Dr. Rockoff,
My orange crust turned out to be a very atypical superficial yeast/spore forming fungal infection. My dermatologist is very stumped. His notes state that it most closely resembles clinically scutulae of trichophyton schanleinii, which is rare. Also that there were very many numerous spore forms in concretion.
Since my doctor does not know exactly what this thing is, he is uncertain how to treat it. He has consulted many other dermatologist. I am living in Japan and cannot get a second opinion.
At present I am applying Nizoral 2% cream to the pubic area twice daily-- for 21 days. If this does not work, as he assumes, I will then take something orally, (Sporanox).
I had just begun to try and conceive and we have put that on hold. I don't have the answers I need and am unsure of how to get them. I don't know if this is contagious, if my husband should be treated, if I need to specially launder sheets and underwear or how. I especially don't want to take something as harsh as Sporanox with out knowing what I have and if it can help.
Under these circumstaces, where can I find much needed information on my own? Since these treatments are only a gamble, do you think they might work? Do you know the cure rate for things simular to this rare fungi?
(I do not have bald patches as is a symptom and it is pubic rather than scalp. I do lose much pubic hair when bathing)
Thank you Dr. Rockoff for any information you can send my way.