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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Patch Of Dry Whitish Skin On Both The Upper Inner Thighs?

Underneath my genital area on the upper inner thigh I have a patch of dry white-ish skin on each side.....Is this just from chafing? (I am overweight). Or is this some sort of fungal infection? (it is only on the upper inner thigh-not the genital area)
Tue, 4 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

Most likely it is a fungal infection. Fungal infection are common at sites of body folds like upper inner thighs, axilla, submammary folds etc. Chaffing/scaling is a feature of fungal infections. Itching is usually a feature too but it is subjective in individuals.
Being overweight adds to the possibility of fungal infection.
If I was the treating doctor I would have asked you to use a topical antifungal cream. Clotrimazole 1% cream is available OTC and you may use this for 4-6 weeks.
Oral antifungals e.g fluconazole are more effective in controlling the symptoms and are usually prescribed once a week for 4-6 weeks. However, oral antifungals are prescription drugs.
An OTC oral antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching.
Once the condition resolves, you may use an antifungal dusting powder in the groin folds regularly, twice daily.
Antifungal dusting powder would not only keep the folds dry but also be inhibitory to fungal growth, thereby preventing recurrence.

Regards
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What Causes Patch Of Dry Whitish Skin On Both The Upper Inner Thighs?

Hello. Thanks for writing to us at healthcaremagic Most likely it is a fungal infection. Fungal infection are common at sites of body folds like upper inner thighs, axilla, submammary folds etc. Chaffing/scaling is a feature of fungal infections. Itching is usually a feature too but it is subjective in individuals. Being overweight adds to the possibility of fungal infection. If I was the treating doctor I would have asked you to use a topical antifungal cream. Clotrimazole 1% cream is available OTC and you may use this for 4-6 weeks. Oral antifungals e.g fluconazole are more effective in controlling the symptoms and are usually prescribed once a week for 4-6 weeks. However, oral antifungals are prescription drugs. An OTC oral antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching. Once the condition resolves, you may use an antifungal dusting powder in the groin folds regularly, twice daily. Antifungal dusting powder would not only keep the folds dry but also be inhibitory to fungal growth, thereby preventing recurrence. Regards