Itchy Rash Pictures, Causes and Treatment
Have you ever wondered what that red mark or spot is on your skin? The dreaded rash is something that we are all keen to avoid. They come in many different forms, sometimes gradually sometimes without warning. Not only do they vary greatly, their cause could range from nothing to something serious. Unfortunately, rashes are a part of our life whether we like it or not. However, it doesn’t harm us to understand their cause.
Non-Infectious Rashes
Atopic Dermatitis | Nummular Eczema | Neurodermitis | Lichen Ruber Planus | Pityriasis Rosea | Urticaria (Hives) | Psoriasis
Infectious Rashes
Bacterial: Cellulitis | Folliculitis | Impetigo | Syphilis | Intertrigo
Fungal: Athlete’s Foot | Jock Itch | Ringworm
Parasitic: Scabies
Viral – Exanthem: Molluscum Contagiosum
What Is A Rash?
A rash is usually a red mark on the surface of the skin. They can be caused by a host of reasons and we’ll dig into that a little later. In all, a rash is a reaction to something. It could become swollen, red and even blister. Regardless, this is your body reacting to something it doesn’t like. Your body does not produce a rash because its happy!
Genetics can also play a part in your the rashes you get. Depending on your genes you could be more sensitive to certain environmental factors, foods or otherwise. It’s also worth pointing out that ‘rash’ is not a specific diagnosis. It simply refers to any sort of inflammation or discoloration that distorts the skins normal appearance.
What Causes That Itchy Rash?

Atopic Dermatitis – Finger
The cause of your rash could be due to a plethora of conditions. Rashes are not easy to diagnose and in some cases even doctors struggle to diagnose correctly. We would always recommend speaking to a board-certified dermatologist if you have a persistent rash. Equally, we have created artificial intelligence that allows you to search for potential skin rash causes. Simply upload an image and we provide the results.
How to Investigate Your Rash at Home
If you’re experiencing an itchy, red, or bumpy rash, consider the following self-check before seeking medical help:
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Have you used any new skincare or laundry products?
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Have you eaten unfamiliar foods or come into contact with plants or metals?
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Is the rash isolated to areas of friction or sweat (like groin or underarms)?
A board-certified online dermatologist can assess whether your rash appears allergy-related—often within just a few hours. However, identifying the specific allergen usually requires in-person testing.
Why Does It Itch So Much?
Itching—also called pruritus—is an unpleasant skin sensation that triggers a natural reflex to scratch. Research shows that itch and pain share similar nerve pathways but activate different behavioral responses.
Common causes of itching include:
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Dry skin (especially in winter or after over-washing)
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Allergic reactions to insect bites, plants, or materials
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Heat or friction
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Stress or systemic conditions (like eczema or kidney disease)
Itching often begins when nerve endings in the outer skin layer (epidermis) are stimulated, such as by inflammation or dehydration. Keeping skin moisturized and avoiding triggers can help reduce flare-ups.
Types of Rashes: What to Expect Next
To help you better understand what might be causing your itchy rash, we’ve categorized them into two main types:
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Non-Infectious Rashes – such as eczema, hives, and psoriasis
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Infectious Rashes – caused by bacteria, viruses, fungi, or parasites
Scroll down to explore each type with real patient images and dermatologist-reviewed insights.
Non-Infectious Rashes
These rashes are some of the most common and are caused by a variety of reasons. In some cases it could simply be due to skin hydration, others it could be an allergy. Either way these rashes are non infectious rashes – they aren’t viral, fungal, bacterial or parasitic.
- Dermatitis – This is one of the most common forms of dry skin and rashes. There are many types such as: Atopic, Contact, Diaper, Discoid, Neurodermatitis, Perioral, Seborrheic
- Psoriasis
- Hives
While most non-infectious rashes fall under the dermatitis category, other immune-related or allergic skin conditions like psoriasis and hives are also included. If your rash doesn’t match a typical pattern, our online dermatologists can help review your symptoms and guide you further.
Pictures and Diagnosis of Non-Infectious Rashes
1. Atopic Dermatitis (severe itching)
Online dermatologist question
Age: 10
Gender: Male
Picture of right inside elbow crease, he has eczema. Allergic to pollen, dust mites, dander, milk protein. The rash is itchy and rough on the left elbow and right armpit as well. A few other patches on his body. It comes and goes in terms of severity.
We don’t want to use steroids. What about new Eucrisa cream?

