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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Red Rashes On The Skin Around The Buttocks

I have a solid pink almost red rash that started mid February. it is on buttocks. it is symmetrical & covered about half of my buttocks from butt cleavage out. it looked a smooth sunburn. it has gotten better but not cleared completely. the pink/red area has greatly decreased in size & severity. I still have reddened areas in butt cleavage. I have had areas that burned for a week at a time. Then it would itch severely for a week at a time. i have seen gynecologist 2 visits & then dermatologist 4 times. I have been on at least 6 prescription meds, some oral & some topical. i first tried A & D cream which was old & it had separated. it made it worse. then saw Dr who gave me fluconazole 150 mg taken 3 days apart. i took 12 days (4 pills) of those. it helped within a few hours. dmaybe improved 50%. then hydrocortisone iodoquinol cream BID for 3 weeks. Then Nystatin triamcinolone cream BID for 3 weeks. Then Trianex 0.05% for 3 weeks. Then neo-synalar for 3 weeks. Then Halog for 1 weeks. All have helped except the Neo-synalar. Dermatologist did biopsy of very raw red area in butt cleavage as well as culture. I got note in snail mail today saying early stages of decubitus; keep pressure off & continue Halog. I walk 2 to 3 miles per day minimum. I shop, cook, sing in choir, etc. I spend a few hours in bed in afternoon. This is not on pressure points. I have spoken to 2 dear friends who have decades of wound & skin care in their careers of nursing & physician assistant. They say decub is not in ur skin folds & I do not stay in bed enough for that to be the case. i do have hemorhoids. I have had minor skin irritations in butt cleavage but A & D cream always healed this up. This rash began as pink/red & round as a slice of red watermelon. I live in Birmingham, Alabama. I did travel to Scotland last year in August. I have a husband & a dog who have no skin problems. Thank u so much. Joyce
Fri, 30 Aug 2019
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General Surgeon 's  Response
Hello,

I would consider the possibility of you and your partner having a fungal infection. It is quite common in the genital/ buttock areas and spreads from one partner to another.

Cortisone cream will only suppress the itching temporarily but will promote the growth of fungus and hence it recurs again after stopping the cream.

You could use an antifungal cream containing 1% Clotrimazole applied twice a day for 2 -3 weeks.

You could also take an antihistamine like Benadryl at bedtime for relief from itching.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Persistent Red Rashes On The Skin Around The Buttocks

Hello, I would consider the possibility of you and your partner having a fungal infection. It is quite common in the genital/ buttock areas and spreads from one partner to another. Cortisone cream will only suppress the itching temporarily but will promote the growth of fungus and hence it recurs again after stopping the cream. You could use an antifungal cream containing 1% Clotrimazole applied twice a day for 2 -3 weeks. You could also take an antihistamine like Benadryl at bedtime for relief from itching. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon