Tinea Cruris Follow-up

  • Author: Michael Wiederkehr, MD; Chief Editor: Dirk M Elston, MD   more...
 
Updated: Jan 24, 2012
 

Further Outpatient Care

  • Repeat scraping or culture may be indicated if initial treatment of tinea cruris is unsuccessful.
Next

Deterrence/Prevention

  • Recurrence of tinea cruris is common; therefore, it is of utmost importance to treat concurrent fungal infections and to keep the groin region dry to prevent recurrence of tinea cruris. Advise patients to dry the area after bathing, using a towel or a hair dryer.
  • Advise patients with tinea cruris to avoid wearing tight-fitting clothing to prevent moisture build-up.
  • Advise patients with tinea cruris who are obese to lose weight.
  • Advise patients to put on socks before undergarments to minimize the possibility of fungal transfer from the feet to the groin.
  • Antifungal powders, which have the added benefit of drying the region, may be helpful in preventing recurrence of tinea cruris.
Previous
Next

Complications

  • Tinea cruris can become infected secondarily by candidal or bacterial organisms. In addition, the area can become lichenified and hyperpigmented in the setting of a chronic fungal infection.
  • Mistreatment of tinea cruris with topical steroids can result in exacerbation of the disease. Although patients may note initial relief of symptoms, the infection may spread.
Previous
Next

Prognosis

  • The prognosis of tinea cruris is excellent with appropriate diagnosis and treatment; however, recurrence is likely if the groin region is not kept dry.
Previous
Next

Patient Education

  • Educate patients about the risks of sharing sheets and undergarments with others and about the need to keep the groin region dry (see Deterrence/Prevention).
  • For excellent patient education resources, visit eMedicine's Skin, Hair, and Nails Center. Also, see eMedicine's patient education article Ringworm on Body.
Previous
 
Contributor Information and Disclosures
Author

Michael Wiederkehr, MD  Consulting Staff, Livingston Dermatology Associates; Consulting Staff, Comprehensive Dermatology and Laser Center

Michael Wiederkehr, MD is a member of the following medical societies: Alpha Omega Alpha and American Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

Robert A Schwartz, MD, MPH  Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey-New Jersey Medical School

Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, and Sigma Xi

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory J Raugi, MD, PhD  Professor, Department of Internal Medicine, Division of Dermatology, University of Washington at Seattle School of Medicine; Chief, Dermatology Section, Primary and Specialty Care Service, Veterans Administration Medical Center of Seattle

Gregory J Raugi, MD, PhD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Richard P Vinson, MD  Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Association of Military Dermatologists, Texas Dermatological Society, and Texas Medical Association

Disclosure: Nothing to disclose.

Lester F Libow, MD  Dermatopathologist, South Texas Dermatopathology Laboratory

Lester F Libow, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, and Texas Medical Association

Disclosure: Nothing to disclose.

Glen H Crawford, MD  Assistant Clinical Professor, Department of Dermatology, University of Pennsylvania School of Medicine; Chief, Division of Dermatology, The Pennsylvania Hospital

Glen H Crawford, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Phi Beta Kappa, and Society of USAF Flight Surgeons

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD  Director, Ackerman Academy of Dermatopathology, New York

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References

  1. Foster KW, Ghannoum MA, Elewski BE. Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999 to 2002. J Am Acad Dermatol. May 2004;50(5):748-52. [Medline].

  2. Sadri MF, Farnaghi F, Danesh-Pazhooh M, Shokoohi A. The frequency of tinea pedis in patients with tinea cruris in Tehran, Iran. Mycoses. 2000;43(1-2):41-4. [Medline].

  3. Yehia MA, El-Ammawi TS, Al-Mazidi KM, Abu El-Ela MA, Al-Ajmi HS. The Spectrum of Fungal Infections with a Special Reference to Dermatophytoses in the Capital Area of Kuwait During 2000-2005: A Retrospective Analysis. Mycopathologia. Nov 17 2009;[Medline].

  4. Patel GA, Wiederkehr M, Schwartz RA. Tinea cruris in children. Cutis. Sep 2009;84(3):133-7. [Medline].

  5. Silva-Tavares H, Alchorne MM, Fischman O. Tinea cruris epidemiology (São Paulo, Brazil). Mycopathologia. 2001;149(3):147-9. [Medline].

  6. Koksal F, Er E, Samasti M. Causative agents of superficial mycoses in Istanbul, Turkey: retrospective study. Mycopathologia. Sep 2009;168(3):117-23. [Medline].

  7. Torok L, Tiszlavicz L, Somogyi T, Toth G, Tapai M. Perianal ulcer as a leading symptom of paediatric Langerhans' cell histiocytosis. Acta Derm Venereol. Jan-Feb 2000;80(1):49-51. [Medline].

  8. [Best Evidence] Chang CH, Young-Xu Y, Kurth T, Orav JE, Chan AK. The safety of oral antifungal treatments for superficial dermatophytosis and onychomycosis: a meta-analysis. Am J Med. Sep 2007;120(9):791-8. [Medline].

  9. Parish LC, Parish JL, Routh HB, Avakian E, Olayinka B, Pappert EJ, et al. A double-blind, randomized, vehicle-controlled study evaluating the efficacy and safety of naftifine 2% cream in tinea cruris. J Drugs Dermatol. Oct 1 2011;10(10):1142-7. [Medline].

  10. Bakos L, Brito AC, Castro LC, et al. Open clinical study of the efficacy and safety of terbinafine cream 1% in children with tinea corporis and tinea cruris. Pediatr Infect Dis J. Jun 1997;16(6):545-8. [Medline].

  11. Bonifaz A, Saul A. Comparative study between terbinafine 1% emulsion-gel versus ketoconazole 2% cream in tinea cruris and tinea corporis. Eur J Dermatol. Mar 2000;10(2):107-9. [Medline].

