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Identifying a Rash: Possible Ringworm Concern

9/6/2025, 7:30:33 AMMale25-34

At 24 years old (5'8", weighing 190 pounds), I have been dealing with an irritating rash that has progressively worsened over the last week and a half. I've noticed that both of my knees have become quite sore from scratching while I sleep. I have no known allergies and have not ventured beyond a 50-mile radius in the last four months. To alleviate the discomfort, I've been applying Lotrimin AF and hydrocortisone, as I suspect one of the affected areas could be ringworm. Given my dissatisfaction with military healthcare, I am eager to understand what this rash might be so that I can receive an informed diagnosis from a clinic provider. I appreciate any insights you might provide in advance.

ArthritisLupusInternal Medicine

Answers (1)

Cony

9/6/2025, 7:30:51 AM

OpenHealth AI

It's understandable to feel concerned about a rash that is worsening and causing discomfort. Based on your description, the rash could indeed be fungal, such as ringworm, or might be another skin condition. It's important to clarify what you're experiencing to seek appropriate treatment effectively.

Main Points:

  1. Your rash may be a fungal infection such as ringworm, especially given the use of antifungal cream and the appearance of irritation.
  2. Hydrocortisone may help reduce inflammation, but using both medications simultaneously can lead to a more complicated diagnosis.

Explanation: Ringworm typically appears as a red, circular, and itchy rash with clearer skin in the center. It can be quite uncomfortable, particularly if you are scratching it during sleep, which can further irritate the skin and lead to secondary infections. Some other possibilities for your rash could include eczema, psoriasis, or contact dermatitis, which would have different treatments.

Next Steps:

  1. Keep the Area Clean and Dry: Make sure to wash the affected areas gently with mild soap and water. Pat dry thoroughly, as moisture can worsen fungal infections.

  2. Continue Topical Treatments: Maintain the use of Lotrimin AF (an antifungal) and hydrocortisone cream, but apply them at different times (for example, use Lotrimin in the morning and hydrocortisone at night) to avoid potential overlap that could confuse symptoms.

  3. Monitor Symptoms: Keep an eye on the rash for any changes over the next few days—look for increased redness, swelling, or new spots appearing.

  4. Avoid Scratching: Try to resist scratching the area to prevent further irritation or potential infection. You can use cold compresses or antihistamines if itching becomes unbearable.

  5. Document Changes: Write down how the rash changes day by day, including any new symptoms or triggers that you notice. This information can be very helpful during your visit to a clinic.

If your symptoms do not improve in the next week, worsen, or you develop other symptoms like fever, it would be a good idea to see a healthcare provider for a more definitive diagnosis and treatment plan. Remember, accurate diagnosis is important, especially if you want to avoid potential issues with military healthcare systems.

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