Itchy skin Atopic dermatitis eczema in Children
Online dermatologist answer
Based on the information and images of the arm, this is consistent with ATOPIC ECZEMA: Atopic dermatitis is very common in children but can persist into adulthood in some cases.
It often affects sites like the flexures of the big joints (skin folds cush as the knee, elbows, neck, etc), but it can be found anywhere on the body surface. This condition causes itchy inflammation of the skin with red, dry patches which sometimes lead to cracking of the skin. In some cases, multiple small blisters can appear.
Treatment
Bacterial infections can sometimes make the condition worse.
At-home treatment options include:
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Avoiding irritants (e.g. excessive showering or harsh soaps)
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Applying 1% hydrocortisone cream (over-the-counter):
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Twice daily for 1 week
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Once daily for the next week
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Then every other day for 2 weeks
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Using a moisturizing cream frequently, especially after washing
If there’s no improvement, it’s best to see a dermatologist in person. Prescription-strength steroid creams may be needed.
Regarding Eucrisa Cream
You asked specifically about Eucrisa. It may help, but in clinical trials, only about 1 in 3 people showed significant improvement after a month — compared to 1 in 5 with placebo.
I would not recommend saying “never” to topical steroids. In my practice, topical steroid creams are more effective than 1 in 3, and they can be used very safely long-term if applied correctly.
2. Nummular Eczema
Online dermatologist question
Age: 39
Gender: Male
Right side of neck, 3×3 inch rash with blisters. Had for approximately 6 days.

Itchy red rash with blisters and crusting on the neck — typical of nummular eczema, causing localized skin barrier breakdown and inflammation.
Online dermatologist answer
Thank you for sending your case. Based on the information and images of your neck, this is possibly a ECZEMA NUMMULARIS: Nummular dermatitis is a type of eczema with coin-shaped red and slightly scaly skin lesions with pruriitus (itching).
Nummular dermatitis is often caused by dry skin. Moisturizing cream and a topical steroid applied twice daily would be recommended.
Treatment
A potent steroid cream may be needed to clear the lesions. This will require a prescription from your dermatologist or family doctor.
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Treatment should be continued for at least 4 to 6 weeks
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Gradually reduce application every 1–2 weeks as the rash improves
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Avoid scratching, as it worsens the inflammation
In your case, it looks like you may have a secondary infection. A bacterial culture may be needed before starting oral antibiotics.
I recommend you see your primary care doctor or a dermatologist for further evaluation and to guide treatment.
3. Neurodermitis
Online dermatologist question
Age: 27
Gender: Female
The spot has been on the inside of my left thigh for over a year now. It itches constantly and is now showing up a few inches above my knee on my left thigh as well. There is nothing on my right leg or anywhere else.

Itchy rash on the inner thigh with thickened skin and scratch marks — consistent with neurodermatitis caused by repeated scratching.
Online dermatologist answer
Based on the information and images, possibly neurodermatitis, a specific form of eczema.
In this condition, it’s quite frequent to develop one single very dry and itchy spot, like in your case. It’s not dangerous, but the itching can get quite troublesome as you describe. The most important thing is to break the vicious circle of itching-scratching.
Treatment
The treatment of choice in most cases is stronger cortisone creams, applied several times daily at the beginning. Then, try to withdraw slowly according to a specific withdrawal schedule.
If the itching is extremely intense, oral antihistamines can be added during the initial phases of treatment.
4. Lichen ruber planus
Online dermatologist question
Individual: 40 years old female.
Top of left foot and a couple underneath, top of right foot, left calf affected bad, right calf barely affected. No other affected areas on the body. I have had this for 8 months and it hurts, itches, and is UGLY. Previously, I used antifungal thinking it was ringworm and it seemed to work, until it didn’t anymore.

