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  5. What are the recommended treatment strategies for persistent tinea cruris in the gluteal region that has not responded to topical sertaconazole and oral griseofulvin, and how can the resulting post-inflammatory hyperpigmentation in the groin area be managed?

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What are the recommended treatment strategies for persistent tinea cruris in the gluteal region that has not responded to topical sertaconazole and oral griseofulvin, and how can the resulting post-inflammatory hyperpigmentation in the groin area be managed?

Asked by Female, 26 · 1 month ago

Since the infection didn't respond to sertaconazole or griseofulvin, the next step is often switching to a different class of oral antifungals, such as oral terbinafine or itraconazole, combined with a topical allylamine cream. For the dark spots (hyperpigmentation), these usually fade naturally over time once the infection is completely cleared. Keeping the area dry and friction-free is key. Later, gentle treatments like azelaic acid can help. Please consult your dermatologist to safely adjust your prescription.
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What are the recommended treatment strategies for persistent tinea cruris in the gluteal region that has not responded to topical sertaconazole and oral griseofulvin, and how can the resulting post-inflammatory hyperpigmentation in the groin area be managed?

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