Barbara is a 50 year old cyclist who presents with a week of worsening groin rash.

Associations of Jock Itch

• Obesity
• Diabetes

Causes

• Trychophoton Rubrum
• Epidermophyton floccosum

Differentials

• Candida
• Erythrasma
• Psoriasis
• Seborrhoeic dermatitis

Treatment

• Bathe and dry,
• Terbinafine 1% cream d 7d,
• Miconazole bd 4 weeks,
• Telnaftate powder bd,
• Oral terbinafine 4 weeks
• Emollients
• Soap subs

Treatment of Candida on a simple intertrigo

• Tx = Miconazole 2%,
• Burrows solution if weeping,
• C1 TCS,