Online dermatologist answer
Based on the information and images, this is possibly a LICHEN RUBER PLANUS.
Lichen planus (a.k.a. lichen ruber) is a chronic inflammatory condition of the skin, which can affect a number of body parts.
Common locations are the underside of the forearms, wrists, legs and the inside of the cheeks, but it can also affect both men and women in the genital area. The lesions are commonly slightly raised and reddish-violaceous in color. Itching is not uncommon and can be quite stubborn.
Trauma in the area can sometimes cause more lesions to appear (a so-called Koebner phenomenon) so it is important to avoid scratching.
Treatment
Lichen planus can be treated with topical steroid creams, but over-the-counter hydrocortisone 1% is in most cases not sufficient.
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Stronger steroid creams (prescription-only) are usually needed
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It’s recommended that you see your family doctor or a dermatologist in person
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Sometimes a small skin biopsy is needed to confirm the diagnosis and rule out other possibilities before treatment begins
5. Pityriasis rosea
Online dermatologist question
Age: 24
Gender: Male
The red spots are on my arm, armpit, back, chest, neck and groin area. Always itchy and intense itching at night. Had this for 6 weeks now . Seen the doctor three times. Had steroid cream, a tablet to stop the itching and an anti fungal tablet. None seem to work.
![Pityriasis Rosea (04) stomach [ICD-10 L42]](https://firstderm.com/wp-content/uploads/Pityriasis-Rosea-04-skin-ICD-10-L42.jpg)
Widespread itchy rash with red scaly plaques, mostly on the trunk and upper body — consistent with pityriasis rosea.
Online dermatologist answer
Based on the information and images, this is possibly a PITYRIASIS ROSEA: Pityriasis Rosea is a non-contagious, benign rash that is most common in young children. This condition usually starts off with a single red, scaly patch of skin called a ‘herald patch’. Within short, multiple red scaly patches appear on the trunk, upper arms and legs.
Treatment
The lesions typically disappear without treatment after 6–8 weeks.
To relieve itching, the following can be recommended:
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Apply a moisturizing cream regularly
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Use a topical steroid cream such as Hydrocortisone 1% (available over-the-counter):
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Apply twice daily for 1 week
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Then once daily for 1 week
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Then every other day for 2–4 weeks
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If symptoms do not improve within 2 weeks, see a dermatologist in person to exclude other possible conditions.
6. Urticaria (Hives) / Dermographism
Online dermatologist question
Age: 34
Gender: Male
Itching, rash now turning into welts. Cause unknown.

Itchy rash with red wheals and linear swelling on the back — typical of dermographism, a reactive form of urticaria.
Online dermatologist answer
Based on the information and images submitted, this is possibly a URTICARIA: Urticaria or “Hives”.
They are frequently caused by allergic reactions; however, there are many nonallergic causes such as medication, infection, heat, cold, skin pressure, or external irritants.
This results in the release of the substance histamine in the skin, which causes local inflammation with swelling and gives rise to itching or burning, raised, red skin lesions known as wheals. These lesions have a tendency to move around and disappear within 24 hours only to appear again in other places.
Dermographism (the skin becomes raised and inflamed when scratched), as shown in the photographs, is a common symptom.
Treatment
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Over-the-counter antihistamine pills (e.g. Desloratadine 5 mg, once daily) are recommended to relieve the itching
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In most cases, symptoms pass within days or a few weeks
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If there’s no improvement or if the rash spreads, see your family doctor or a dermatologist for further evaluation and testing
7. Itchy rash spreading all over my body – Psoriasis
Online Dermatologist question
Age: 28
Gender: MaleAt first it was only one rash which is the first picture I sent you, it started about a month and a half ago. Then 2 weeks ago, it just started spreading all over my body. They are small, but itch and leave like a scab if I scratch them.
I have been to two doctors which one said it was eczema and the other one could not determine.
So far, I have been taking triamcinolone acetonide and ketoconazole as a cream for 4 days now, but the symptoms seem to be getting worse.

