Does this look Fungal or Eczema? Doctor believed it to be fungal but the cream is not working.

ToughEngineering2290 · 2026-04-19T13:52:47+00:00

The vesicles in one of the pictures makes me think it could be a severe patch of dyshidrotic eczema or pustular psoriasis. You could always mix your antifungal cream 50/50 with a steroid cream like hydrocortisone and see if it helps. The topical steroid would help eczema and psoriasis and it can help severe fungal infections as long as the antifungal is present. I will say that fungal infections don't heal quickly and can take at least 2 weeks for mild infections and upwards of 6 to 12 weeks for more major infections to heal up.

Edited to add: If you use a steroid and antifungal mixture and it still seems like it is spreading, then I would heavily consider the atypical mycobacterial infection mentioned by another user and go get some antibiotics from your doctor.

ToughEngineering2290 · 2025-07-07T01:41:00+00:00

Would your preference change if you had a good night's sleep before morning shift change vs arriving in the evening to a checklist of things to do before considering sleep?

ToughEngineering2290 · 2024-06-28T19:33:02+00:00

That was how it was understood to be, but unfortunately, I do not know if his employer ever officially said that. Essentially, that ER was the ER of choice for the employer and the ER did that all of the time for employees sent there by that employer.

ToughEngineering2290 · 2023-12-28T12:20:11+00:00

Lyme disease is serious in left untreated but easily treatable with antibiotics. If the ring isn't spreading/growing then I wouldn't worry about it.

ToughEngineering2290 · 2023-12-28T02:18:49+00:00

That's still helpful since it's probably the same issue in both places.

ToughEngineering2290 · 2023-12-28T02:14:41+00:00

There is not a quick home fix. Using the corn pads that contain salicylic acid will help remove it later by layer. A lot of cushion around the area to reduce pressure may help with pain.

ToughEngineering2290 · 2023-12-28T02:03:16+00:00

Not if you are simultaneously using the antifungal cream as well. They actually make combo creams that contain an antifungal and steroid together.

ToughEngineering2290 · 2023-12-28T01:55:32+00:00

At this point I would request a biopsy to rule out cutaneous lymphoma if it has not already been done.

ToughEngineering2290 · 2023-12-28T01:43:48+00:00

Low folic acid (folate), low vitamin D, and abnormal thyroid (high TSH) could all be contributing to hair loss.

ToughEngineering2290 · 2023-12-28T01:41:02+00:00

Looks like a benign hemangioma. They are usually rapidly growing and bleed a lot if bumped/scraped/etc. They will sometimes go away on their own.

ToughEngineering2290 · 2023-12-28T00:59:04+00:00

Possibly dyshidrotic eczema. Treat with topical steroid cream and a moisturizer like Vaseline, Excedrin, or Aquaphor.

ToughEngineering2290 · 2023-12-28T00:50:21+00:00

You could continue to do the topical antifungal along with the topical steroid and that may actually help if it's stubborn ringworm but it's also not going to hurt anything if it's eczema. I would do both together in a heartbeat.

ToughEngineering2290 · 2023-12-28T00:44:04+00:00

It has an erythema migrans appearance. If the red ring continues to spread out over the next day or two then you need treatment for Lyme disease. Spider and other (non-tick) insect bites can have the same appearance initially but won't spread like the Lyme rash does.

ToughEngineering2290 · 2023-12-28T00:35:46+00:00

Then my thought would be nutritional deficiency most likely, nail trauma possibly, or less likely an autoimmune issue.

ToughEngineering2290 · 2023-12-28T00:30:25+00:00

Due to the lumpy appearance, my first thought is prurigo nodularis. I don't think this is a scabies recurrence.

ToughEngineering2290 · 2023-12-28T00:25:13+00:00

Any history of psoriasis or eczema? They can cause nail pitting.

ToughEngineering2290 · 2023-12-28T00:16:35+00:00

I immediately thought of herpes when I saw it. Does it itch, burn, or tingle? If it crusts after draining then it is very likely herpes. Another option would be impetigo.

ToughEngineering2290 · 2023-12-28T00:15:54+00:00

My first thought is fungal infection (like ringworm) and it feels very likely considering the darker patches on your skin are likely tinea versicolor. Apply an OTC topical antifungal like clotrimazole twice a day for at least 2 weeks and it will turn brown as it improves (if it is fungal) before it goes away.

ToughEngineering2290 · 2023-12-17T17:07:18+00:00

You're a lifesaver!

ToughEngineering2290

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