I have been diagnosed with tinea, which has mostly cleared up with the exception of around my anus and up between my buttocks. I have been using prescription ketoconazole 2% cream for 3 weeks and still have the condition. A little background...
Last June, upon returning from Peru, I developed what I thought were rashes on my hip "pointers." I attributed this to perhaps wearing the same shorts for several days in a humid (and dirty) environment. It did not clear up using moisturizers, antibacterials, or topical over the counter antibiotics (Neosporin). We also had just purchased new Washer/Dryer - thinking it may have been a reaction to the new High Efficiency (HE) detergent, we switched to unscented, non-dyed "free" detergent. The condition persisted.
Later in the fall, I noticed what looked like a dry spot in the center of my right palm about the size of a half dollar. This would occasionally be itchy, but mostly just looked like a patch of dry skin.
In January, I began working out and developed full blown jock itch. At one point, it extended all the way my inner thighs almost to my knees. Nothing on my scrotum or genitals. I started using over the counter jock itch medications (Lotrimin and Lotrimin Ultra). This cleared up after almost three weeks of treatment, however at about the same time I began getting an itchy anus. As I also occasionally get hemorroids, I attributed it to that, but after a while developed bumps that are typical with tinea/jock itch. I also developed what looked like acne on my buttocks and down the back of my legs. This had not responded to the over the counter medications - and I tried several: Lotrimin, Tinactin, Zeasorb powder. My doctor then prescribed the ketoconazole. After about three weeks, it seemed like it was subsiding, but I would also find myself scratching in the middle of the night. It seems to be getting worse again despite continued use of the ketoconazole.
I have taken several other precautions such as using a separate, clean towel on my groin and buttocks. I also never wear workout clothes more than once before washing. I am still using the HE free detergents. And I am still using the ketoconazole 2% twice daily.
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