Spreading itchy rash with red plaques and scaling on the lower leg — commonly seen in psoriasis flare-ups.
Online Dermatologist Answer
Based on the information and images, this is possibly PSORIASIS.
Psoriasis is a chronic inflammatory skin disease that can appear at any age. Red patches with white scaling are commonly seen on the elbows, knees, lower legs, and scalp, though they can appear anywhere on the skin.
A variable amount of itching may be present — sometimes mild, sometimes not at all. Often, other family members may also have the condition.
Treatment
I recommend that you see a dermatologist or your family doctor to obtain a prescription.
Common prescription treatment options include:
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Vitamin D-derived creams (e.g. Daivonex)
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With or without topical steroids (e.g. Daivobet)
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Sunlight exposure or medical UV therapy
If the condition does not respond to these treatments, there are additional systemic treatment options available.
Pictures of Infectious Rashes
Bacterial Rashes
Eruptions caused by bacteria tend to be postular (small bumps filled with pus) or could be plaque-like and painful.
8. Cellulitis
Online Dermatologist Question
Age: 33
Gender: FemaleIt looks like a bite on the left side of my right leg crease. This started on Sunday. It’s now Thursday. Worried about the red being an infection. I was wearing jeans on a plane at the time this started.

Warm, red rash with swelling in the leg fold — cellulitis often appears in this way when bacteria enter through a small skin break.
Online Dermatologist Answer
Based on the images and information, this is possibly cellulitis.
Cellulitis is a common bacterial skin infection. It occurs when bacteria — most commonly Streptococcus and Staphylococcus — enter through a crack or break in the skin.
Cellulitis appears as a swollen, red area that feels hot and tender. The skin on the lower legs is most commonly affected, though cellulitis can occur anywhere on the body or face.
It might affect only the surface of the skin or extend to deeper tissues. In more serious cases, it can spread to the lymph nodes and bloodstream.
⚠️ Left untreated, cellulitis can rapidly become serious.
What You Should Do
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Seek immediate medical attention — prescription systemic antibiotics are usually required
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Until then, apply any topical antibiotic cream you have (e.g. Neosporin, mupirocin, fucidic acid)
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Clean the area gently with chlorhexidine wash
9. Folliculitis
Online Dermatologist Question
Age: 23
Gender: MaleI’ve noticed these little red dots that vary in size since November or December. They’ve gradually spread more and more throughout my legs and seem to be getting more defined, with some showing redness around them. What could this be?

Clusters of red dots on the leg — consistent with folliculitis, an inflammation of the hair follicles.
Online Dermatologist Answer
Based on the information and images of your legs, this is possibly FOLLICULITIS.
Folliculitis is a very common skin condition. It is caused by an inflammation of the hair roots due to small sores in the skin allowing bacteria and other irritants to enter and inflame the hair follicles. It can be both infectious or non-infectious.
I would recommend that you:
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Keep the area clean with antibacterial soaps or solutions (e.g. Chlorhexidine).
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If it does not improve, see your family doctor in person.
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You should not shave the area until it heals.
Prescription topical antibiotics (e.g. mupirocin) and/or oral antibiotics may be necessary if the above recommendations do not have any effect after 2 weeks.
10. Impetigo
Online Dermatologist Question
Age: 32
Gender: MaleRandomly showed up on left shoulder one day. Started as a small, bug bite–sized spot. Eventually expanded into a larger 1.5” (guess) diameter circle that scabbed.
As that area healed (lighter pink area in the middle), other spots have appeared. Started using an antifungal cream, which seemed to help some spots, but new ones keep showing up. The rash hasn’t spread elsewhere — it’s fully contained to the left shoulder and shoulder blade area.

