Mycosis of the inguinal folds in men. Diagnosis of inguinal epidermophytosis

Epidermophytosis inguinal 1 tbsp. spoon wood ash mixed with a small amount of water. This mixture is rubbed on the patient's skin area. After the procedure, be sure to wash this place with water and dry it. The procedure must be completed by sprinkling the affected area with corn

Stability fold

Fold of stability This is the most common form of the nasolabial fold (Fig. 6.24). Rice. 6.24. Stability FoldThe lines resemble a curve from a mathematical graph and symbolize constancy and small but steady success and

Fold of need

The crease of need People with straight nasolabial folds, going obliquely and forming a triangle with the nose and chin (Fig. 6.25), have a difficult life that sends many trials. Rice. 6.25. Fold of needIn addition, people with such nasolabial folds should always be

Disease fold

Disease fold Nasolabial folds of this type usually have a shortened shape and do not extend beyond the lips (Fig. 6.26). Rice. 6.26. Disease foldShort nasolabial folds, especially in combination with a thin nose and a pointed chin, betray a person with a weak

A fold of significance

The fold of significance The nasolabial fold, shaped like an inverted bowl (Fig. 6.29), is often called the sign of especially important people, or the fold of significance. Rice. 6.29. The fold of significance It is quite rare and characterizes its owners as

Mycosis inguinal folds- These are fungus-affected areas of the skin in the groin, most often in men.

Depending on the location of the disease this pathology may have the following names:

1. Perineal fungus.
2. fungal infection inner surface hips.
3. Fungus of the scrotum.
4. Mycosis of the intergluteal region.
5. IN rare cases(the penis is usually not affected by the fungus).

Where does it come from?

The causative agents of the disease are one or more types of fungi. The following causes contribute to infection:

1. Entering with dirty hands from the site of infection.
2. The contact-household route of infection can be carried out through the use of personal hygiene items, towels, shoes, etc. with the patient. Possible way infection is a visit to public baths and saunas.

Reduced immunity, which occurs against the background of the following health disorders, can contribute to rapid infection with a fungus:

1. Problems with the endocrine system.
2. Diabetes.
3. Immunodeficiency.
4. Overweight.
5. Presence of other fungal infections - onychomycosis, etc.
6. Frequent sweating.
7. Non-compliance with the rules of personal hygiene.

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Symptoms of inguinal mycosis

At the beginning of the disease, small reddened areas appear in the scrotum and inguinal folds. They have clear boundaries separating them from healthy skin. A slight swelling forms at the site of redness. This hyperemia begins to increase over time, nearby spots connect and form large areas of redness with uneven borders. The affected areas are very itchy and disturb the person. At the site of redness, the skin is dry, sometimes small blisters appear. Sometimes in such cases, treatment may not be needed, as redness can go away on its own.

In advanced cases, pustules may appear at the sites of the lesion, which become wet, which makes it possible to confuse this disease with eczema. Man experiencing severe discomfort not only from an aesthetically unsightly appearance, but also because of severe burning sensation and itching.

If untreated, this manifestation of the disease can turn into chronic form with constant exacerbations in the hot season.

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Diagnosis and treatment of inguinal fungus with pharmaceuticals

As such, diagnostics in this case is not carried out, usually a medical examination is sufficient. In the presence of other skin lesions, differential diagnosis is carried out.

Mycosis of the inguinal region does not require hospitalization and is successfully treated at home. Special ointments have proven themselves in the treatment of mycosis of the inguinal folds. The doctor will also recommend taking antihistamines. And the initial inguinal fungus can be cured with the help of traditional medicine.

So, you should disassemble all the means in order:

1. Ointments should contain the following components: miconazole, terbinafil, clotrimazole. When purchasing ointments without a prescription, you must strictly follow its instructions, as there is a strict sequence of application. Without following such recommendations, treatment is reduced to zero. When using ointments, be sure to keep your body clean, wash your groin area regularly with water, and change your underwear more often. With a favorable prognosis, treatment with ointments can last up to 14 days.
2. Antihistamines. They are assigned to acute period illness. Commonly used drugs include: diphenhydramine, diazolin, pipolfen, suprastin.
3. Complementary treatments include various tinctures and solutions. They can be purchased at a pharmacy. To the most popular means this group includes: calcium chloride 10%; the use of silver nitrate (0.25%) and resorcinol (1%) in the form of lotions; for a week, an iodine solution is applied in the form of lubrication of the affected areas. After this, add sulfur-tar ointment to iodine and continue treatment for 14 days. For best effect add to this therapy antifungal ointments, for example, such as "Mikoseptin" or "Mikozolon"; the use of Burov's liquid in the form of compresses. Approximate proportions - for 1 glass of water 1 tbsp. l. liquids.

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Fungus in the groin in women

Treatment in this case is identical to male, but there are a number of nuances that are characteristic only of female therapy. In this case, you will definitely need to consult a gynecologist, since inguinal mycosis, if not properly treated, can turn into vaginal mycosis. And this is more difficult and requires some treatment.

1. The use of compresses medicinal herbs such as chamomile, sage, oak bark, nettle, burdock, etc.
2. When itching begins, use Sinoflan ointment.

