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Tinea corporis or psoriasis?
I am attaching pictures. Since last month I have been facing this issue. Sometimes I feel itchy. Also these spots are there on the stomach and chest and also in the armpit which looks like small spots like reddish sometimes like ringworm type. In the pic I have attached is on the groin area and the other one on the belly button area. Doctor prescribed and said tinea he gave itraconazole tablet and soap along with eberconazole cream also using zocon powder. It's been almost 15 days now and it's not healed yet. Kindly help and suggest. Is it psoriasis or tinea ?
Answers (29)
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Looking at both your images, the lesions appear more consistent with tinea (fungal infection) rather than psoriasis â the scaly, demarcated patches with spread across groin and abdomen are typical. The fact that it is not responding after 15 days suggests either the duration is not long enough (tinea corporis usually needs 3-4 weeks of treatment) or there is a resistant fungal strain involved. Psoriasis would typically show thick silver scales on specific areas and a different pattern.
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Please consult me directly on Practo for a detailed evaluation â I can assess whether the current treatment needs to be continued longer, changed, or if a dermatologist review is needed.
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Long term treatment .
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The reddish, ringworm-like lesions with active borders localized to high-moisture body folds (groin, axillae, umbilicus) are classic for a dermatophyte infection. Psoriasis typically presents with well-demarcated, thick plaques with silvery-white scales on extensor surfaces, which does not align with this patient's symptoms.
The fact that the patient has seen no significant improvement after 15 days of oral itraconazole and topical eberconazole is increasingly common due to the rise of drug-resistant dermatophytes, or it may simply be that the infection requires a longer course to achieve clinical clearance.
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Antifungal Resistance: There is a well-documented, surging prevalence of Trichophyton mentagrophytes and Trichophyton indotineae strains that exhibit partial or high resistance to oral triazoles (like itraconazole). Inadequate Treatment Duration: Tinea infections in deep body folds routinely require 4 to 6 weeks of continuous therapy for complete mycological cure. Fifteen days is often insufficient to witness substantial regression in resistant cases. Local Microenvironment: High humidity, sweat retention, and friction in the groin and belly button areas create a highly favorable environment for fungal replication, actively countering the efficacy of topicals.
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you should consult dermatologist
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You should consult dermatologist
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It looks like fungal infection. Take tab ketoconazole 200mg one daily for 10 days.
Apply cosvate g.m. ointment over it, twice daily for 4 weeks.
Use canisten dusting powder after shower and during changing clothes.
Wear lose cotton clothes, keep dry.
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Tenia
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It’s more looks like fungal infection
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You have to start with oral anti fungal medication with topical application
Not to used steroid combination cream
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Keep area dry and clean
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It's Tinea corporis.Need antifungal treatment.Consult dermatologist for further details.
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Confirm by dermatologist
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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It appears like tinea corporis,not psoriasis.Local application of topical antifungal agents may alone be not enough, you may need antifungal oral medicines
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this is surely a Teania you must have discontinued the treatment in between before
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take tab fluconazole 200 mg OD x 30 days
l/a of luliconazole cream
tab fexofenadine od hs x 10 days
change your cloths daily and keep the groin area dry
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It is tinea
Next Steps
consult dermatologist for proper treatment
Health Tips
keep proper hygeine and clean and summer clothes
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No need to worry this looks like stubborn tinea corporis👍
The scaly, spreading patches in groin, belly button & other areas that aren’t clearing after 15 days of treatment are typical when the fungus is a bit resistant or needs stronger different therapy.
Book a quick consultation with me now I’ll review your photos, suggest the right next medicines possibly different antifungal or combination, and give you a clear plan for faster healing. 😊
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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The lesions in the groin and body folds appear more suggestive of a fungal infection (tinea/intertrigo) than classic psoriasis, although a definitive diagnosis cannot be made from photos alone.
Fungal infections in these areas may take 3–6 weeks or longer to clear completely, especially if extensive.
Since there has been no significant improvement after 15 days of treatment, I would recommend you to
Kindly consult for treatment related options
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Partially treated/resistant tinea (very common nowadays)
Less likely psoriasis based on this image alone
Next Steps
* Continue antifungal treatment as prescribed unless your dermatologist advised stopping.
* Keep the area dry, avoid tight clothing/sweating.
* Do not use steroid combination creams (like clobetasol/betamethasone mixes), as they worsen fungal infection.
* Wash towels/undergarments separately and change daily.
* If no improvement after 3–4 weeks, you may need:
* KOH scraping/fungal test
* Longer oral antifungal course
* Evaluation for diabetes/immunity issues
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You can consult me for any query.
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Psoriasis is a chronic autoimmune condition characterized by thick, silvery-white scales, which does not match these lesions.
The presentation—characterized by red, circular, ring-like patches with raised borders that itch and spread in high-moisture areas (groin, armpits, abdomen)—is a classic case of Tinea Corporis (Fungal Ringworm Infection).
Fungal infections are stubborn and typically require 4 to 6 weeks of consistent, uninterrupted medical treatment to clear completely from the roots. 15 days is simply too short a time to see full resolution.
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kindly do connect and consult with me for better treatment plan and advice on your case
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Dermatologist
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's fungal infection
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Visit a dermatologist
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Dr. Sonparote Shrutika Suresh
General Physician
4 yrs exp
New Delhi
It will not heal on it’s own
You need to consult
No need to worry
It’s a fungal infection
Next Steps
Don’t itch or touch again & again maintain hygiene
Health Tips
Consult if you need further evaluation
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Dr. Simranpreet Kaur
General Physician
10 yrs exp
Ludhiana
Take tab fluconazole 150 mg on alternative day
Use topical ointment miconazole
Tab hydroxyzine 25 mg BD for 5 days
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Nareshkumar V
General Physician
4 yrs exp
Chennai
OCCUPATION HISTORY ?
DIABETIC HISTORY ?
Tab.ITZHH 200MG 1-0-1
Tab. HHLEVO 5MH 0-0-1
CRE. LZHH
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Dr. Naveen Kumar
General Practitioner
5 yrs exp
Rewa
according to pic it is not psoriasis.
maintain proper hygiene and dryness in groin region as fungal infection increases more in humid environment.
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for more details do connect in consultation.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Psoriasis
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