Tinea Cruris - Picture, Symptoms and Treatment of Tinea Cruris

The groin is the next most commonly involved area (tinea cruris), with males affected much more often than females.

Tinea Cruris presents as a scaling erythematous eruption that spares the scrotum.

Microscopic examination of either untreated tinea pedis or tinea cruris scale after digestion with KOH preparation will generally demonstrate hyphae.

Treatment of Tinea Cruris

Griseofulvin is the drug of choice for dermatophyte infections requiring systemic therapy. A daily dose of 500 mg of microsized or 350 mg of ultramicrosized griseofulvin administered with a fatty meal is an adequate dose for most dermatophyte infections. The duration of therapy may be as short as 2 weeks for uncomplicated tinea corporis but may be as long as 6 to 12 months for nail infections. The most common side effects of griseofulvin are gastrointestinal distress and headache.

Dermatophyte infection of hair-bearing areas (e.g., tinea capitis) requires systemic antifungal therapy. The usual adult dose of griseofulvin is 1 g of microsized or 0.5 g of ultramicrosized given daily, and treatment should be continued for 6 to 8 weeks.

Recent studies in children have also suggested that both itraconazole (3 to 5 mg/kg for 6 to 10 weeks) and terbinafine (125 mg/d for 6 weeks) may be effective treatments for tinea capitis.

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