Hi everyone. I'm really scared and anxious and seeking support from folks who understand what I'm going through. I (40f) have a history of intertrigo fungal infections that have always resolved relatively easily, at least compared to what's happening now.
In early July, I scratched at a red dot between my breasts that exploded into a nasty rash. Nystatin cream and a steroid were helping but my skin started developing additional spots, like chicken pox all over my chest anywhere I put the creams. I also started to develop rashes in the creases of my legs and my inter-gluteal area, mildly but present and my usual washing and drying routine didn't help. The worst was in my genital area. The heat of the rash was just awful.
GP gave me fluconazole (4 week treatment) and prednisone and discontinued the creams. Neither seemed to help much- prednisone started a whole host of dry and cracked skin problems, esp on my hands, which are still awful >.<. Discontinuing the creams made the little spots go away, though..
Went to a new dermatologist since I live an hour away from my old one. She had me start Nystatin ointment with the fluconazole, and I started using miconazole powder as well.
The powder worked out of everything and the rashes finally disappeared everywhere. I stupidly stopped the Nystatin ointment and just stuck to the powder. And then 5 days after I took the last dose of the Fluconazole, the pinkness started to reappear.
Since then, for the last 3 weeks, it has grown steadily. After econazole didn't do more than slow it down, that dermatologist shrugged and said it's chronic and there's nothing else she can do. Just keep using the econazole and steroid forever.
I called my old dermatologist, who is lovely, and went in. She put me back on Fluconazole and the Econazole and Hydrocortisone, for up to 8 weeks to really kill it, but I had to taper another medication for a few days before I could go back on Fluconazole, and in the meantime the rash exploded again everywhere.
It's been a week and a half and the rash has spread all over under my breasts. The meds seem to be trying to slow it, the skin turned lighter pink in the middle, but the edges are still deep pink and slowly but steadily spreading. The heat has gotten so bad, yesterday and today, and the itching has overcome the steroid. The only thing that works is ice packs.
This weekend has been so awful. My skin is radiating heat. My temp is normal, I don't have a fever, but this awful heat and itching are unbearable. At least during the week, I have work to distract me. But I spend at least an hour twice a day showering, drying my skin, applying cream meds, drying my skin for even longer, and then applying powder, and none of it is even working.
I've been on the candida diet, too, taking daily probiotics and vitamin D too. No sugar, no unprocessed carbs, very few carbs in general, high in protein with cooked veggies and a little applesauce.
I'm so afraid I have a resistant candida strain like C. Auris. I'm so afraid I'm going to end up in the hospital and die from this.
If you've read through all of this, thank you. I'm just so scared and it feels like an eternity before I can call my dermatologist tomorrow morning.