Dermatology Questions? Ask an Online Dermatologist.
Thank you for your question. My name is***** - I am a Dermatologist and will do my best to provide a useful input.
Would a photograph of the affected area be possible at your convenience?
Thank you for the photograph. Does this patch become dry or flaky?
Are you prone to scalp dandruff?
Any similar patches in the past on the body - particularly on the elbow or knee joints?
Thank you for the information. Okay your history and clinical picture then are most suggestive of Tinea Corporis, which is a fungal infection of the skin. This usually responds to Canesten cream but sometimes the fungus can be resistant. I would suggest switching to Lamisil cream or 1% Miconazole cream instead - mix this with 1% Cortizone cream in a 1:1 ratio and apply twice a day for 7 days - then stop the Cortizone cream and apply the other cream on its own for 2 weeks more. That should take care of the problem. Orally Tablet Claritin or Zyrtec 10 mg taken once or twice a day as needed will help the itching. All of these are available over the counter without a prescription.
Stay as cool and dry thereafter to help prevent the rash coming back. In case the rash does not improve with the above then other possibilities like Flexural Psoriasis and Flexural Seborrheic Dermatitis will need to be considered - these need prescription meds from a doctor in person. Likely won't come to that in your case from what I see.
I'd be happy to answer any further queries you may have regarding this problem. If there are none kindly consider rating our interaction to enable me to get credit for my work with you. You can continue to follow up even after if required. Thank you.