Tinea Cruris

Posted by recep on June 25th, 2009

Tinea Cruris
A cutaneous fungal infection of the groin that commonly affects the elderly. Predisposing factors include clothing made of synthetic fabrics that do not breathe, obesity, and immobility.
The patient usually complains of itching, and examination may reveal scaly erythematous areas with well-defined margins. Maceration, lichenification, and secondary candidal or bacterial infection are common. Diagnosis requires microscopic examination of a specimen prepared with potassium hydroxide (KOH) solution.
Treatment: Miconazole 2% or clotrimazole 1% cream should be used bid or tid. Affected areas should be kept as clean and as dry as possible, using cotton between the toes and talc-based powders.

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