Red rash with crusted sores localized on the shoulder — typical appearance of impetigo during active infection.
Online Dermatologist Answer
Based on the information and images of your shoulder, this is possibly impetigo.
Impetigo is a skin infection caused by bacteria, most commonly Staphylococcus aureus. It is very contagious and can spread to other parts of the body or to family members.
Reddish patches or plaques with yellowish crusts are common in impetigo.
Treatment
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Wash the area daily with soap and water
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Use disinfectant solutions containing chlorhexidine to reduce bacteria
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Avoid sharing towels, especially hand towels, with others in your household
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If there is no improvement within a few days, consult your doctor or dermatologist for further evaluation
Prescription treatments may include:
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Topical antibiotics, such as Altargo (retapamulin ointment)
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In some cases, oral antibiotics may be necessary
11. Syphilis
Online Dermatologist Question
Age: 32
Gender: MaleI’ve had 3 things that looked like “pimples” on my penis for the last 5 days or so. They don’t hurt terribly bad. The one or two that look more like open sores became that way when I popped them. Only clear fluid comes out of them.

Multiple red bumps and shallow open sores on the penile shaft — may indicate primary syphilis with chancre formation
Online Dermatologist Answer
Thank you for sending your case. Based on the information and images submitted, this is possibly syphilis — a sexually transmitted infection caused by a bacteria known as Treponema pallidum. Most often, it spreads through sexual contact.
The disease starts as a sore (syphilitic chancre) that’s often painless and typically appears on the genitals, rectum, or mouth. Syphilis spreads from person to person through direct contact with these sores.
In nearly 40% of primary syphilis cases, multiple chancres may occur. These may also appear on nearby surfaces due to self-inoculation (e.g. “kissing chancres”).
Some blood tests are necessary to confirm the diagnosis, in addition to clinical symptoms and medical history.
You need to consult an STD clinic to get tested.
Following confirmation, appropriate management will be provided.
12. Intertrigo
Online Dermatologist Question
Age: 33
Gender: FemaleI’ve been struggling with recurring skin issues in the groin for over a year.
The itching gets much worse at night, and over-the-counter treatments only offer temporary relief.
The skin sometimes becomes dry and scaly, and when the area gets sweaty at night, it starts itching badly. I can’t help scratching, which causes the skin to break and get infected again and again.
I’ve tried cutting my nails, using talc, creams, and cotton underwear — but nothing works long-term.
Now my partner has similar symptoms near their genital area.
I believe this needs proper medical assessment, possibly some testing. But my GP keeps redirecting me to a pharmacist.

Dry, itchy rash in the groin fold — consistent with intertrigo caused by friction, moisture, and inflammation.
Online Dermatologist Answer
Based on the information and images of your skin, this is possibly INTERTRIGO.
Intertrigo is a rash in the body folds (flexures) where skin comes into contact with other parts of the skin — such as:
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Behind the ears
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In the folds of the neck
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Under the arms (axillae)
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Under a protruding abdomen
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In the groin
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Between the buttocks
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In the finger webs or toe spaces
The skin affected by intertrigo is typically reddened and uncomfortable (inflamed). It may become moist and macerated, leading to cracks and peeling.
Intertrigo is caused by a mix of genetic and environmental factors. Flexural skin tends to have a higher surface temperature. Moisture from sweating or water loss can’t evaporate properly because of skin-on-skin contact. Friction from movement causes chafing. Microorganisms (like fungi and bacteria) that normally live on the skin multiply in warm, moist environments, which can worsen the condition.
Treatment
Since the rash is often both infectious and inflammatory, a combination treatment is recommended. In most countries, these are available over-the-counter.
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Morning: Apply a topical antifungal cream such as clotrimazole, terbinafine, or miconazole
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Evening: Apply a low-potency topical steroid such as 1% hydrocortisone cream
You should see improvement within a couple of days, but it’s important to continue the treatment for 1–2 weeks. Stopping early increases the risk of relapse.
Prevention
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After healing, apply the steroid once or twice weekly as maintenance
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If sweating contributes, using talc powder helps keep the area dry and prevents recurrence
If the rash persists or gets worse, you should see your family physician or a dermatologist for in-person evaluation.
Fungal Rashes
Fungal infections can be quite common and usually appear as fiery red marks with pustules (blisters) around the edges. Normally they affect folds in the skin such as the groin or breast area.
12. Athlete’s Foot
Online Dermatologist Question
Age: 10
Gender: MaleI’ve had 3 things that looked like “pimples” on my penis for the last 5 days or so. They don’t hurt terribly bad. The one or two that look more like open sores became that way when I popped them. Only clear fluid comes out of them.
They’re on my penis shaft as shown in the photos, and that’s it.

