Suggest Treatment For Rashes On Face And Fungal Infection

Posted on Fri, 27 Mar 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 27 Mar 2015 Answered on

Mon, 27 Apr 2015 Last reviewed on

Question : Hi doc, I've got some pale rashes in my face and they are growing. I also fet flakey skin around my lips and there are red patches. I used to have scratchy hair due to fungal infection and at the moment I suspect that there maybe fungal infection on my skin. How to deal with this?

Answered by Dr. Hardik Pitroda (33 minutes later)

Brief Answer:
Oral antifungals, Topical corticosteroid plus antifungal

Detailed Answer:
Hello,
Thank you for posting on HCM.

From review of your history and pictures it looks like you have got seborrheic dermatitis.
Excessive sebum production in certain sites of body coupled with fungal infection can lead to dermatitis of skin called Seborrheic dermatitis.

In my patients of seborrheic dermatitis, I generally suggest a course of oral antifungal drug like fluconazole or itraconazole for few weeks.

Apply a cream containing mometasone and terbinafine twice a day and a salicylic acid 1% based gel in evening over affected areas gently.

Use ketoconazole based shampoo and soap to rinse affected areas.

I am sure you will be fine with this treatment.
Let me know if you require any more assistance from my side.

Wish you best of health.
Thank you
Dr Hardik Pitroda
M.D Dermatology

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Hardik Pitroda (36 minutes later)

Thanks doctor , I agree with your Thanks Doctor I agree with your analysis. I also have red rash and white pattern formed on my penis as well. I suppose oral anti fungal should work for both. Regarding oral anti fungal could you proscribe how many tablets of which mg. for how long? Tks regarding ketoconazole shampoo it did work perfectly on my scalp.

Answered by Dr. Hardik Pitroda (6 hours later)

Brief Answer:
Oral Itraconazole

Detailed Answer:
Usually I advise oral Itraconazole 100mg once daily for 10 days. Yes it should take care of your infection on genitals too.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hardik Pitroda (2 days later)

Hi Doc, the white patch in my face is growing and I suspected it could be Tinea Versicolora ny advice? Also i obly found 150mg fluconazole I've had 3 tablets in 3 days can I shift to 100mg itacobazole? Thanks and regards XXXX

Answered by Dr. Hardik Pitroda (20 hours later)

Brief Answer:
Apply plain antifungal cream over white patch

Detailed Answer:
Hello,
Yes you can switch to Itraconazole now.
Yes seborrheic dermatitis may overlap with pityriasis versicolor. Oral itraconazole will be helpful in both the conditions.
Over white patch apply plain antifungal cream like sertaconazole or ketoconazole.
Report back your condition after 10 days.
Take care
Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar