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Pityriasis versicolor

Alternative Name:Tinea versicolor,Dermatomycosis furfuracea,Tinea flava

Definition:
Pityriasis versicolor is a condition characterized by a rash on the trunk and proximal extremities. Recent research has shown that the majority of pityriasis versicolor is caused by Malassezia globosa, although M. furfur is responsible for a small number of cases. These yeasts are normally found on the human skin and only become troublesome under certain circumstances, such as a warm and humid environment, although the exact conditions that cause initiation of the disease process are poorly understood.It is a common and relatively harmless fungal infection that results in patches of different pigmentation on the skin.

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The condition pityriasis versicolor was first identified in 1846.

It is estimated that 2 to 8% of the population of the United States has it. This skin disease commonly affects adolescents and young adults, especially in warm and humid climates. It is thought that the yeast feeds on skin oils (lipids) as well as dead skin cells. Infections are more common in people who have seborrheic dermatitis, dandruff, and hyperhidrosis.

Symptoms:
Pityriasis versicolor is a type of infection that appears as a tissue-thin coating of fungus on your skin. The signs and symptoms of Pityriasis versicolor are:

*Small scaly patches of discolored skin
*Patches that grow slowly
*Patches that tend to become more noticeable after sun exposure
*Possible mild itching

The patches can be various colors, including:

*White
*Pink
*Tan
*Dark brown

Although the discoloration may be more apparent on dark skin, the infection can affect anyone, regardless of skin color.

In people with dark skin tones, pigmentary changes such as hypopigmentation (loss of color) are common, while in those with lighter skin color, hyperpigmentation (increase in skin color) are more common. These discolorations have led to the term “sun fungus

The infection, which is most common in warm, humid temperatures, usually affects the:

*Back
*Chest
*Neck
*Upper arms

However, they’re not usually itchy or uncomfortable.

Causes:
The exact conditions that cause initiation of the disease process are not  very well understood.It is believed  that a number of factors may trigger this growth, including:

*Hot, humid weather
*Excessive sweating
*Oily skin
*Hormonal changes
*Immunosuppression — when your immune system is unable to protect your body from the growth of yeast or fungus on your skin or elsewhere

Healthy skin may normally have the fungus that causes this disorder growing in the area where hair follicles open onto the skin surface.Pityriasis versicolor occurs when the fungus becomes overgrown.

Diagnosis:
Doctor can diagnose Pityriasis versicolor with a skin exam. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope.

Treatment:
Treatments for tinea versicolor include:

*Topical antifungal medications containing 2.5% selenium sulfide (Selsun shampoo in UK) are often recommended. Selsun Blue works for some people, but not all, because it only contains 1% selenium sulfide.  Ketoconazole (Nizoral ointment and shampoo) is another treatment. It is normally applied to dry skin and washed off after 10 minutes, repeated daily for 2 weeks. Ciclopirox (Ciclopirox olamine) is an alternative treatment to ketoconazole as it suppresses growth of the yeast Malassezia furfur. Initial results show similar efficacy to ketoconazole with a relative increase in subjective symptom relief due to its inherent anti-inflammatory properties.[9] Other topical antifungal agents such as clotrimazole, miconazole or terbinafine are less widely recommended[citation needed]. Additionally, hydrogen peroxide has been known to lessen symptoms, and on certain occasions, remove the problem, although permanent scarring occurs with this treatment.[citation needed] Clotrimazole (1%) is also used combined with selenium sulfide (2.5%) (Candid-TV).

*Oral antifungal prescription-only medications include 400 mg of ketoconazole or fluconazole in a single dose, or ketoconazole 200 mg daily for 7 days, or itraconazole 400 mg daily for 3–7 days. The single-dose regimens, or pulse therapy regimes, can be made more effective by having the patient exercise 1–2 hours after the dose, to induce sweating. The sweat is allowed to evaporate, and showering is delayed for a day, leaving a film of the medication on the skin.

*Some success with Senna alata has been reported.

*Recurrence is common and may be reduced by intermittent application of topical anti-fungal agents like tea tree oil or selenium sulfide.

Lifestyle and home remedies:-
For a mild case of Pityriasis versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include:

*Selenium sulfide shampoo (Selsun Blue)
*Miconazole (Monistat-Derm)
*Clotrimazole (Lotrimin)
*Terbinafine (Lamisil)

Wash and dry the affected area. Then, apply a thin layer of the topical agent once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication.

Prevention:
Avoid applying oil or oily products to your skin or wearing tight, restrictive or nonventilated clothing. Sun exposure makes the fungal infection more apparent.

To help prevent tinea versicolor from returning, your doctor can prescribe a topical or oral treatment that you take once or twice a month. Preventive treatments include:

*Selenium sulfide (Selsun) lotion applied to the affected areas every two to three weeks
*Ketoconazole (Nizoral) tablets once a month
*Itraconazole (Sporanox) capsules once a month

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://en.wikipedia.org/wiki/Tinea_versicolor
http://www.mayoclinic.com/health/tinea-versicolor/DS00635
http://www.bbc.co.uk/health/physical_health/conditions/pityriasisversicolor1.shtml

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Cradle Cap

Alternative Names:  Seborrheic eczema; Cradle cap,infantile or neonatal seborrhoeic dermatitis,
crusta lactea, milk crust, honeycomb disease.

Definition:
Cradle cap  is a yellowish, patchy, greasy, scaly and crusty skin rash that occurs on the scalp of recently born babies. It is usually not itchy, and does not bother the baby. Cradle cap most commonly begins sometime in the first 3 months. Similar symptoms in older children are more likely to be dandruff than cradle cap. The rash is often prominent around the ear, the eyebrows or the eyelids. It may appear in other locations as well, where it is called seborrhoeic dermatitis rather than cradle cap. Some countries use the term pityriasis capitis for cradle cap. It is extremely common, with about half of all babies affected. Most of them have a mild version of the disorder. Severe cradle cap is rare.
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It’s not due to poor hygiene and isn’t contagious or an allergy. Cradle cap tends to run in families, so there may be a genetic predisposition.

Cradle cap usually resolves on its own within a few months. Self-care measures, such as washing your baby’s scalp daily with a mild shampoo, can help loosen and remove the cradle cap scales. If cradle cap persists or seems severe, your doctor may suggest a medicated shampoo, lotion or other treatment.

Symptoms:-
Common signs of cradle cap include:
*Skin lesions
*Plaques over large area
*Greasy, oily areas of skin
*Skin scales — white and flaking, or yellowish, oily, and adherent — “dandruff”
*Itching — may become more itchy if infected
*Mild redness
*Hair loss
*Patchy scaling or thick crusts on the scalp
*Greasy skin covered with flaky white or yellow scales
*Skin flakes or dandruff
*Possibly mild redness

Similar scales may also be present on the ears, eyelids, nose and groin.

Cradle cap is most common in newborns. It isn’t contagious and probably won’t bother your baby. In most cases, the condition isn’t itchy for infants.

Causes:
Cradle cap is not caused by a bacterial infection, allergy, nor from poor hygiene. Doctors are not in agreement as to the causes, but the two most common hypotheses include fungal infection and overactive sebaceous glands.

In many cases, what is commonly called cradle cap is actually a fungal infection. This infection may be related to antibiotics given to the mother just before the infant’s birth, or the infection could be related to antibiotics routinely given to infants during the first week of life. Antibiotics kill both harmful bacteria as well as the helpful bacteria that prevent the growth of yeast, which is why people who are prone to fungal infections will often discover a fungal infection after taking a round of antibiotics. In infants, the fungus is mostly likely to appear on the scalp (cradle cap), diaper area (fungal diaper rash, jock itch), ear (fungal ear infection, or an ear infection that does not respond to antibiotics),or in the mouth (thrush).

Another common cause of cradle cap appears to be a common manifestation of biotin insufficiency. This may be due, in part, to the influence of biotin on fatty acid biosynthesis. Possibly it has to do with overactive sebaceous glands in the skin of newborn babies, due to the mother’s hormones still in the baby’s circulation. The glands release a greasy substance that makes old skin cells attach to the scalp instead of falling off as they dry. There may be a relationship with skin yeasts (Pityrosporum ovale, newly renamed Malassezia furfur). Seborrheic dermatitis is the adult version of cradle cap

SOME SIGNS OF WARNING:-
If the condition thickens, turns red and irritated, starts spreading, appears on other body parts, or if the baby develops thrush (fungal mouth infection), fungal ear infection (an ear infection that does not respond to antibiotics) or a persistent diaper rash, medical intervention is recommended.

