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This, uh- This, uh, is on the skin of my foot. This, uh, is on the skin of my foot. Is on the skin of my foot. It is itching. It is itching. It is itching. Too much. Too much. Too much. The photo I have uploaded. The photo I have uploaded. The photo I have uploaded. Mm, today I'm seeing that... Mm, today I'm seeing that... Mm, today I'm seeing that... Uh, some water is coming out from the chin area. Uh, some water is coming out from the itching area. Uh, some water is coming out from the itching area. What can be the probable diagnosis and, uh... What can be the probable diagnosis and, uh... What can be the probable diagnosis and, uh... What should be the treatment? What should be the treatment? What should be the treatment?

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CDC ringworm treatment topical antifungal when see healthcare provider skin infection

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tinea corporis AND treatment

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The photo shows a small, round, scaly, itchy plaque with an irritated/crusted center. A fungal infection (tinea/ringworm) is a leading possibility, but it cannot be diagnosed with certainty from a photograph. Other possibilities include eczema/contact dermatitis from footwear or a topical product, with scratching, or a secondary bacterial infection.
Because it is now oozing fluid, please arrange an in-person examination within 24-48 hours, sooner if it is getting worse. A clinician may do a simple skin scraping (KOH test) for fungus and, if there is pus/crusting, a bacterial swab. Tinea can resemble eczema or psoriasis, so testing helps avoid the wrong treatment, as the CDC clinical overview explains.

What to do now

  • Gently wash with water and mild soap once daily, then pat completely dry.
  • Do not scratch, pick, or peel it. Keep nails short.
  • Avoid tight footwear and friction over that spot. Use clean socks daily and do not share towels.
  • Do not apply a steroid cream alone, such as betamethasone, clobetasol, or “mixed” creams containing steroid plus antifungal/antibiotic. Steroids can disguise and worsen fungal infections.
  • If you can be seen promptly, it is reasonable to wait for an examination before adding several creams.

If a clinician or pharmacist thinks it is uncomplicated fungal infection

An over-the-counter antifungal such as:
  • Terbinafine 1% cream once or twice daily, or
  • Clotrimazole 1% cream twice daily
is commonly used, applied to the lesion and 1-2 cm of surrounding skin. Continue according to the product instructions, typically 2-4 weeks, and continue for the stated duration even if it looks better. The CDC ringworm guidance similarly advises topical antifungals for skin ringworm and completion of the recommended course. Red Book lists topical therapies for tinea corporis, cruris, and pedis, including miconazole and related agents (Red Book 2021, p. 761).

Seek urgent care today if any of these occur

  • Rapidly spreading redness, warmth, swelling, increasing pain, or red streaks up the foot/leg
  • Thick yellow-green pus, bad smell, fever, or feeling unwell
  • You have diabetes, poor circulation, immune suppression, or a foot ulcer
  • The lesion enlarges quickly, forms several blisters, or does not start improving within 1-2 weeks of appropriate antifungal treatment
Do not start oral antifungal tablets or oral antibiotics without a clinician, since the correct choice depends on confirming whether this is fungal, bacterial, or dermatitis.

Can prophysalic NF6 be used for this?

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Prophysalic NF6 cream composition

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tinea corporis AND corticosteroids

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No, do not use Propysalic NF6 on this lesion unless a dermatologist has examined it and specifically prescribed it.
Propysalic NF6 contains clobetasol 0.05%, a very strong topical steroid, plus salicylic acid. If this is ringworm/tinea, which remains a possibility from the photo, clobetasol can reduce redness and itch temporarily while allowing the fungus to spread and become harder to recognize and treat. It can also thin or damage skin with inappropriate use. The product is generally used for selected steroid-responsive conditions such as psoriasis or severe thick, scaly eczema, not an undiagnosed, weeping lesion.
Because you report fluid/oozing, get it examined in person within the next day or two. You may need a fungal scraping and possibly assessment for a secondary bacterial infection.
Until then:
  • Keep it clean and dry, do not scratch.
  • Avoid Propysalic NF6 and other steroid-containing combination creams.
  • If a clinician/pharmacist confirms it is likely fungal and there is no significant pus or spreading redness, use a plain antifungal, not a steroid combination, such as terbinafine 1% or clotrimazole 1%, as directed.
  • Seek care urgently for expanding redness, pain, warmth, swelling, yellow pus, fever, red streaks, or if you have diabetes/impaired immunity.
The CDC guidance on ringworm recommends topical antifungals for uncomplicated skin infection and notes that a healthcare professional can help identify the cause and appropriate treatment.

Terbinafine 1% and clotrimazole 1% which will be best

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CDC topical terbinafine clotrimazole ringworm treatment duration

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tinea corporis AND terbinafine clotrimazole

For a small suspected ringworm/tinea patch, I would generally choose terbinafine 1% rather than clotrimazole 1%, because it often works with a shorter course and is effective against common dermatophyte fungi.
  • Use only one, not both.
  • Apply a thin layer to the patch and 1-2 cm around it, following the product label, usually for about 1-2 weeks with terbinafine.
  • Keep the area dry and do not use Propysalic NF6 or any steroid-containing cream with it.
  • If the product label says twice daily, use it twice daily. Do not stop early just because itching improves.
However, because your lesion is oozing, I would not rely on self-treatment alone. Please have it checked within 24-48 hours. Oozing/crust can result from intense dermatitis, scratching, or a bacterial infection in addition to, or instead of, fungus. You may need a skin examination and possibly a scraping/swab.
Stop self-treatment and seek prompt care if redness expands, the area becomes hot/painful/swollen, there is yellow pus, fever, or no clear improvement after 7-10 days. The CDC advises avoiding steroid creams on suspected ringworm or undiagnosed rashes because they can worsen fungal infection.
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