Itchy rash with peeling skin between the toes — athlete’s foot (tinea pedis) in children.
Online Dermatologist Answer
Thank you for sending your case. Based on the information and images of your foot, this looks like typical tinea pedis.
Athlete’s foot is a fungal infection between the toes caused by warm, moist, and tight conditions around the feet and toes.
Treatment
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Use over-the-counter antifungal creams, optionally combined with hydrocortisone
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Maintain good foot hygiene
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Change socks frequently
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Keep the area between the toes dry
If your condition does not improve within 10 to 14 days, consult your family doctor.
Your doctor may prescribe:
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Topical antifungal creams
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Or, in some cases, oral antifungal medications
13. Jock Itch (Tinea Cruris)
Online Dermatologist Question
Age: 40
Gender: FemaleStarted on the 10th as a small circular area on the left inner thigh near the groin and has now spread to both sides and become larger.
It itches occasionally, especially during showers with warm water.
Initially, I thought it was dry skin and used a scrub. After checking online, I suspected jock itch, as it was spreading.
I started using clotrimazole cream on the 12th or 13th.
The first close-up photo shows Day 1 on the right and Day 2 or 3 on the left (when I started the cream). The overall photo shows what it looks like today.

Scaly, itchy rash on inner thigh and groin folds — consistent with tinea cruris (jock itch) fungal infection
Online Dermatologist Answer
Based on the information and images of your inner thighs, this is possibly tinea cruris.
Tinea cruris is a fungal infection of the groin, caused by a dermatophyte fungus. It is commonly referred to as “jock itch.”
The rash usually:
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Has a scaly, red, raised border
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Spreads from the groin to the inner thighs
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May form ring-like patterns on the buttocks
Tinea cruris:
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Is not typically found on the penis, vulva, or anus
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Can be very itchy
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Resembles ringworm (tinea corporis) in appearance
Treatment
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Diagnosis is confirmed by microscopy and skin scraping culture
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First-line treatment: Topical antifungal agents (e.g. Lamisil cream twice daily for 2 weeks)
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If topical treatment fails:
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Oral antifungal medications such as Terbinafine or Itraconazole may be considered
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When to See a Doctor
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If symptoms do not improve after topical treatment, consult a doctor in person
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A healthcare provider can assess the rash and recommend appropriate oral medication or further testing
14. Ringworm (Tinea Corporis)
Online Dermatologist Question
Age: 46
Gender: MaleI have a rash that flares up every few weeks over the past six months — starting on my lower back and spreading to my buttocks.
It can be extremely itchy some days, and other times I barely notice it.
There’s no pain or other symptoms.
My primary doctor prescribed Clobetasol Propionate, which almost cleared it up after a week, but the rash returnedand has stayed mostly unchanged for the past month.

Large, scaly, itchy red rash on the lower back with raised borders — appearance consistent with tinea corporis (ringworm).
Online Dermatologist Answer
Based on the information and images of your back, this is possibly TINEA CORPORIS.
Tinea corporis (ringworm) is the name used for fungal infection of the skin on the trunk, legs, or arms.
The term ringworm refers to:
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Round or oval red scaly patches
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Often less red and scaly in the center or healed in the middle
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Sometimes, one ring may arise inside another (older) ring
Tinea corporis may present as:
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Acute: sudden onset and rapid spread
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Chronic: slow-growing, mildly inflamed rash
Treatment
Tinea corporis is usually treated with topical antifungal agents available over-the-counter at your pharmacy.
If topical treatment is unsuccessful, oral antifungal medications may be considered, including:
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Terbinafine
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Itraconazole
The diagnosis is confirmed by microscopy and culture of skin scrapings.
Important Note
The use of topical steroids like clobetasol may temporarily suppress symptoms (itching and inflammation) but can:
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Worsen fungal growth
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Alter the typical ringworm appearance
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Lead to tinea incognito
❗ Do not use topical steroids.
I recommend you see a doctor in person who can take a culture and prescribe the appropriate medication.
Parasitic Rashes
These rashes are usually caused by some kind of mite. Typically contracted by prolonged contact with an infected individual. It does not produce symptoms until the host becomes allergic to the mites after around 3 weeks. The most common:
15. Scabies – Itchy rash for 5 weeks
Online Dermatologist question
Age: 34
Gender: FemaleI’ve had this itchy rash for about 5 weeks now. It started after being bitten by mosquitos while sitting outside. Those bites, located on my upper arms and legs, resolved in a few days. But soon after, a red, circular, and raised rashdeveloped on my arms, especially on the wrists, forearms, and both the palms and backs of my hands.
I also noticed numerous bumps under the skin on my palms, and some peeling between my fingers. The rash became increasingly itchy. I was concerned it might be scabies, especially since I work in a jail, so I went to urgent care. Although the physician didn’t observe burrows and didn’t think it was scabies, I still requested treatment and used malathion.
After the treatment, I noticed red bumps on the backs of my knees and the tops of my feet. My husband also used malathion and we washed all linens. He has no rash or symptoms.
The next morning, after washing off the malathion, I developed a new red, raised, diffuse rash on the same thigh. I started using triamcinolone cream, and within a few days the rash on my legs and forearms improved, but the rash on my hands remained persistent and became darker.
The itching continues, especially on my hands, and I now have peeling skin there. I’ve tried Zyrtec, Benadryl, moisturizing, and occasionally triamcinolone, but nothing brings lasting relief.
I have no recent travel except a trip to Hawaii 2 weeks before this began. I don’t have pets but was around a couple of dogs (whose owners have no symptoms). My medical history includes hypothyroidism (on levothyroxine), vitamin D deficiency, and a dormant eczema patch on the back of my neck.
![Scabies (04) hand [ICD-10 B86]](https://firstderm.com/wp-content/uploads/Scabies-04-hand-ICD-10-B86.jpg)
Scabies on Hand
Online dermatologist Doctor Geronimo Jones answer
Based on the information and images of your hand, SCABIES must be ruled out with full certainty.
Scabies are inflammatory lesions caused by a mite that burrows into the skin, though the burrows can sometimes be difficult to detect. The parasite is transmitted through direct physical contact with another person who has scabies. Lesions typically cause intense itching, which is often worse during the evening or night.
Treatment
To confirm a diagnosis of scabies, it is essential to have a dermatologist examine the skin in person and take a sample to identify the mite under a microscope.
If the diagnosis is confirmed, I usually prescribe Permethrin cream.
Viral Rashes – Exanthem
Viral rashes are known as exanthems. Usually they are symmetrical and affect the skin surface all over the body. There are even arguments to suggest Covid-19 can cause reactions on the skin. Occasionally they are caused by STDs and may come with other symptoms such as coughing and sneezing. Here are the most common:
15. Molluscum Contagiosum
Online Dermatologist question
Age: 26
Gender: MaleI’ve had an itchy rash for about a month now, with symptoms coming and going. The small, raised, shiny bumpsappeared the day after using an anti-itch cream and after sexual intercourse. The bumps can appear red, pinkish, or flesh-colored, but they don’t hurt, pop, or feel tender.
The rash itself itches occasionally, but the individual bumps do not itch. I haven’t noticed any craters or central dimpling in the bumps. I’m unsure what this could be, and it’s been persistent enough to be concerning.

