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I believe that I have ringworm, it doesn't itch, or hurt or

Customer Question
anything. But I have red...
I believe that I have ringworm, it doesn't itch, or hurt or anything. But I have red spots all over my stomach and chest area, and down into my crotch region. When I have tried to use lotrimin or other medications like it, it goes away for a few months and slowly comes back. I think its even growing up into my neck area and I cant keep putting these medications over my entire body, is there a pill or something I can use to cure it for good?
Submitted: 6 years ago.Category: Dermatology
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3/5/2011
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,124
Experience: 30 years practice in general and cosmetic dermatology
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dermdoc19 :

Hello

Customer:

Hey, thank you for your time.

dermdoc19 :

Does the Lotrilmin truly make these go away. If so, this very well may be ringworm. It should respond to Lamisil or Sporonox. These are both oral antifungal pills.

Customer:

Yes when I use the lotrimin it goes away after a few days, but after a few months it just comes right back.

Customer:

I have asked walgreens if they have any pills but thye always tell me i need a prescription, so i didnt want to just buy pills and then end up taking the wrong thing.

Customer:

and as it spreads it gets harder to keep putting cream over my entire body, so i was hoping there was a pill that would work.

dermdoc19 :

There are some things that look like ringworm but are not such as granuloma annulare, or erythema annulare centrifugum.

Customer:

are they treatable by a pill?

dermdoc19 :

No, actually those are harder to treat. If it is a fungus it is pretty easy to treat. Do the spots have scale?

Customer:

scale?

Customer:

its like...it almost has grown just into one big red patch, it doesn't itch at all and when i look at pictures of ringworm and those other 2 you said, those look so severe, mine just looks like red spots, and some days its not very noticable some days its very red

Customer:

and like i said, lotrimin did take it away, but each time it comes back it grows further it seems

Customer:

hello?

dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,124
Experience: 30 years practice in general and cosmetic dermatology
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Customer reply replied 6 years ago
I'm not sure what happened...you asked me a question and then never responded...and it said initializing accept? and I didnt know what to do so I pushed accept now its saying i paid for this, but I didnt even get an answer from you. ive been sitting here waiting for 20 minutes for a response.
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
Hello?
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Dermatologist: dermdoc19, Dermatologist replied 6 years ago
Would you be able to forward a photograph?
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Customer reply replied 6 years ago
I can send a photo, where do i send it to
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
Send it by clicking on the paper clip icon and upload.
Two other things I would consider, that do not look much like a fungus to a dermatologists' eye, but might to a lay person would be guttate psoriasis and pityriasis rosea. However, none of these entities would respond to an anti-fungal.
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Customer reply replied 6 years ago
I'm sorry I cant find a paper clip icon to upload the picture...its on this page?
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
If you have trouble uploading the photograph to this site. You can try my***@******.***
There may be a fir tree icon instead.
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Customer reply replied 6 years ago
ok i sent it to your yahoo.
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
Good. Pretty easy diagnosis.
This is Tinea Versicolor. It does explain your response to Lotrimin too as this is caused by a yeast like organism called Malassezia Furfur.
What I said above would still hold. You might need an oral medication such as Sporonox ( this works better than Terbenafine (Lamisil)
However, you can try topical treatments: Apply Selsun to the entire skin surface from scalp to the thighs and leave on for ten minutes. Rinse. Repeat this every day for seven consecutive days.
You can then shower with ZNP soap but lather and leave on for five minutes.
If you really want to knock it out you can spray with Lamisil spray at bedtime and leave it on all night. Do this for two weeks.
One caveat: tinea versicolor can come back.
To delay its reappearance take garlic pills and use either Head and Shoulders shampoo or Selsun.
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Customer reply replied 6 years ago
Awesome, thank you so much, would it be not good to try the pills and the soap and sprays? should I just stick to one? I'm glad to know what to do now though, thank you for all your help. I really appreciate it.
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
If I would try the spray, if I was going to use one. I generally try to avoid the pills, since I worry about liver toxicity with them. Rare, yes, but since there are other means of treating Tinea versicolor, I would rather do that.
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Customer reply replied 6 years ago
I'm sorry to keep asking you questions, but is there a specific spray you would recommend, I'm looking online but there is just so many.
Dermatologist: dermdoc19, Dermatologist replied 6 years ago
Lamisil spray would be the only one I would recommend.
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