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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rough Patches Of Skin On Neck

Hi, few weeks ago I noticed a strip of red/pink rough skin on my pubic area, right where the edge of underwear goes. It isn t itchy or sore, but it s grown a bit and I noticed similar kind of patch of skin on my neck. It looks somewhat like psorias but not sure how to treat it.
Mon, 9 Feb 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

These red, scaly/rough patches could be either tinea or patches of eczema/ psoriasis.
Itching is a subjective feature and may vary between individuals.
A visual inspection would be more informative.
I suggest you to go for a KOH wet preparation, by scraping a small amount of scale from the surface of patch and visualizing it under the microscope to look for fungal elements.
If fungal elements are positive treatment with an OTC antifungal e.g clotrimazole 1% cream, twice daily for 2-4 weeks would suffice for a limited involvement such as this.
However, if KOH comes out negative for fungal elements, these patches are most likely eczematous in nature.
Topical steroids would be helpful for ezcematous patches.
I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment.

Regards
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Suggest Treatment For Rough Patches Of Skin On Neck

Hello. Thank you for writing to us at healthcaremagic These red, scaly/rough patches could be either tinea or patches of eczema/ psoriasis. Itching is a subjective feature and may vary between individuals. A visual inspection would be more informative. I suggest you to go for a KOH wet preparation, by scraping a small amount of scale from the surface of patch and visualizing it under the microscope to look for fungal elements. If fungal elements are positive treatment with an OTC antifungal e.g clotrimazole 1% cream, twice daily for 2-4 weeks would suffice for a limited involvement such as this. However, if KOH comes out negative for fungal elements, these patches are most likely eczematous in nature. Topical steroids would be helpful for ezcematous patches. I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment. Regards