Tinea cruris in Adult
See also in: Cellulitis DDx,AnogenitalAlerts and Notices
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Synopsis
Tinea cruris (jock itch) is a superficial fungal infection of the skin of the groin area, most commonly caused by Trichophyton rubrum or other dermatophytes. Tinea cruris manifests as a symmetric erythematous rash on the inner thighs and the crural folds. It is frequently pruritic. People at higher risk include those who have diabetes mellitus, are obese, recently visited a tropical climate, wear tight-fitting or wet clothes (including bathing suits) for extended periods, share clothing with others, or participate in sports. It is often spread to the groin from a fungal infection of the feet (tinea pedis).
Tinea cruris is more common in postpubertal males. It rarely spreads to the penis, but if it does, it will be found only at the base of the penis.
Tinea cruris can be differentiated from cellulitis based on the location and the presence of scaling. In contrast to cellulitis, tinea cruris often occurs bilaterally.
In the immunocompromised patient, pruritus may be absent. There is an increased risk of all dermatophyte infections (tinea pedis, cruris, corporis, and faciale as well as Majocchi granuloma) in immunocompromised individuals.
Trichophyton indotineae is an emerging dermatophyte characterized by extensive or atypical presentations and resistance to topical and oral therapies. This species is more easily spread within families, and infants and even neonates may be affected via exposure to an adult family member with disease.
Trichophyton mentagrophytes genotype type VII (TMVII) is an emerging strain that is typically spread through close contact, including sexual intercourse. It may lead to genital and buttock tinea as well as tinea corporis.
Tinea cruris is more common in postpubertal males. It rarely spreads to the penis, but if it does, it will be found only at the base of the penis.
Tinea cruris can be differentiated from cellulitis based on the location and the presence of scaling. In contrast to cellulitis, tinea cruris often occurs bilaterally.
In the immunocompromised patient, pruritus may be absent. There is an increased risk of all dermatophyte infections (tinea pedis, cruris, corporis, and faciale as well as Majocchi granuloma) in immunocompromised individuals.
Trichophyton indotineae is an emerging dermatophyte characterized by extensive or atypical presentations and resistance to topical and oral therapies. This species is more easily spread within families, and infants and even neonates may be affected via exposure to an adult family member with disease.
Trichophyton mentagrophytes genotype type VII (TMVII) is an emerging strain that is typically spread through close contact, including sexual intercourse. It may lead to genital and buttock tinea as well as tinea corporis.
Codes
ICD10CM:
B35.6 – Tinea cruris
SNOMEDCT:
399029005 – Tinea cruris
B35.6 – Tinea cruris
SNOMEDCT:
399029005 – Tinea cruris
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Last Updated:11/17/2024
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Tinea cruris in Adult
See also in: Cellulitis DDx,Anogenital