Suffering from itching and red patches all over his body for a long time, the 17-year-old male went to the district hospital many times for examination and treatment with topical and oral medications. The lesions improved but recurred periodically.
For about a year now, the patient has not gone to the doctor but has been self-treating with topical medications bought online without clear labels or ingredients. Gradually, the lesions have spread all over the body, the patient is so itchy that he can't eat or sleep, so he goes to the hospital for examination.
According to Dr. Duong Thi Thuy Quynh, Specialist in Dermatology for Men, Central Dermatology Hospital, clinical examination revealed the patient's appearance of circular or arc-shaped red patches on the trunk, arms, and legs, with scaling, a tendency to spread outwards, and red papules and pustules in the chest and back areas. The patient experienced intense itching in the affected areas.
Circular red patches on the patient's hands and body (Photo: BSCC)
"The results of the fresh examination of the fungal hyphae showed segmented fungal hyphae on the keratinocytes. The patient was diagnosed with systemic fungal infection and prescribed treatment with Itraconazole 200mg/day, a topical antifungal medication," said Dr. Quynh.
After only 5 days of treatment, the skin lesions improved. The patient was discharged from the hospital to continue treatment at home according to the prescription and was instructed on a suitable lifestyle and hygiene regimen to limit recurrence.
According to Dr. Quynh, dermatophyte skin disease is a superficial fungal infection of the skin, including body fungus, face fungus, groin fungus, hand fungus, and foot fungus.
Fungal infections typically cause burning, red, circular or polycyclic patches with scaling, a tendency to spread, and severe itching. The disease responds well to treatment, but relapses are common and may require long-term preventive treatment.
There are many factors that increase the risk of fungal infection, such as being related to raising or contact with animals; being obese and sweating a lot; using alkaline soaps; frequently wearing shoes, using public bathtubs or swimming pools...
After diagnosis, the doctor will prescribe topical or oral medications alone or in combination depending on the severity of the disease. Fungal infections respond quite well to treatment within 1-2 weeks of treatment.
Using the wrong medication can make the condition worse and require a longer treatment time. Like this patient, instead of improving after 5 days of treatment, it took a whole year of applying all kinds of medicine, causing the fungus to spread.
Associate Professor, Dr. Le Huu Doanh, Director of the Central Dermatology Hospital, said that many people still have the habit of self-treating when they have skin diseases. Some diseases become very serious, from fungus, psoriasis, contact dermatitis due to self-treatment.
Source: https://vtcnews.vn/tu-y-dieu-tri-ngua-nam-thanh-nien-bi-nam-moc-toan-than-ar906340.html
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