HomeAnswersDermatologyrashI have a circular rash on my buttocks that spreads to other parts. Is it a COVID-19 rash?

Should a patient with a rash that spreads to other body parts from the buttocks start taking steroids?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Meha Tyagi

Medically reviewed by

iCliniq medical review team

Published At September 25, 2023
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

A rash started at the buttocks, spread to the thighs, and now slowly spreading to other parts like arms, legs, chest, and stomach, but much smaller circles there. In the thigh and buttocks, there is a large patch of circles and rash. Is it inverse pityriasis rosea (Covid rash) or ringworm? All STD or cervical tests came back clear, not responding to fungal treatment (1 to 2 weeks now). The main area is the groin, so I thought yeast or ringworm but then small spots appeared all over my body which is a spreading rash that started after I experienced muscle aches, headache, and chills. A few days after, so I feel maybe it is a Covid rash. Should I switch to a steroid or continue with fungal treatment?

Answered by Dr. Meha Tyagi

Hi,

Welcome to icliniq.com.

I understand your concern.

Based on your description and pictures (attachments are hidden to protect the patient's identity), tinea and pityriasis rosea both can be the possibility. For confirmation, I suggest you get a potassium hydroxide microscopy and fungal culture. Please answer a few questions for better understanding:

1. Is there any itching in the lesions?

2. Can you please share pictures of lesions on your stomach, arms, and, if present, on your back?

Follow up with reports.

Hope this answers your query.

Regards.

Patient's Query

Hello doctor,

Thank you.

There is itching in the groin area. Perhaps, because it is very dry and scaly, as seen in the picture. Almost all the lesions have a scale. It is similar to the scaling seen in the images from the web (red patch with white scaling outline). Almost all patches have it. It seems to be most common in the groin area, with smaller lesions across the body, chest, arm, and neck. The spread made me feel it has to be this as it first started in the primary area groin and then two days after quickly spread in random tiny spots across the body but not as concentrated as the hereditary patch. I am waiting for a skin swab result, but that will take a month due to the delay. That is why I am seeing the solution in the interim. Should I be noticing a difference with the fungal creams? I almost see no change, and I have switched my diet, also. I have been showering with tea tree oil, changing clothing multiple times a day, and keeping the area dry after showering. I also apply two times a day. Should I patch-test the area with a steroid to see if there is an improvement? If it is pityriasis roses, are there any alternative faster tests? Any other medications I can try on spots on the skin? Is potassium hydroxide microscopy different from the skin scraping test of the area?

Answered by Dr. Meha Tyagi

Hi,

Welcome back to icliniq.com.

I understand your concern.

The antifungals can take some time to show improvement. Itching improves before the appearance of the lesion. Do continue medications for a while. KOH (potassium hydroxide) microscopy is different as it gives an immediate idea regarding the diagnosis, although antifungals are still going on. Therefore you can have a negative report. The confirmation is going to be the skin swab for culture which is already sent. Secondly, applying steroids to a suspected fungal infection can be counterproductive and can result in resistant infection. Pityriasis rosea, even post-viral, is a self-resolving condition, and the lesions will settle on their own. So I suggest it is better to avoid steroids at this moment. Add antihistamines and moisturizer for treatment. Use mild soap to take a bath. If required, the itch can be managed with antihistamines, and you can apply moisturizer. Wait for the results of your tests and continue with the treatment at present.

Hope this answers your query.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Meha Tyagi
Dr. Meha Tyagi

Venereology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

steroidsblood healthrash

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy