Dermatologists flag rise in stubborn fungal infections, warn against steroid creams

Dermatologists in North Andhra have raised concerns over a growing number of persistent fungal infections that are proving difficult to treat, and have cautioned the public against self-medicating with steroid-containing combination creams.

The North Andhra Association of Dermatologists attributed the trend in part to infections caused by Trichophyton indotineae, a fungus that can produce extensive, widespread and intensely itchy lesions. Because these lesions often look atypical, they are frequently misdiagnosed, delaying appropriate treatment.

Dr. K. Venkata Chalam, president of the association, said the infections were becoming harder to manage and were increasingly being seen in a form that does not respond to routine treatment.

The association advised patients to consult a dermatologist rather than treat themselves, to complete the full course of prescribed medication, and to have symptomatic household members — including children — evaluated and treated where necessary. It also recommended that infected clothing, towels and bedding be washed separately, and that personal items not be shared.

Beyond the clinical burden, the association pointed to a financial cost. Families that once spent ₹100–₹200 on simple antifungals are now often incurring expenses exceeding ₹10,000 per household, driven by repeated consultations and prolonged treatment.

The association called for stricter enforcement of prescription requirements, greater public awareness, responsible prescribing by doctors, and stronger surveillance and research into antifungal resistance.