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Dermatology (Expert Forum)
still here
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.
still here
by 13, Dec 18, 2003 12:00AM
Hello...I wrote to you two months ago and appreciated your advice. However, I am still battling the same issue. I have a case of tinea incognito(biopsy confirmed) on my leg that went away with a 3 week course of grifulvin and econozole cream(after 9 months of steroids, and attempts to use ALL other oral or topical antifungals). I believe that I got it from my dog(microsporum canis) and she was treated as well. Then it came back...3 weeks later! My derm. told me to use econozole and protopic thinking maybe it was something else. With no success, he put me back on grifulvin. I am now on a 6 week course(halfway through) of grifulvin pills and econozole cream and was told to still use the protopic. I wory that although protopic is not a steroid, it works in a similiar fashion and so I should maybe stop using it all together. What is your reccomendation? Can I stop it cold turkey or do I have to wean off it? He says the next step is to have a plastic surgeon cut it out...help!!! It has been 11 months of frustration! THANK-YOU!
Doctor's Answer
by Alan Rockoff, MD, Dec 18, 2003 12:00AM
, Dec 18, 2003 12:00AM
The truth is, I'm not sure whether you have a consequence of the first problem, a recurrence, or something new altogether. You don't need to worry about Protopic promoting growth of fungus as a steroid would. Staying on it poses no hazard. I think your dermatologist is wise to go that route. If the rash persists after another full course of griseofulvin and there's no question that all you have just persistent color change from chronic inflammation, then your dermatologist might consider performing another biopsy. But at the end of the (very long) day, you should clear up entirely. Patience is a virtue and, in this case, a necessity.
Best.
Dr. Rockoff
Best.
Dr. Rockoff
