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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Skin Rashes On The Waist?

My sister has rashes on her abdomen and beltline. She is fifteen, and weighs 62 kilos. She has a PCO resemblant condition, if this is relevant. The rashes subside when she uses Gentamycin and Loratidine, but reappear when she stops using these. Her doctor said she'd have to take the anti-allergy for life, which seems to me as a rather odd treatment regime. What would you say?
Mon, 30 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would think of a possibility of fungal infection OR Tinea. Tinea is fairly common in the belt area and lower abdomen. She being overweight does'nt help her either.

Clinically Tinea presents as red, scaly, itchy plaques with raised margins and central clearing. The patches extend peripherally.

I would suggest a KOH wet mount from the scale for a confirmatory diagnosis.

Treatment for a fungal infection is with topical and oral antifungals. Topically she could use an OTC antifungal e.g clotrimazole cream, twice daily for 2-4 weeks.

Oral antifungals e.g fluconazole can also be started for a confirmed fungal infection. The dosage would be 150 mg once every week for 4-6 weeks.

An OTC antihistamine e.g cetrizine 10 mg once daily would provide symptomatic relief from itching.

Hope this helps
Regards
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What Causes Skin Rashes On The Waist?

Hello and welcome to healthcaremagic I would think of a possibility of fungal infection OR Tinea. Tinea is fairly common in the belt area and lower abdomen. She being overweight does nt help her either. Clinically Tinea presents as red, scaly, itchy plaques with raised margins and central clearing. The patches extend peripherally. I would suggest a KOH wet mount from the scale for a confirmatory diagnosis. Treatment for a fungal infection is with topical and oral antifungals. Topically she could use an OTC antifungal e.g clotrimazole cream, twice daily for 2-4 weeks. Oral antifungals e.g fluconazole can also be started for a confirmed fungal infection. The dosage would be 150 mg once every week for 4-6 weeks. An OTC antihistamine e.g cetrizine 10 mg once daily would provide symptomatic relief from itching. Hope this helps Regards