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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For Itching Inner Thighs?

Hello Doctor, I have itching in my inner thighs. I am male, age 30 and my skin type is dry, I take shower daily and change my undergarments daily and I do not sweat much. Every time I rub or scratch there, a black powder kind of thing comes away, this is since 2 years, I applied some creams but it is still there. Because of itching I have to rub or scratch there at-least 2 times for about 5 minutes otherwise I can not sleep. Please advise me what I have to do. Thank you very much indeed for your help!
Tue, 29 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of fungal infection/tinea pedis. This is because closely opposing body folds e.g finger webs, thighs and groin, axilla, submammary folds etc can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation.

The black powder like thing that comes off on scratching is actually dead skin/ epidermis.

If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/sertaconazole/luliconazole cream, twice daily, regularly for 4 weeks. Etaze AF cream contains topical terbinafine+mometasone. I would rather prefer a plain antifungal like clotrimazole/sertaconazole/luliconazole because mometasone if used for too long can cause side effects like skin atrophy and striae

Since you are already using an Oral antifungal e.g oral terbinafine once daily. I would suggest you to continue with it for 4-6 weeks for a more complete cure

An OTC antihistamine e.g cetrizine 10mg once daily would help you in symptomatic itch relief.

Keeping the folds dry by using an antifungal dusting powder would help in preventing the recurrence.

regards
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What Treatment To Be Taken For Itching Inner Thighs?

Hello and welcome to healthcaremagic I would keep a possibility of fungal infection/tinea pedis. This is because closely opposing body folds e.g finger webs, thighs and groin, axilla, submammary folds etc can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. The black powder like thing that comes off on scratching is actually dead skin/ epidermis. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/sertaconazole/luliconazole cream, twice daily, regularly for 4 weeks. Etaze AF cream contains topical terbinafine+mometasone. I would rather prefer a plain antifungal like clotrimazole/sertaconazole/luliconazole because mometasone if used for too long can cause side effects like skin atrophy and striae Since you are already using an Oral antifungal e.g oral terbinafine once daily. I would suggest you to continue with it for 4-6 weeks for a more complete cure An OTC antihistamine e.g cetrizine 10mg once daily would help you in symptomatic itch relief. Keeping the folds dry by using an antifungal dusting powder would help in preventing the recurrence. regards