Dermatologists of all countries daily encounter in their practice an inguinal fungus that occurs in both men and women. In addition to the main symptoms – scaly patches in the inguinal-femoral folds and itching, strong redness and weeping in the area of lesions may join. For the patient, all these symptoms speak only about the presence of a fungus in the groin, the doctor still needs to be diagnosed and figure out what kind of mycosis in question.
The main reason for the appearance of the fungus in the groin is mycosis of the genus of athlete, dermatophytes and Candida. The provoking factors are usually:
- excessive sweating in the inguinal-femoral folds;
- constant maceration of the skin;
- microtrauma and the presence of open wounds;
- constant moisture in the groin area.
Ignoring the rules of personal hygiene can also contribute to the development process. There is also a category of people at risk:
- regularly visiting public baths, saunas, showers and swimming pools;
- leading a hectic lifestyle;
- often faced with stressful situations;
- suffering from mycosis of the feet.
It has also been proven that men encounter a fungus in the groin much more often than women, especially for athletes, employees of hot workshops and miners, who regularly encounter high humidity in the inguinal-hip folds.
The appearance of the inguinal fungus is always accompanied by a vivid clinical picture, which includes both external symptoms and subjective sensations. The most common symptoms are:
- the appearance of large scaly patches in the groin of pink or dark red color;
- appearance of peeling of the skin on the groin, in the inguinal-femoral folds, on the scrotum and perianal area;
- terrible itching in the groin, on the inside of the legs and large folds;
- swelling and redness of the skin at the site of injury.
In appearance, the lesions resemble large rings with a fuzzy contour. The color ranges from bright pink to red-brown. The surface of the spots is most often covered with crusts, scales and bubbles. There may be itching of varying intensity.
Photo of Inguinal Fungus
To date, it is customary to distinguish three types of fungus in the groin, which are most often diagnosed in people aged 17-45 years:
- Inguinal athlete. It is considered a very contagious and easily transmitted type of mycosis, which can be picked up in a bath, pool, public shower or washcloth, towel or underwear with which the patient has been in contact. Most often affects the inguinal-femoral folds of bright red spots of large size. Itching is mild. Groin athlete’s disease is much more often diagnosed in men with overweight problems, suffering from hyperhidrosis or diabetes mellitus. In very obese men, migration of lesions to the abdomen and chest can be observed. There is an acute onset, often transforming into a chronic form that goes on for months or even years. Exacerbations can occur during the hot period.
- Candidiasis. In 80% of cases, candidiasis affects the genitals of women and men, but there are also cases where yeast-like fungi cause red spots, a whitish plaque, burning and itching in the groin area. Characteristic differences are the crimson color and the shiny surface of the lesions. Localization – inguinal-femoral and interdigital folds. Eroding and maceration of the epidermis is almost always observed. Infection usually occurs through sexual contact, less often through personal hygiene items.
- Rubrofitiya inguinal. Quite a common disease that occurs in people aged 20-35 years. The characteristic difference is red-brown spots of the size of a small coin, which can merge with each other and form large lesions. Spots covered with scales, in some cases, bubbles and crusts. If hair is present at the site of the lesion, then in 80% of cases they are involved in the process, become dull and easily break off. Itching is stronger than athletes. Localization – buttocks, inner thighs, scrotum, less commonly pubis and anus area. Infection occurs both through direct contact with a sick person, and through the use of personal hygiene items.
Some doctors still attribute erythrasma to one of the types of fungus in the groin, but a more detailed study of the disease allowed them to be categorized as an intermediate between fungi and bacteria, actinomycosis. erythrasma is also characterized by the defeat of the inguinal-femoral and gluteal folds of dirty brown spots the size of small coins. Over the course of the process, the lesions merge with each other, forming a palm-sized lesion. Almost always erythrasma flows without subjective sensations. Only in the period of exacerbation (summer period) a slight swelling and hyperemia of the skin can be observed.
How to treat fungus in the groin?
Before starting any therapeutic measures, it is necessary to determine the causative agent, since there is no universal antifungal drug that copes equally well with candidiasis, epidermis causes and rubromycosis. For example, erythrasma is easy to diagnose by the red-coral glow of lesions under the rays of the Wood lamp. The inguinal athlete must be confirmed by microscopic examination of scales and peeling from the skin. For the diagnosis of rubrofitia, fluff hair and scales from lesions may also be necessary for analysis.
And already on the basis of the data obtained, a dermatologist selects drugs that effectively fight a specific type of pathogen. Most often it is:
- Erythromycin ointment;
It should be remembered that the treatment of the fungus in the groin is always long and even after the full resolution of all the lesions, it is recommended to follow the recommendations of doctors for the treatment of stains with ointments and disinfection of things. For prophylactic purposes, it is recommended:
- wash all pants at 90 degrees;
- boil all underwear;
- iron the linen and trousers thoroughly through gauze;
- refuse to wear synthetic underwear, woolen pants;
- Do not wear tight tight pants, underwear;
- refrain from visiting baths, saunas and public showers for the period of treatment and in the coming months after recovery;
- take a shower regularly;
- wash large folds of soap no more than 1-2 times a week;
- fight sweating (if present);
- use baby powder in the places of contact of large inguinal-femoral folds.
And remember that the recurrence of the inguinal fungus in 90% of cases occur after not fully completing the course of treatment. The average duration of treatment is 1-1.5 months, depending on the pathogen and localization of the rash.