Molluscum Contagiosum – Penis
Online dermatologist Doctor Geronimo Jones answer
Possibly DERMATITIS and MOLLUSCUM CONTAGIOSUM – a viral infection (poxvirus) which causes small, shiny bumps in the genital region in adults.
However, SCABIES cannot be fully excluded. Scabies causes inflammatory lesions from a mite that burrows into the skin. This parasite is transmitted through direct physical contact, often resulting in itching, especially during the evening or night.
Treatment
Before starting any treatment, it is essential to confirm the diagnosis with a dermatologist in person.
In the meantime, to relieve the itching, you can:
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Apply hydrocortisone cream (available over-the-counter) twice daily
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Use a moisturizing cream regularly
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Avoid scratching the lesions to prevent further irritation
Should I Seek Medical Advice?
1. What Does the Rash Look Like?
When faced with a rash, many people turn to search engines for answers. While comparing images can be helpful, it can also be overwhelming due to the number of possible conditions. If your rash looks like ringworm, herpes, or another condition with a recognizable pattern, it’s best to consult a doctor. Our AI Skin Image Search helps narrow down the possibilities—upload a photo and get matched with common skin conditions within seconds.
2. Is the Rash Causing You Discomfort?
If your rash is intensely itchy, painful, or simply won’t go away, it’s time to get it checked. Persistent irritation is your body’s way of signaling that something may be wrong—whether it’s an allergic reaction, infection, or underlying skin condition.
3. Are There Other Symptoms?
Pay attention to additional signs. If your rash is accompanied by fever, swelling, shortness of breath, or blisters (especially around the mouth, eyes, or genitals), consult a doctor urgently. These symptoms may indicate a serious infection or systemic condition.
Itchy Rash Treatment
While you identify the cause of your rash, over-the-counter (OTC) products can offer relief:
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Steroid creams (e.g., hydrocortisone) – helpful for inflammation and itching (avoid on face unless directed).
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Antihistamines – can reduce allergic itch (e.g., hives).
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Cool environments – wear light clothing and keep the room cool.
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Moisturizers – apply regularly, especially after bathing.
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Minimize soap use – opt for gentle cleansers and avoid daily showers if skin is dry or irritated.
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Natural exposure – for some, sun and salt water may help ease symptoms.
Over-The-Counter (OTC) Treatments
Around 70% of First Derm™ users find relief with pharmacy-available treatments such as:
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Mild steroid creams (e.g., hydrocortisone)
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Antibacterial creams (e.g., mupirocin)
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Moisturizers, disinfectants, and sunscreens
⚠️ Know your condition first. For example, perioral dermatitis worsens with steroid creams, while impetigo and acnemay improve with disinfectants and proper hygiene.
Allergy Testing
If you suspect your itchy rash is due to an allergy, testing can help. There are two main options:
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Skin prick test – fast and commonly used.
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Blood test – more comprehensive and precise, often detecting hundreds of allergens.
Understanding your sensitivities helps prevent future flare-ups. If your rash isn’t linked to an external trigger, it might stem from an infection or internal condition—especially if other symptoms are present.
Medical Disclaimer:
This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition.
References
Itch: From mechanism to (novel) therapeutic approaches. Yosipovitch G, Rosen JD, Hashimoto T. J Allergy Clin Immunol. 2018 Nov;142(5):1375-1390
Epidemiologic Characteristics of Patients Admitted to Emergency Department with Dermatological Complaints; a Retrospective Cross sectional Study. Kilic D et al from Department of Emergency Medicine, Kepez State Hospital, Antalya, Turkey. Arch Acad Emerg Med. 2019 Aug 19;7(1):e47. eCollection 2019.
Ask a Dermatologist
Anonymous, fast and secure!
Ask a Dermatologist
Anonymous, fast and secure

Dr. Raquel Molina Martinez is a board-certified dermatologist from Barcelona with over a decade of experience. Trained at Gothenburg’s University Hospital, she now practices at Centre Medic in Catalonia.
