Family, Internal Medicine, General Medical Questions/Hello

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Question
Circle patch
Circle patch  
Closer look
Closer look  
QUESTION: Hello
I ve sent you before about my patches and you said I had tinea corporis and you said you use nizoral . Well I did go to doctor and she prescribed ketoconazole pills for 10 days the cream 30 gm 2%
I just finished my 10 days pills Sunday now using still cream and I may go get refill
I noticed I have a patch on my left side jawline was wondering if its fungus? 1st picture

ANSWER: I am having trouble telling.... those pictures are not coming thru well.  From a practical standpoint.... try the cream.... it won't hurt.

---------- FOLLOW-UP ----------

Before picture
Before picture  

Now pictures
Now pictures  
QUESTION: Here s a picture from my upper right back
Just wondering if you see a any improvement and how long it takes to completely go away.

Answer
tenia corp is a tough problem... it fades slowly and the fungal stuff grows/reproduces really slowly.... when I use the oral ketoconazole, I use a dose once a week for 6 weeks during a time when you are gonna sweat.... it is like flea dipping you in the drug..... it doesn't really get it from the inside out.... you have to use the pill to get it onto the skin with sweating.......   after 6 weeks that usually works, but the recurrence rate is pretty high.... you could continue to use the cream but you have to use it probably for 3 weeks..........  

Family, Internal Medicine, General Medical Questions

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Robert Borucki

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I am an expert in Family Medicine and Emergency Medicine.

Experience

I am trained and boarded in Family Medicine and have also worked extensively in emergency medicine for over 10 years.

BA in Natural Sciences; MD in 1986

www.mydoctor.com\borucki

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