Seeking Insight on a Persistent Rash
I’m a 25-year-old trans man, and I’ve been dealing with a recurring rash on my abdomen for about two years now, starting in late 2021. The rash is extremely itchy but not painful. I’ve consulted three different doctors regarding this issue. One diagnosed it as ringworm, another said it was eczema, and the third suggested it could be irritation due to pubic hair and recommended shaving, even though the rash is located above that area. Initially, the doctor who believed it was ringworm prescribed Viaderm KC, which seemed to help. I used it as directed for two weeks before stopping, but the rash reappeared. When I went back, they advised me to continue applying it for a few weeks after the rash disappeared, which I did. Unfortunately, regardless of the duration of treatment—theoretically up to three months—the rash inevitably returns within a week after discontinuation. The itchiness is so persistent that I sometimes scratch in my sleep, causing scarring. Additionally, it appears to flare up and can even shift locations on my stomach, expressing itself in different areas (for instance, moving from the center to the left side). Importantly, I haven't noticed it spreading to other body parts when touching them post-scratch, which leads me to question whether it's a fungal issue. The only two consistent treatments I've been using since the onset are Viaderm KC and testosterone injections. Interestingly, I can't help but wonder if there’s a connection, as this rash began simultaneously with a stomach virus I experienced two years ago, which lasted about two days and was accompanied by severe cramps and frequent trips to the bathroom, though that discomfort has since resolved. If needed, I can provide a picture of the rash. I would truly appreciate any insights or advice—you have no idea how frustrating this has been. Thank you in advance for your help!
Answers (1)
8/3/2025, 2:20:46 PM
OpenHealth AI
I understand how frustrating it can be to deal with a persistent rash, especially when it has been misdiagnosed and treated multiple times. Based on your description, it sounds like there are several factors at play regarding the recurring rash on your abdomen.
Key Points:
- The rash may not be responding as expected to antifungal treatment, suggesting it may not be ringworm.
- Itchiness and movement of the rash to different areas could indicate a different underlying condition, like contact dermatitis or chronic eczema.
- The history of a stomach virus may also hint at a possible connection between that incident and your dermatological flare-ups.
Explanation:
- Persistent Rash Characteristics: The rash's consistent itchiness, recurrence after treatment, and ability to shift locations make it less likely to be a simple fungal infection like ringworm. The fact that it doesn't spread when you scratch also points away from a contagious condition.
- Viaderm KC, which contains a mix of antifungal and steroid properties, may have provided temporary relief but did not eradicate the underlying cause, hence the rash returning.
- Possible Causes: Conditions like eczema or contact dermatitis can be very itchy, especially if aggravated by irritation or environmental factors, such as sweating, soap, laundry detergents, or even friction from clothing.
Next Steps:
- Moisturize Regularly: Use a gentle, fragrance-free moisturizer daily to help soothe your skin and prevent dry patches that can trigger itchiness.
- Topical Steroids: Consider trying a mild over-the-counter hydrocortisone cream to reduce inflammation and itch during flare-ups but use it sparingly.
- Avoid Irritants: Identify and avoid potential irritants, such as harsh soaps or fabrics, that could be aggravating the rash. Opt for breathable, loose clothing.
- Track Symptoms: Keep a journal to log flare-ups, potential triggers (like food, activities, or environmental changes), and how it responds to treatments. This could help in identifying patterns.
- Consider an Allergy Test: If you suspect an allergic reaction (contact dermatitis), consult with a dermatologist about patch testing to identify any allergens you might be reacting to.
- Consult a Dermatologist: Since you've seen multiple doctors with varying opinions, it would be beneficial to visit a dermatologist who specializes in skin conditions for a focused assessment and potential biopsy to clarify the rash's nature.
If the rash continues to disrupt your daily life or if you notice changes in your symptoms, seeking further specialized care would be essential. Remember, it might take some time and patience to find the right solution, and I'm here to support you through this. Please feel free to reach out for further inquiries or share updates on your progress.
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