  12. Aoshima T. 1991 Epidemiological survey of dermatophytosis at Otsu Red Cross Hospital. Acta Dermatol-Kyoto. 1998;93 (3):297-301.

  13. [Guideline] Drake LA, Dinehart SM, Farmer ER, et al. Guidelines of care for superficial mycotic infections of the skin: tinea corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. Guidelines/Outcomes Committee. American Academy of Dermatology. J Am Acad Dermatol. Feb 1996;34(2 Pt 1):282-6. [Medline].

  14. Elewski BE. Tinea cruris. In: Demis DJ, ed. Clinical Dermatology. Vol 3. Unit 17-10. Philadelphia, Pa: Lippincott Williams & Wilkins; 1999:1-5.

  15. Elmets CA. Management of common superficial fungal infections in patients with AIDS. J Am Acad Dermatol. Sep 1994;31(3 Pt 2):S60-3. [Medline].

  16. Ginter G, Rieger E. State of the art in diagnosis and treatment of cutaneous mycoses. Acta Derm Venereol (Ljubljana). 1996;5:3-13.

  17. Gupta AK, Chaudhry M, Elewski B. Tinea corporis, tinea cruris, tinea nigra, and piedra. Dermatol Clin. Jul 2003;21(3):395-400, v. [Medline].

  18. Gupta AK, Einarson TR, Summerbell RC, Shear NH. An overview of topical antifungal therapy in dermatomycoses. A North American perspective. Drugs. May 1998;55(5):645-74. [Medline].

  19. Gupta AK, Nolting S, de Prost Y, et al. The use of itraconazole to treat cutaneous fungal infections in children. Dermatology. 1999;199(3):248-52. [Medline].

  20. Gupta AK, Tu LQ. Dermatophytes: diagnosis and treatment. J Am Acad Dermatol. Jun 2006;54(6):1050-5. [Medline].

  21. Jancin B. Topical Antifungals: Some Oldies Are Still Goodies. Skin Allergy New. May 2007;38(5):23.

  22. Korstanje MJ, Staats CC. Fungal infections in the Netherlands. Prevailing fungi and pattern of infection. Dermatology. 1995;190(1):39-42. [Medline].

  23. Lachapelle JM, De Doncker P, Tennstedt D, Cauwenbergh G, Janssen PA. Itraconazole compared with griseofulvin in the treatment of tinea corporis/cruris and tinea pedis/manus: an interpretation of the clinical results of all completed double-blind studies with respect to the pharmacokinetic profile. Dermatology. 1992;184(1):45-50. [Medline].

  24. Ledezma E, Lopez JC, Marin P, et al. Ajoene in the topical short-term treatment of tinea cruris and tinea corporis in humans. Randomized comparative study with terbinafine. Arzneimittelforschung. Jun 1999;49(6):544-7. [Medline].

  25. Lesher JL Jr. Oral therapy of common superficial fungal infections of the skin. J Am Acad Dermatol. Jun 1999;40(6 Pt 2):S31-4. [Medline].

  26. Lesher JL Jr, Babel DE, Stewart DM, et al. Butenafine 1% cream in the treatment of tinea cruris: a multicenter, vehicle-controlled, double-blind trial. J Am Acad Dermatol. Feb 1997;36(2 Pt 1):S20-4. [Medline].

  27. Maleszka R. [Treatment of tinea unguium]. Przegl Dermatol. Mar-Apr 1989;76(2):97-103. [Medline].

  28. Martin ES, Elewski BE. Cutaneous fungal infections in the elderly. Clin Geriatr Med. Feb 2002;18(1):59-75. [Medline].

  29. Noble SL, Forbes RC, Stamm PL. Diagnosis and management of common tinea infections. Am Fam Physician. Jul 1998;58(1):163-74, 177-8. [Medline].

  30. Nowicki R. Dermatophytoses in the Gdansk area, Poland: a 12-year survey. Mycoses. Sep-Oct 1996;39(9-10):399-402. [Medline].

  31. Osaka City University Butenafine Research Group. Clinical usefulness of butenafine hydrochloride on tinea superficialis and tinea unguinum. Acta Dermatol-Kyoto. 1995;90:237-46.

  32. Rand S. Overview: The treatment of dermatophytosis. J Am Acad Dermatol. Nov 2000;43(5 Suppl):S104-12. [Medline].

  33. Reduta T, Laudanska H, Chodynicka B. Contact allergy in patients with eczema cruris and leg ulcers. Przegl Dermatol. 2001;88:157-160.

  34. Rogl Butina M. Side effects of systemic antimycotic treatment. Acta Derm Venereol (Ljubljana). 1998;7:139-44.

  35. Shahi SK, Shukla AC, Bajaj AK, et al. Broad spectrum herbal therapy against superficial fungal infections. Skin Pharmacol Appl Skin Physiol. Jan-Feb 2000;13(1):60-4. [Medline].

  36. Soyer HP, Cerroni L. The significance of histopathology in the diagnosis of dermatomycoses. Acta Derm Venereol (Ljubljana). 1992;1:84-7.

  37. Torrens JK, McWhinney PH. Parotid swelling and terbinafine. BMJ. Feb 7 1998;316(7129):440-1. [Medline].

  38. Zhang AY, Camp WL, Elewski BE. Advances in topical and systemic antifungals. Dermatol Clin. Apr 2007;25(2):165-83, vi. [Medline].

 
Previous
Next
 
Tinea cruris.
Tinea cruris.
Tinea cruris.
Tinea cruris (hematoxylin and eosin stain).
Tinea cruris (periodic acid-Schiff stain, magnification X 20).
Tinea cruris (Gomori methenamine-silver stain, magnification X 20).
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.