How ringworm should be treated

Patient: I got ringworm 3 months ago and it itched a lot. I used Wuji cream off and on, and my symptoms improved when I used it, but later it didn’t work, instead the symptoms became more pronounced and the area of red spots expanded. How should I treat my condition? I would like to ask for your help. Thank you. Pang Chuanchao, Department of Dermatology, Second Hospital of Jilin University: First of all, you should make a clear diagnosis, pay attention to personal hygiene, do not share clothes, shoes, socks, bath tubs, towels, etc. with patients, and underwear should be ventilated and breathable; patients with ringworm of the hands, feet and nails should be treated actively to reduce the chance of their own infection; try not to contact the affected animals. The second hospital of Jilin University, Department of Dermatology, Pang Chuanchao This disease is mainly treated with external medication, but those with extensive lesions or poor results with external medication can consider internal medication. 1. topical drug treatment can be topical clotrimazole cream, ketoconazole cream, bifenazole cream, terbinafine cream, compound benzoic acid rub, compound lezocine rub, etc., should be stressed to adhere to the drug for more than 2 weeks or continue to use the drug for 1 to 2 weeks after the lesions recede to avoid recurrence. The skin in the groin area is thin and tender, so you should choose topical medication with less irritation and lower concentration, and keep the area clean and dry. 2. Internal medication Oral itraconazole (100mg/d, dosed for 15 days) or terbinafine (250mg/d, for 1 to 2 weeks) can be used in combination with topical medication to increase the efficacy.