Brief Answer:
Kindly send pictures of the affected area.

Detailed Answer:
Hello XXXXXXX

Welcome to the forum and thanks for posting your query.

I can understand your concern for the balck patch and red area at the thigh fold.

As per your description it appears to be fungal infection of the affected area. Even then to confirm my diagnosis and to guide you best I humbly request you to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. Or else you can send your pictures at

YYYY@YYYY

With attention " Dr Sanjay Kumar Kanodia "

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.

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Brief Answer:
Mixed fungal and bacterial infection of the folds. Maintain hygiene.

Detailed Answer:
Hello,

Welcome again and thanks for sending the pictures.

I have analyzed the picture sent by you with complete diligence. After analyzing the complete condition let me tell you that this is a fungal infection with "intertrigo" (mixed fungal and bacterial infection of the folds).

Fungal infections and intertrigo are common type of infections which can affect anybody at the folds. But more commonly it affects the areas which are more prone for sweating or moist areas (as in your case). More specifically these are related to the hygiene and environmental factors.

Due to hot and humid climate or due to tight and synthetic clothing,it leads to growth of fungus and super-added bacteria at the folds. These are initially reddish- brown small areas to begin with and then becomes red areas or by scratching it leads to red raw areas.

For the betterment kindly follow the suggestion below:

- Keep your self away from hot and humid climate.

- Take two times bath.

- Wear cotton clothes and cotton undergarments to be changed two times a day. Do not wear any synthetic or tight garments.

- Do cold compression or warm water compresses according to the weather condition.

- Do not sit continuously for long hours.

- Take “Gentian violet paint” (GV paint) with normal water in a proportion of 1:10. It means 1 drop of Gentian violet paint and 10 drops of water or simply 1 teaspoon Gentian violet paint in 1 cup of water. Take a cotton ball and gently do compression. Do cold compression or warm water compresses according to the weather condition.

-In my patients I suggest to apply latest anti-fungal creams such as clotrimazole or "Sertaconazole" or "Amorolfine " and take anti-fungal tablets according to medical advise. It should be applied in thinnest possible amount so that it should not be visible to the naked eye. A rule of thumb is to take a pea size amount sufficient for palm size area and not to apply beyond the affected area.

-I suggest to take oral anti histamine like loratadine (Claritin) or levocetrizine two to three times a day.

-Don't try to scratch or rub the area as can lead to further aggravation of the problem.

Take rest for 1-2 days and do not go for any type of activity causing friction of the area.

You can follow the above regimen for 7 days to get complete benefit.

Most importantly don't try to scratch or rub or repeatedly observe the area as can lead to further aggravation of the problem. I quite often see that due to anxiousness young persons like you keep on observing and touching the area repeatedly multiple times in day. By doing so the skin is actually more irritated and looks red.

I reassure you fully that you will be alright soon.

I hope these information's will help you. If you have further queries I will be happy to help or else you can close the query and rate the answer.

"Wish you good health and early recovery from the problem"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology & Sexually transmitted diseases)

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