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Dermatology  (Expert Forum)
 | 
Chronic Skin Infection in Groin Region
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Chronic Skin Infection in Groin Region

by Suppressedimmunity, Oct 04, 2008 04:36PM
I've had on-going issues with a irritations and related burning sensations on scrotum, leg creases and anal region since early July. First identified by Dr as a yeast infection and given Nystatin creme. Ten days later no improvement of symptoms, a fever developed and diagnosed/treated e-coli UTI (CIPROFLOXACN). Once UTI cleared, symptoms remained and a 2 weel oral fungal infection treatment (TERBINAFINE)was prescribed in late August. It's been a struggle determining the source and cleaning it up as it's now going on 4 months.

I am on Humira and Methotrexate due to Rheumatoid Arthritis, so there is some suppression of my immune system.

My question is whether the duration is consistent with a fungal skin infection or is it more likely related to the RA or other medications?

by Alan Rockoff, MD, Oct 04, 2008 10:14PM
To: Suppressedimmunity
Burning sensations don't sound either fungal or immune-related.  The fact that oral terbinafine didn't help makes it even more likely that this isn't a fungal problem.  I can't see any connection with your urinary infection.  Eczema can cause irritation and burning sensations.  Perhaps you and your doctors may want to look into that possibility.

Take care.

Dr. Rockoff
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