Dark black rashes on the lower abdomen, hips, and feet that partially improve with Ketocip may be due to fungal infection, chronic skin irritation, eczema, friction, or pigmentation left behind after repeated inflammation. When itching becomes less, but the dark patches remain, it often means the active irritation has improved while the skin discolouration is taking longer to fade. Sweating, diabetes, obesity, and repeated scratching can also make these skin changes persist for months. Further treatment depends on whether the patches are still itchy, scaly, spreading, or becoming thicker. Doctors may sometimes advise skin scraping tests, blood sugar testing, or a detailed skin examination to confirm whether the fungal infection is still active or if another skin condition is involved. Keeping the affected areas dry, avoiding tight clothing, and avoiding repeated use of steroid-containing creams may help improve healing and reduce recurrence. If the patches continue to spread or remain unchanged for a long time, the treatment plan may need to be reassessed to better identify the exact skin condition.

Fungal infections affecting multiple areas and recurring despite treatment are often due to incomplete therapy or use of steroid-containing creams like Dermilock, which can suppress symptoms but allow the infection to persist and spread, so these should be stopped. The correct approach is to use a proper antifungal cream (such as terbinafine, luliconazole, or ketoconazole) applied regularly to all affected areas for at least 3-4 weeks and continued for 1-2 weeks after the skin looks normal, along with a full course of oral antifungal medication prescribed by a dermatologist, as the dose or duration may need adjustment. It is also important to maintain good hygiene by keeping the skin clean and dry, wearing loose cotton clothing, changing clothes daily, washing towels and clothes in hot water, and avoiding sharing personal items; close contacts may also need treatment if infected. Since your infection is widespread and recurrent, a dermatologist consultation is necessary to ensure a complete and long-lasting cure.