Severe cases of cradle cap, especially with cracked or bleeding skin, can provide a place for bacteria to grow. If the cradle cap is caused by a fungal infection which has worsened significantly over days or weeks to allow bacterial growth (impetigo, most commonly), a combination treatment of antibiotics and antifungals may be necessary. Since it is difficult for a layperson to distinguish the difference between sebaceous gland cradle cap, fungal cradle cap, or either of these combined with a bacterial infection, medical advice should be sought if the condition appears to worsen.

Cradle cap is occasionally linked to immune disorders. If the baby is not thriving and has other problems (e.g. diarrhoea), a doctor should be consulted.

Possible Complications:
•Psychological distress, low self esteem, embarrassment
•Secondary bacterial or fungal infections

Treatment:
Treatment other than gentle washing is not necessary in most mild cases (flaking, with or without small patches of yellow crusting), as the problem often resolves itself whether the cause is sebaceous-gland-related or fungal, but since many patients (and/or parents) are concerned about cosmetic issues, the following options are often considered:

-For all ages: Home remedies include the application of various oils, lotions, or petroleum jelly. There is little adequate or controlled research to support or negate the usefulness of most common home remedies at any age, but there is anecdotal evidence to support either position. When cradle cap is related to fungal infection, treatment for other fungal infections can also work. Tinea capitis is one example of a fungal cause. Doctors may prescribe a seven-day daily application of clotrim (commonly prescribed for jock itch or athlete’s foot) or miconazol nitrate (commonly prescribed for vaginal yeast infections).

-For infants: in cases that are related to fungal infection, doctors may recommend once-daily application of clotrim (1%) or miconozal nitrate (2%) for seven to fourteen days.

-Application of  lavender oil may be helpful for fungal infection.

-For toddlers: doctors may recommend a treatment with a mild dandruff shampoo such as Selsun Blue or Neutrogena T-gel, even though the treatment may cause initial additional scalp irritation. A doctor may instead prescribe an antifungal soap such as ketoconazole (2%) shampoo, which can work in a single treatment and shows significantly less irritation than over-the-counter shampoos such as selenium sulfide shampoos, but no adequate and controlled study has been conducted for pediatric use as of 2010.

-For adults: Seborrheic dermatitis (the adult version of cradle cap) usually requires the use of an antifungal shampoo, possibly along with the nightly application of an antifungal cream or an anti-itch cream/gel like Scalpicin. Some doctors also recommend the supplementation of a B-vitamin complex to improve fatty acid metabolism..

Scalp, behind ears, eyebrows:
The common home remedy of applying oil (vegetable, particularly olive oil, or mineral oil) liberally to the scalp and letting it soak in overnight or for lesser periods of time seems to conflict with the fact that Malassezia yeasts thrive in oily environments preferring saturated fats, although anecdotal reports suggest it may be effective. This may be because olive oil is primarily unsaturated fat and does not promote fungal growth. If the cradle cap is not severe, you may try to comb it out gently after bathing. The softened scales can then be brushed away with a soft brush, comb or cloth, but if not done very gently, this can worsen the condition and bring about temporary hair loss. There has been no studies done on these recommendations. Applying petroleum jelly (e.g., Vaseline) liberally overnight is another popular treatment. The softened scales either fall off during the night, or can be brushed off in the morning. Making a paste from sodium bicarbonate (baking soda) and leaving it on the affected area for 10 minutes can also help lift the scales.


There is broad disagreement regarding the role of shampoos. Some sources warn against frequent shampooing, others recommend it. Mild baby shampoo is often recommended, while never specifying what “mild” actually means. Baby shampoos often contain detergent surfactants, perfumes, quaternium-15 and other eczemagenic irritants. Again, no studies have been performed on non-prescription shampoos.

Keratolytic (dandruff) shampoos (e.g. with sulfur, selenium, zinc pyrithione, or salicylic acid) are generally not recommended as they sting eyes and may worsen the dermatitis. In stubborn cases some doctors do recommend them while others warn against the use of medicated shampoos in newborns due to systemic absorption. Dandruff shampoos often contain sodium dodecyl sulfate, a noted skin irritant.

