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Dx Jock Itch Treatment: Read more....


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Observations:
Jock Itch

The Merck Manual Home Edition
states:
"Jock itch is a dermatophyte (fungal) infection of the groin.

Tinea cruris is a type of dermatophytosis (see see Overview of Dermatophytoses (Ringworm, Tinea)). Tinea cruris is primarily caused by Trichophyton. This infection is much more common among men because moisture can get trapped between the scrotum and thigh. Tinea cruris develops most frequently in warm weather or when wearing wet and tight clothing. People who are obese are at risk because their skinfolds trap moisture.

The infection begins in the skinfolds of the genital area and can spread to the upper inner thighs and may occur on both sides. Usually the scrotum is not affected or is only slightly affected. The rash has a scaly, pink border. Tinea cruris can be quite itchy and may be painful. This infection often recurs, particularly among people who have onychomycosis or tinea pedis, because fungi can spread from those infections to the groin. Flare-ups occur more often during the summer.

The diagnosis is usually obvious to doctors based on a physical examination. Treatment involves an antifungal cream or lotion (such as miconazole, naftifine, ketoconazole, or clotrimazole). Antifungal drugs taken by mouth (such as itraconazole or terbinafine) may be needed in people who have infections that are widespread or cause inflammation or infections that are difficult to heal."

Medications Used In Treatment:
1. Azole Antifungals: ketocanazole, econazole, Luzu® Tinactin® Ciclodan®/ciclodan, Exelderm®/sulcoazole, Oxistat®/oxiconazole
2. Azole antifungal/corticosteroids: Lotrisone®/clotrimazole/betamethasone
3. Hydroxypyridone Antifungals: ciclopirox
4. Tubulin Inhibitors: Gris®Peg Grifulvin®V/griseofulvin,
5. Allylamine Antifungals: Naftin®/naftifine
6. Antiprotozoal/Corticosteroids: Alcortin®A. Aloquin®/aloe polysaccharide-iodoquinol, Dermazenev/hydrocortisone-iodoquinol
7. Gentian violet:

Suggested Links:
*N.H.S. Choices
*Medscape


*[Editor] Research in 1975 showed that crystal violet and pararosaniline dyes [including Gentian violet] are more active on yeast cells. For the more stubborn cases, systemic treatment with the prescription medications may offer a more permanent relief.

*[Editor] The Internet forums report that coconut oil can be taken internally 4-6 tablespoons per day and applied external at night and reapply after morning shower. One suggests taking a probiotic orally, another hydrogen peroxide, and a third methionine 2000mg a day for 3 weeks, then 1000mg a week for 3 weeks and then 500mg for 2 weeks. These are over-the-counter treatments that have no side-effects. Another treatment is white vinegar applied with a small cotton ball and allowed to dry; Tea tree oil or Neem oil from India. If they can prove effective, the prescription medications and treatment by the physician are avoided. The Editor has used a single application of Gentian Violet specifically for this indication with success. Gentian Violet 1% is sold on Amazon.com.


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