![]() ![]() Infectious skin diseases: a review and needs assessment. Diagnosis directs treatment in fungal infections of the skin. Instructions for Sports Medicine Patients. In: Safran MR,Zachazewski J, Stone DA, eds. Management of tinea corporis, tinea cruris, and tinea pedis: a comprehensive review. Fungal infections of the folds (intertriginious areas). Steps can be taken to reduce its development and spread, but intervention is crucial, as the infection will not resolve by itself. ![]() 4,10Īs tinea cruris can have a similar presentation and signs/symptoms of other conditions, a careful examination and using appropriate tools for diagnosis is essential. Complications are rare, but allergic reaction or a secondary bacterial infection may appear. 10Symptoms generally improve within 2 to 3 weeks of treatment, but recurrence frequently occurs. 1,2,5Oral medication should not be used unless topical treatment fails. Treatment should be applied to the affected areas twice daily for at least 10 to 14 days, sometimes up to 3 weeks, depending on the extent of the rash. Topical medication is efficacious for most patients with tinea cruris, and these include allylamines, butenafine, ciclopirox, imidazole, or tolnaftate. Wearing well-fitted clothing that is not too tight.Using topical OTC medications, such as ointments, powders, and sprays 4.Drying oneself well after exercising or swimming and not changing into wet clothing afterward.Bathing in nonsoapy water, until skin clears, as infected skin can be irritated by soap.Some general suggestions for what can be done prior to the need for prescription medication include the following: 1,3Accurate diagnosis requires a sample acquired from the progressing scale borders for a potassium-hydroxide exam. The location of lesions on other body parts may help identify other rashes, such as dermatitis or psoriasis. A Wood’s lamp can help differentiate tinea from other skin infections, as under it, erythrasma appears coral red and fungal infections often fluoresce as a light green. 4-6Pityriasis versicolor can sometimes be present in the groin area however, asymptomatic, noninflamed lesions present in this rash can aid in distinguishing the 2 conditions.Īdditional considerations are contact dermatitis and erythrasma. Intertrigo is similar to tinea cruris, as it has a half-moon–shaped rash in the groin region, which can spread onto the thigh from moisture accumulation. Numerous small satellite sites are also common. Candidiasis has a characteristic “beefy red” appearance, with intense erythema, non-well-defined borders, andwhite pustules. Candidiasis and intertrigo also cause groin rashes. Possible differential diagnoses includes candidiasis, erythrasma, intertrigo, pityriasis versicolor, and psoriasis. Tinea cruris needs to be distinguished from other rashes (figure 1,3,5,6). 1,5-9Pain described as burning and stinging may also be present, especially in cases with a secondary infection. Lesions often have a tendency for central clearing, and satellite sites are infrequent. The rash may spread to the other thigh (if it is not initially infected), gluteal folds, and the pubic, suprapubic, and perianal regions, usually sparing the penis and scrotum. Sometimes, vesicles progress out of the crease of the groin. 1,3The rash typically forms as a half-moon shape, with distinct squamous borders and scaling. Initial symptoms of tinea cruris consist of a unilateral erythematous rash starting in the crease of the groin that can spread onto the upper thigh. 1,7Another possibility of infection is indirect contact through sharing sports equipment or towels. Self-inoculation to the groin region may occur from tinea pedis on the foot, as the 2 infections are commonly associated with each other. Other contributing species include Epidermophyton floccosum, Microsporum canis, and Trichophytom mentagrophytes 1,6,7 occasionally a secondary infection from bacteria or yeast is present. The dermatophyte most implicated in tinea cruris is Trichophyton rubrimus, which is the same causative agent for tinea pedis. Tinea infections are often caused by dermatophytes. 1,3,4The condition is on the rise among women, especially those who wear clothing or stockings that are too tight it is rarely found in children. 1,2Other risk factors include constant skin-on-skin friction, diabetes, excess sweating, obesity, and poor hygiene. Tinea cruris is widespread globally, particularly in places with high humidity and temperatures, such as the tropics. This fungal infection, also known as jock itch-and sometimes Dhobi itch or eczema marginatum 1-must be treated, as it will not go away on its own. Tinea cruris is a common problem that mainly affects male adolescents and adults. ![]()
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