Steroid and tar preparations have also been used but have significant drawbacks. Immunomodulators (tacrolimus/Protopic, pimecrolimus/Elidel) have not been approved for babies under two years.

Ketoconazole shampoos and creams are taking first place in medical treatment of moderate to serious cradle cap. Research so far indicates that this anti-fungal medication is not absorbed into the bloodstream. Ketoconazole shampoo is currently made with a number of problematic irritants and allergens.

A Swedish study   found good results from massaging the scalp with small amounts of borage oil twice a day.

Other home remedies recommended in various alternative sources and parent forums are herbal washes (e.g. burdock or chamomile), aloe gel, and tea tree oil (Melaleuca oil) shampoo. Tea tree oil and aloe can be sensitizers; any worsening should be an occasion to discontinue the remedy in question. Both remedies have been tested in medical trials and found useful.

Eyelids:…….click & see
Typical medical advice is to use diluted baby shampoo on a cotton swab to cleanse the eyelid. There is no agreement on the dilution, which ranges from a few drops to a half cup warm water, to a 50/50 mix. No studies have been performed on the efficacy or safety of this treatment. (Please note the problems with baby shampoo noted above.) In adults, a study comparing soap and baby shampoo to commercial eyelid scrubs found that patients strongly preferred not to put soap or shampoo on their eyelids. Baking soda has also been recommended (a teaspoonful in a cup of boiled water) and is well accepted by adults. Boiled warm water wash may help.


Prognosis:
As the baby matures this conditions will be cleared.However, studies have shown that the condition occasionally persists into the toddler years, and less commonly into later childhood. It tends to recur in adolescence and persists into adulthood. In an Australian study, about 15 percent of previously diagnosed children still had eczema 10 years later. Sometimes, cradle cap turns into atopic dermatitis. Rarely, it turns out to be misdiagnosed psoriasis.

Prevention:
Shampooing your baby’s hair every few days can help prevent cradle cap. Stick with a mild baby shampoo unless your baby’s doctor recommends something stronger.

The severity of cardle cap can be lessened by controlling the risk factors and by paying careful attention to skin care.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.bbc.co.uk/health/physical_health/conditions/cradlecap2.shtml
http://www.nlm.nih.gov/medlineplus/ency/article/000963.htm
http://www.mayoclinic.com/health/cradle-cap/DS01074
http://en.wikipedia.org/wiki/Cradle_cap
http://www.livestrong.com/article/294548-itchy-scalp-behind-my-ears/
http://www.dermis.net/dermisroot/en/39521/image.htm

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Jock Itch



Alternative Names:

Fungal infection – groin; Infection – fungal – groin; Itching in the groin; Ringworm – groin; Tinea cruris; Tinea of the groin.

Definition:
Jock itch  is an infection of the groin area caused by fungus. It is  a fungal infection affecting the moist skin on inner thighs, genitals, anal area, or buttocks, appearing in both men and women. Affected skin is covered by red or brown rash that may be ring-shaped. Rash may itch or burn; affected skin may peel off or crack.

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Causes:
The body normally hosts a variety of bacteria and fungi. Some of these are useful to the body. Others can multiply rapidly and form infections. Jock itch occurs when a particular type of fungus grows and multiplies in the groin area.

English: Photo of Jock Itch around the inner thigh

English: Photo of Jock Itch around the inner thigh (Photo credit: Wikipedia)

Jock itch occurs mostly in adult men and adolescent boys. It can sometimes accompany athlete’s foot and ringworm. The fungus that causes jock itch thrives in warm, moist areas. Jock itch can be triggered by friction from clothes and prolonged wetness in the groin area (such as from sweating).

Jock itch may be contagious. It can be passed from one person to the next by direct skin-to-skin contact or contact with unwashed clothing. Jock itch usually stays around the creases in the upper thigh and does not involve the scrotum or penis. It is often less severe than other tinea infections, but may last a long time. Jock itch may spread to the anus, causing anal itching and discomfort.

