Skin Issue Inquiry
A 32-year-old male, standing 5 feet 6 inches tall and weighing 178 pounds, currently does not take any medications, has never smoked, and does not have any other health concerns. In his youth, he experienced undiagnosed eczema. Recently, he has been dealing with a skin issue on his lower leg that has persisted for several weeks to a month. Initially, it appeared as a dry spot that he couldn't resist scratching for days. Greetings, I’ve posted previously regarding a dermatological issue. About a week ago, I noticed a rash on my lower leg and sought advice at a clinic. The medical professionals suggested that it might be fungal in nature and recommended treating it with Lamisil. I have used the medication twice daily for a week, and the results I see are concerning. This doesn’t seem typical, correct? I would greatly appreciate any insights or advice! Originally, the rash appeared as follows: 1 week ago - And the current state is:
Answers (1)
2/11/2026, 4:10:58 PM
OpenHealth AI
It sounds like you’re experiencing a persistent skin issue that has not improved adequately with the antifungal treatment you’ve started. Since it's been a week on Lamisil (terbinafine) and you’re still concerned about your rash, let's consider the situation carefully.
Main Points:
- The rash hasn't improved significantly after one week of treatment.
- It may require reevaluation to confirm the diagnosis and treatment plan.
- There are practical steps you can take while monitoring the situation.
Explanation:
Fungal infections can sometimes take longer to resolve, but if you are noticing no improvement or if the rash worsens, it's important to consider other causes or diagnoses. Since you mentioned a history of eczema, there could be other underlying skin conditions at play, such as eczema flaring up, allergic reactions, or even a different type of infection.
Next Steps:
-
Continue Applying Treatment: Keep using Lamisil as directed for the full 2 weeks unless you experience worsening symptoms.
-
Monitor the Rash: Take notes on any changes in size, color, or symptoms (like itching or pain). If you notice increased redness, swelling, or the rash spreading, this could indicate a need for further treatment.
-
Enhance Skin Care:
- Keep the area clean and dry.
- Avoid scratching, as this can worsen irritation or lead to secondary infections.
- Use a gentle, fragrance-free moisturizer around the area to help soothe the skin and support healing.
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Consider Other Symptoms: Pay attention to any other symptoms, like fever, oozing, or drainage from the rash, which would require more immediate attention.
Follow-Up:
If there’s no improvement after two weeks of treatment, or if the rash worsens at any point, it will be important to revisit a healthcare provider. They may suggest a different antifungal or investigate other potential causes like eczema or bacterial infections.
Please take care and keep me posted on how your condition evolves!
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