothes. Fungal infection is contagious. Transmission occurs via infected towels, linens, and clothing.
Advice
1.     Use cream containing clotrimazole, steroid and antibiotic such as Lobate GM cream thrice daily locally
2.     Fluconazole 150 mg twice weekly by mouth for 2 months
3.     Wear loose cotton undergarment
4.     Avoid sharing clothing, towels, or bed sheets
5.     Wash clothes and bed sheets in hot water
6.     Do not scratch too much. It will cause skin infection and black pigmentation of skin
7.     Take high protein diet such as eggs and cheese to boost immunity
8.     Investigation – blood sugar (fasting & postprandial)
Thanks
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Suggest Alternative Medication In Place Of Ketoconazole

Fungus thrives on warm and moist skin like groin and under scrotum. Contributing factors are high humidity, heat, perspiration, diabetes mellitus, obesity, friction from clothes. Fungal infection is contagious. Transmission occurs via infected towels, linens, and clothing. Advice 1. Use cream containing clotrimazole, steroid and antibiotic such as Lobate GM cream thrice daily locally 2. Fluconazole 150 mg twice weekly by mouth for 2 months 3. Wear loose cotton undergarment 4. Avoid sharing clothing, towels, or bed sheets 5. Wash clothes and bed sheets in hot water 6. Do not scratch too much. It will cause skin infection and black pigmentation of skin 7. Take high protein diet such as eggs and cheese to boost immunity 8. Investigation – blood sugar (fasting & postprandial) Thanks