Other causes of itching in the groin include:-

*Lichen simplex chronicus
*Eczema
*Pubic lice
*Chemical irritation
You may click & See also: Vaginal itching

.
How  Jock Itch Spreads?
Jock itch is easily spread with sharing towels or sportswear, or with sexual contact.

Who Normly Gets Infected?
Adult men that often have moist groin are often infected. Jock itch may also appear in women. It rarely appears before 15 years of age.

Risk factors for getting jock itch are:

*Wet groin; (male athletes, dhobi itch is known in western washermen)
*Tight underwear
*Obesity; infection occurs in wet skin folds
*Immunodeficiency: AIDS, diabetes

Possible Completications:
Complications are infrequent since jock itch is usually a self-limited skin condition. Rarely, the rash may spread past the groin onto the thighs and genitals. Secondary skin infections from scratching or rubbing can uncommonly deepen, causing cellulitis or abscess formation.

Another potential complication includes temporary skin discoloration called post-inflammatory hypopigmentation (lighter than the regular skin color) or hyperpigmentation (darker then the regular skin color). This altered skin color may occur after the rash has improved or after a temporary flare. Permanent scarring is uncommon.

.Symptoms:
Jock itch usually begins with mild intermittent itching in the groin. The itching can get worse and become unbearable in some cases. The rash is usually on both sides of the groin and affects the folds.

The rash may become dry, rough, and bumpy, develop pus bumps, or begin to ooze. Sometimes, the uppermost skin clears as the rash spreads further down onto the thighs. The itching and rash can spread to the genitals including the labia, vagina, scrotum, penis, and anus.

Women may also develop vaginal white discharge and yeast infections. Men may develop infections on the head of the penis, especially if they are not circumcised.

Severe cases may be very uncomfortable and develop secondary complications such as breaks in the skin, open sores, ulcers, and rarely cellulitis.
.Diagnosis:
Doctor will usually diagnose jock itch based on the appearance of the skin. Tests are usually not necessary. If tests are needed to confirm the diagnosis, either a culture or a skin lesion biopsy (for example, a scraping of the skin) may show the fungus that causes jock itch.

Rash in the groin may be caused by other types of fungi (Candida albicans), viruses (Herpes genitalis), bacteria (Staphylococcus aureus), allergies (itchy pants syndrome, cholinergic urticaria), inverted psoriasis, Darier’s disease, Hailey-Hailey disease (pemphigus), intertrigo, seborrheic dermatitis, etc.
Treatment:-
There are many treatment options and skin-care recipes for treating jock itch. Since the two primary causes of jock itch are excess moisture and fungal infections, treatment depends on the exact cause of the jock itch. Treatment of jock itch associated with skin irritation and excess moisture should address general measures to keep the groin clean and dry. Treatment of fungal jock itch should include antifungal creams used continuously for two to four weeks.

It is important to keep in mind that no therapy is uniformly effective in all people. Doctor may need to help evaluate the cause of your jock itch.

Home Remedy:-
Home remedy for mild jock itch includes:

*washing the groin skin two to three times a day with a gentle soapless cleanser like Dove non-soap cleanser or Cetaphil and water;

*keeping the groin area dry;

*avoiding excess groin skin irritation by wearing 100% cotton underwear;

*avoiding fabric softeners, bleaches, or harsh laundry detergents; and

*applying a mix of over-the-counter hydrocortisone cream and clotrimazole (Lotrimin, Mycelex) cream one to two times a day to the affected area.

Holistic jock itch treatments:-
Holistic (nonmedicated) home remedy options for jock itch include:

*Soaking the affected area daily with a washcloth dipped in dilute white vinegar (1 part vinegar to 4 parts of water) and drying the skin and

*Soaking in a bathtub daily or every other day with very dilute Clorox bleach (1 quarter cup of Clorox bleach in a bathtub full of water) and drying the skin.

Fungal jock itch is treated  Normally as follows:-

Mild fungal or yeast jock itch may be treated by:

*Washing groin twice daily with an antifungal shampoo like ketoconazole (Nizoral shampoo) or seleni
um sulfide (Selsun Blue shampoo).

