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Dermatology (Expert Forum)
fungus or psoriasis?
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
fungus or psoriasis?
by mg75, Mar 21, 2002 12:00AM
Dear Dr, about 2 months ago i noticed a tiny weird "dry" patch of skin on my upper arm. I didnt think much of it because it is winter and i often get dry skin. But it slowly got bigger but was never itchy. Now it is pretty big and really itchy. There is a second round spot a couple inches below and there are smaller ones starting on the other arm and a small patch on my leg. I do have an appointment with a dermatologist but of course i have to wait 2 weeks to see him. I've looked around the internet and to me it looks like Tinea. Is this possible? Here is a photo of the main spot. The yellow stuff on top is just the flaky skin discolored from the lotion i was using on it. If i take a shower the flakes easily come away and it is just red with tiny bubbly surface. Earlier it was more pink in the center and a red ring on the outside. Please have a look and let me know what you think. http://www.berdat.ch/ebay/skin.jpg
Thanks
Thanks
Doctor's Answer
by Alan Rockoff, MD, Mar 21, 2002 12:00AM
, Mar 21, 2002 12:00AM
There are three possibilities: bacteria (impetigo), fungus, or eczema. Based on the photo, and the history of fairly rapid spread, I would vote for impetigo. Also, this is the most important to treat, since it is contagious. If you have been around someone (especially a child, since kids are more susceptible) with similar spots, they should be treated too.
While you wait to see the doctor, you can get Hibiclens wash and bacitracin over-the-counter, and use them daily.
Perhaps you can get a general physician to see you sooner and prescribe an oral antibiotic effective against staph germs. That might clear up the rash promptly, and if not, will make the dermatologist's diagnostic job easier.
One way or another, you'll clear up.
Best.
Dr. Rockoff
While you wait to see the doctor, you can get Hibiclens wash and bacitracin over-the-counter, and use them daily.
Perhaps you can get a general physician to see you sooner and prescribe an oral antibiotic effective against staph germs. That might clear up the rash promptly, and if not, will make the dermatologist's diagnostic job easier.
One way or another, you'll clear up.
Best.
Dr. Rockoff
Good luck.
Dr. Rockoff
Nothing I do works. I tried washing my leg with a drandruff shampoo that works great on my hair.
What started out on just below my knees is showing up all ove my body.
Is there something I can get over the counter ?