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Jock itch is a pretty common fungal infection of the groin and upper thighs. It’s part of a group of fungal skin infections called tinea. The medical name for jock itch is tinea cruris (pronounced: tih-nee-uh krur-us).
Jock Itch Appearance
The rash of jock itch starts in the groin fold usually on both sides. If the rash advances, it usually advances down the inner thigh. The advancing edge is redder and more raised than areas that have been infected longer. The advancing edge is usually scaly and very easily distinguished or well demarcated.
Causes of Jock Itch
The body normally hosts a variety of bacteria and fungi. Some of these are useful to the body. Others can multiply rapidly and form infections. Jock itch occurs when a particular type of fungus grows and multiplies in the groin area.
Jock itch is caused by fungi called dermatophytes. These microscopic organisms are normal inhabitants of your skin, and stay in check as long as your skin is clean and dry. But on some areas of the body where skin is likely to be moist and warm, such asthe groin the fungi grow and thrive, resulting in a fungal infection.
Jock itch may be contagious. It can be passed from one person to the next by direct skin-to-skin contact or contact with unwashed clothing. Jock itch usually stays around the creases in the upper thigh and does not involve the scrotum or penis. It is often less severe than other tinea infections, but may last a long time. Jock itch may spread to the anus, causing anal itching and discomfort.
Signs and symptoms of Jock Itch
Itching and redness in your groin, including your genitals, inner thighs, buttocks and anal area
Burning sensation in affected areas
Itching of the groin especially in the folds of the skin and in the anal area. A raised dry or scaly rash with sharply defined borders. The rash starts in the groin area and may spread down the inner thigh. The skin in the affected area is usually a reddish brown color or much lighter than the unaffected skin. Blisters can appear. Jock itch does not usually affect the scrotum or the penis.
Jock Itch Treatment
Jock itch is best treated with topical creams or ointments since the fungus only affects the top layer of skin. Many of the antifungal medications require a prescription, but there are three that can be bought over-the-counter (OTC). The OTC antifungals are tolnaftate (Tinactin), clotrimazole (Lotrimin), and miconazole (Micatin). Creams used to treat jock itch should be applied twice a day for at least two weeks. Application can be stopped after the rash has been gone for one week.
Change clothing, especially the underwear, every day.
Continue this treatment for 2 weeks, even if symptoms disappear, to prevent the infection from recurring.
Since the introduction of newer medicines, doctors rarely prescribe griseofulvin, another oral medication, to treat fungal skin infections. Although griseofulvin is effective, it can take longer to clear up the infection. Its most common side effect is headache, and it occasionally causes discomfort in the digestive tract, sensitivity to light, rashes or a drop in your white blood cell count.
Tolnaftate (Tinactin, Aftate) and undecylenate (Cruex, Desenex) are well-known, effective medications. The powder form is also useful as a drying agent. These medications are not effective against candidal infections.
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