Moderate fungal or yeast jock itch is often treated by a combination of:

*washing the groin twice daily with an antifungal shampoo like ketoconazole or selenium sulfide and

*Using a topical antifungal cream like miconazole (Monistat, Micatin), clotrimazole or terbinafine (Lamisil).
Severe fungal or yeast jock itch is typically treated by a combination of:

*Washing groin twice daily with an antifungal shampoo like ketoconazole or selenium sulfide,

*Using a topical antifungal cream like miconazole, clotrimazole or terbinafine, and

*Taking an antifungal pill like fluconazole (Diflucan), itraconazole (Sporanox), or terbinafine.

Bacterial jock itch is normally treated as follows:-

Mild bacterial jock itch may be treated with:

*Antibacterial skin washes like Lever 2000 soap or chlorhexidine (Hibiclens) soap twice daily.

Moderate bacterial jock itch may be treated with:

*Antibacterial skin washes like chlorhexidine soap twice daily and

*Twice-daily application of a topical antibiotic like clindamycin lotion or metronidazole (Flagyl) lotion.

Severe bacterial jock itch may be treated with:

*Antibacterial skin washes like chlorhexidine soap twice daily,

*Twice-daily application of a topical antibiotic like clindamycin lotion or metronidazole lotion, and

*A five- to 14-day course of an oral antibiotic like cephalexin (Keflex), dicloxacillin, doxycyline, minocycline (Dynacin, Minocin), tetracycline (Sumycin), ciprofloxacin (Cipro, Cipro XR, Proquin XR), or levofloxacin (Levaquin) for more resistant situations.

Treatment of Inflammatory itching :-
Inflammatory itching from jock itch can be treated with a short course of one of the following:

*Use a short five- to seven-day course of a mild to medium potency, topical steroid cream like prescription triamcinolone 0.025% once or twice a day for inflamed or itchy areas.

*Use a short five- to seven-day course of a mild over-the-counter topical steroid cream like hydrocortisone (Cortaid) one to three times a day for itching.

*Use a topical immunomodulator such as pimecrolimus (Elidel) cream or tacrolimus (Protopic) ointment twice a day. Although these creams are approved for atopic dermatitis and eczema, their use would be considered “off label” (non-FDA labeled use) for jock itch.

Causes of Residual skin discoloration :
Residual skin discoloration in the groin may persist for weeks to months after more severe forms of jock itch clear. This darkish discoloration is called hyperpigmentation and may be treated with one or a combination of

*Hydroquinone 4% cream,

*Kojic acid cream,

*Azelaic acid 15% cream,

*Over-the-counter fading cream with 2% hydroquinone (Porcelana), or

*Specially designed prescription creams for particularly resistant skin discoloration using higher concentrations of hydroquinone 6%, 8%, and 10% may also be formulated by prescription by compounding pharmacists.

Best Drug for Jock Itch:-
Overall, the best jock-itch drug is a topical antifungal cream like miconazole, clotrimazole, or terbinafine. If the jock itch does not improve within two to three weeks of treatment, then a physician should be consulted.

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Prognosis:-
The prognosis with jock itch is very good. Overall, jock itch tends to be an easily treated and curable skin condition. Commonly, it is a mild, benign, usually noncontagious, and self-limited skin condition. More widespread, atypical cases of jock itch may be embarrassing, chronically disfiguring, and psychologically distressing for the patient.

Prevention:
Jock itch prevention efforts include good general skin hygiene and keeping your groin clean and dry. The following preventive steps will help:

*Wash groin and buttocks with soap and water after exercise and sweating.

*Wash workout clothes, underwear, and swimwear after each use.

*Minimize groin moisture by using white cotton underwear.

*Change underwear frequently and especially after sweating.

*Wash clothes and undergarments in hot soapy water.

*Use loose-fitting cotton underwear and clothing.

*Avoid undergarments with polyesters, nylon, or synthetic fibers.

*Use an antifungal powder like Lamisil or Zeasorb to keep the groin dry.

*Avoid fragranced or irritating creams or lotions on the groin.

*Avoid going barefoot, especially at gyms, schools, and public pools.

*Treat athlete’s foot if you have it.

*Cover your feet with socks before you put on your underwear and pants.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.nlm.nih.gov/medlineplus/ency/article/000876.htm

Jock Itch – Pictures, Symptoms, Causes and Treatment


http://www.medicinenet.com/jock_itch/page3.htm

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