Tinea cruris (jock itch)
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Pathology
* histopathology images[3]
Clinical manifestations
- erythematous plaque involving inguinal folds
- papules, vesicles, scales or pustules may stud the border
- scrotum & penis are generally spared
* images[3]
Laboratory
(see Tinea)
Differential diagnosis
- psoriasis
- seborrheic dermatitis
- erythrasma
- intertrigo does not spare scrotum
- candidal intertrigo
Management
- topical imidazole compound for 2-3 weeks
- continue for 1 week after clinical cure
- clotrimazole# (Lotrimin)
- miconazole# (Monistat)
- ketoconazole (Nizoral)
- econazole (Spectazole)
- sulconazole (Exelderm)
- oxiconazole (Oxistat)
- terconazole (Terazol)
- butenafine* (Lotrimin Ultra)[2]
- oral antifungals
- griseofulvin (ultramicrosize) 250-375 mg BID for 2-4 weeks
- fluconazole 150 mg/week for 4 weeks
- itraconazole 100 mg/day for 15 days
* fungicidal agent
# fungistatic agent
More general terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 997-1000
- ↑ 2.0 2.1 Prescriber's Letter 9(2):11 2002
- ↑ 3.0 3.1 3.2 Wiederkehr M, Elston DM (images) Medscape: Tinea Cruris http://emedicine.medscape.com/article/1091806-overview
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022