Managing Skin Peeling After Fungal Infection Treatment: What to Do?

Peeling skin gradually after treatment for a fungal infection?

Hello, I visited a doctor for treatment of facial acne, and the doctor diagnosed it as a fungal infection.
I was prescribed topical ointments and oral medications, including Denosin, Icomein, Ketosone, CHYNDACIN GEL, and Anefree Gel, which I have been using for four days.
However, after using them, my skin has become painful, with extensive peeling and flaking, and I have developed herpes around my mouth.
My skin has become extremely dry, and after stopping the topical ointments for one day, the condition worsened.
The clinic is closed for the past two days, and I am unable to consult the doctor.
What would you recommend I do?

Niming, 20~29 year old female. Ask Date: 2024/02/20

Dr. Wu Yuxin reply Dermatology

Your questions need to be assessed in person to confirm the condition of the skin.
It is recommended to consult the original physician first.

Reply Date: 2024/02/20

More Info

Managing skin peeling and irritation after treatment for a fungal infection can be quite challenging, especially when the skin reacts negatively to medications. Based on your description, it seems that you are experiencing significant side effects from the topical and oral medications prescribed for your fungal infection. Here are some steps you can take to manage your symptoms until you can consult with your healthcare provider:
1. Discontinue Use of Irritating Products: If you notice that your skin is peeling, stinging, or becoming excessively dry, it may be beneficial to stop using the topical medications temporarily. This is especially true if the symptoms worsen after application. However, do not stop any oral medications without consulting your doctor.

2. Gentle Cleansing: Use a mild, fragrance-free cleanser to wash your face. Avoid scrubbing or using exfoliating products, as these can further irritate your skin. Look for products labeled as "sensitive skin" or "hypoallergenic."
3. Moisturize: Apply a gentle, hydrating moisturizer to help combat dryness. Look for products that contain ceramides, hyaluronic acid, or glycerin, as these ingredients can help restore the skin barrier and retain moisture. Avoid heavy creams that may clog pores or exacerbate acne.

4. Avoid Irritants: Steer clear of any products that contain alcohol, fragrances, or harsh chemicals, as these can further irritate your skin. This includes makeup and other skincare products that may not be suitable for sensitive or compromised skin.

5. Cold Compresses: If your skin feels hot or inflamed, applying a cold compress can help soothe irritation and reduce discomfort. Just be sure to use a clean cloth and avoid direct contact with ice.

6. Hydration: Drink plenty of water to keep your skin hydrated from the inside out. Proper hydration is essential for skin health and can help alleviate dryness.

7. Sun Protection: If you need to go outside, apply a broad-spectrum sunscreen with an SPF of at least 30. Sun exposure can worsen skin irritation and lead to further complications.

8. Monitor for Infection: Keep an eye on any new symptoms, such as increased redness, swelling, or pus, which could indicate a secondary infection. If you notice any of these signs, seek medical attention promptly.

9. Consult Your Doctor: Since your symptoms are severe and persistent, it is crucial to follow up with your healthcare provider as soon as possible. They may need to adjust your treatment plan or prescribe a different medication that is less irritating to your skin.

10. Consider Dermatological Advice: If your primary care physician is unavailable, consider seeking advice from a dermatologist. They specialize in skin conditions and may provide alternative treatments or therapies that are better suited for your situation.

In summary, managing skin peeling and irritation after fungal infection treatment involves gentle care, hydration, and avoiding irritants. While these steps can help alleviate your symptoms, it is essential to consult with a healthcare professional for personalized advice and treatment adjustments. Your skin's health is paramount, and addressing these concerns with a qualified provider will ensure you receive the best care possible.

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