[53F] Experiencing persistent itchy rash and red spots

What might be happening

Based on the information you provided, the following conditions could be possible:

• Fungal Infection: Despite the lack of response to antifungal treatments, a persistent fungal infection such as ringworm could still be a possibility. These infections can cause itchy, red, and scaly rashes that can spread to different areas of the body.

  • Treatment typically involves topical antifungal creams. If these are ineffective, oral antifungal medications may be necessary.

• Psoriasis: This is a chronic skin condition that can cause red, itchy, and scaly patches of skin. It's not typically associated with the spreading pattern you described, but it can present in various ways.

  • Treatment can involve topical treatments, light therapy, and systemic medications.

• Dermatitis: This is a general term for inflammation of the skin, which can cause an itchy rash. It could be contact dermatitis, caused by skin contact with a substance that causes an allergic reaction or irritation.

  • Treatment typically involves identifying and avoiding the irritant, along with topical creams to reduce inflammation and itching.

• Eczema: A condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long-lasting and tends to flare periodically.

  • Treatment for mild cases typically includes over-the-counter (OTC) products like hydrocortisone 1% cream or prescription creams and ointments containing corticosteroids.

Please note that without a physical examination and possibly further testing, it's difficult to accurately diagnose your condition.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

1. Avoid scratching the affected areas, as this can worsen the rash and potentially lead to infection.
2. Try to identify any potential triggers for the rash, such as new products (soaps, detergents, lotions), fabrics, or environmental factors.
3. Keep the affected areas clean and dry.
4. Apply an over-the-counter cream for itch relief, such as one containing hydrocortisone, unless you have been advised otherwise by a healthcare provider.
5. Consider trying an over-the-counter antihistamine to help with the itching.

What you should look out for

You should seek immediate medical attention if:

• The rash spreads rapidly or covers a large area of your body.
• You develop other symptoms, such as fever, joint pain, or swelling.
• The rash becomes painful or starts to ooze.
• The rash doesn't improve after a few weeks, despite home treatment.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.