Brief Answer:
Kindly see the suggestion below
Detailed Answer:
Hello Madam,
Welcome to the forum again and thanks for your prompt reply. I beg your pardon for causing unnecessary discomfort of uploading a good resolution picture. It was for the sake of the dictum in dermatology that the best diagnosis is always given by proper evaluation by naked eye. I am really sorry for unnecessary trouble.
I am highly thankful to you for your further details.
Now after getting the important details let me guide you to some important points:
As you got your problem 10 days back starting with warm feeling and red in appearance makes a possibility of inflammatory process of sudden origin. It might have been viral or bacterial or fungal. Here comes the actual help of picture where the things are evident form its morphology. Any how, after this transient inflammatory process this began to spread and with the application of a steroid base (cortizone) cream it halted for a moment. It began to spread further and simultaneously the initial part began to heal by itself.
The important of point is that both
clotrimazole and nystatin are antifungal in nature. Had it been a problem of fungal origin, then would have responded to both clotrimazole and nystatin. It was just coincidental that it responded temporarily to nystatin. So I decline the possibility of fugal infection. Even then if you feel there are some map like lesions are present with raised borders all over below your belly button then can keep this possibility. Do let me know if you oberve the same.
I wanted to rule out an important cause of shingles or also known as
herpes zoster which is quite common in your age group. Most of the verbal findings are matching with the description of shingles. The only thing is whether this is present on one side of body or all over both the sides below your belly button. So do let me know if these are present on one side or both the sides.
One more possibility to rule out is of
contact dermatitis where we find similar picture more often in hot and humid climate. If you observe uniform multiple red lesions all over below your belly button on both the sides of flank then can keep this possibility also.
Presently it is in healing phase and that is why you have intense itching in it. I am suggesting some important points which are helpful in any of these conditions.
For the betterment kindly follow the suggestion below:
- Keep your self away from direct exposure of environment.
- Take daily 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 suitability of weather condition.
-Don't try to scratch or rub the area as can lead to further aggravation of the problem.
-You can apply a cream containing
fluticasone and mupirocin in it. Apply it in very thin layer so that it should not be visible to the naked eye. Do not rub the cream.
-You can take oral anti
histamine like
loratadine (Claritin) 3 times a day if there is moderate to
severe itching is present. It is quite safe tablet and much better and more effective than Benadryl.
You can follow the above regimen for 3-4 days and if benefit occurs can follow the same for next 10-14 days. If the rash still persists then can go for blood investigation to check for your sugar status.
I would be able to help you better after getting some more idea as guided above.
I hope these information's will help you. If you have further queries I will be happy to help.
"Wish you good health and early recovery from the problem"
Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)