Mycosis in the groin in men is chronic pathological process fungal nature associated with lesions skin inguinal folds. main reason the onset of the disease is a lesion of the skin various types pathogenic fungi, and sometimes combinations of several species. However, there are also a number etiological factors exogenous and endogenous nature, which can cause an increase in the likelihood of developing mycosis of the inguinal region.

Exogenous factors contributing to the onset of the disease include:

1. Prolonged wearing underwear from synthetic materials;
2. Prolonged wearing of tight tight clothing;
3. Overheating, intense sweating and moisture of the skin in the groin area;
4. Obesity, the presence of cellulite;
5. High temperature and humidity;
6. Neglect of personal hygiene rules.

Endogenous factors contributing to the onset of the disease include:

• Decreased natural immunity;
• chronic diseases endocrine system (diabetes, thyroiditis);
• Systemic and autoimmune diseases;
• The presence of foci of fungal infection in the feet;
• The presence of neoplasms (including malignant): verrucous carcinoma, lipoma, basalioma;
• Violations metabolic processes in organism.

inguinal mycosis creases cause the following types mushrooms:

1. Epidermophyton floccosum, the most highly contagious species of the pathogen, causes athlete's groin. This type of fungus is infected by contact- through household items, as well as personal hygiene items (shared towels, public toilets, seats in baths and saunas, shared linen). It is also possible to infect the groin area with the hands. after contact with an infected object or focus of the fungus (foot, interdigital space);
2. Trichophyton rubrum causes the appearance of rubrophytosis, which has a predominantly chronic form of the course with an acute onset of the disease. With rubrophytosis, the inguinal-femoral, axillary folds, as well as the area between the buttocks, are involved in the process. This disease affects not only the folds, but can spread throughout the body, involving in the process hairline body.

Clinic

Clinical manifestations of mycosis of the scrotum will depend on the type of pathogen. At inguinal epidermophytosis, the causative agent of which is Epidermophyton floccosum, the following clinical features will be observed:

• Acute onset of the disease with subsequent chronicity of the process in the absence of therapy;
• The onset of the disease is characterized by the appearance of pink, red or brown-red spots with signs of inflammation (swelling, hyperemia, peeling) and a clear demarcation from other unaffected tissues. Spots can merge and form a single focus (peripheral growth occurs);
• As the disease progresses, the central focal zone resolves, and the marginal area becomes covered with bubbles. different sizes, pustules, erosive elements, scales or crusts that form a kind of roller;
• There may be separate foci that are separate from the main spot;
• , pain, which increase even more during movement and physical exertion;
• The appearance of peeling, cracks.

If inguinal mycosis is caused by Trichophyton rubrum, then the symptoms will differ from inguinal epidermophytosis by frequent recurrence (especially in summer period), the presence of lesions in the feet and hands, widespread process on the skin of the abdomen and buttocks, the area of ​​​​inflammation is delimited by nodular formations of purple-bluish color.

Diagnostics

Diagnosis of mycoses of the scrotum is based on an external examination, collection of anamnestic data and results. laboratory research. When collecting anamnesis, it is necessary to find out from the patient about the presence of any systemic, endocrine and chronic pathologies, the nature of food, the frequency of visiting public baths and saunas, ask about the place and working conditions.

During an external examination, it is necessary to assess the nature and localization of spots, the number and type of rash elements, and the presence of peeling. You also need to pay attention to the patient's physique and the presence of signs of body obesity.

Laboratory studies include:

1. General blood analysis;
2. General urine analysis;
3. Microscopic examination of scrapings (the method allows to detect the presence of fungi, scrapings are taken from the peripheral area of ​​the infected focus for examination);
4. Cultural crops allow you to find out the specific type of fungus that caused mycosis. The essence of the method is to grow fungi on artificial nutrient media, followed by microscopy, which will identify a specific type and genus of the fungus. Also, during the culture sowing, the degree of sensitivity of the microorganism to different types medicines.

Treatment and prevention

Treatment of inguinal mycosis depends on the pathogen and the type of pathology. With inguinal epidermophytosis, the following drugs are used;

• Hydrocortisone ointment (1%), zinc ointment for local rubbing on the affected areas of the skin;
• Creams: Miconazole, Econazole, Clotrimazole, Oxyconazole, Terbinafine, Ketoconazole, Cyclopirox, Mikatin. Drugs should be applied after hygiene procedures(the affected area must be thoroughly washed, then wiped dry with a napkin or towel), the cream is applied 2-3 centimeters around the affected area;
• It is also effective to apply lotions, dressings, applications, which include Chlorhexidine bigluconate 0.05%, Boric acid 2%, Resorcinol 2%.

When diagnosing inguinal trichophytosis in a patient, local treatment with the use of antifungal ointments: "Lamisil", "Mikatin", "Micelex", "Clotrimazole". Alcohol treatment is also effective iodine solution and salicylic-sulfur ointment. Tableted forms of drugs are used if the scalp, nails and deep layers of the skin are involved in the pathological process (Griseofulvin, Nizoral).

Treatment of fungal infections of the inguinal folds in men should be carried out before the appearance of negative negative results laboratory research. On average, the course of therapy ranges from two weeks to one month.

Preventive measures consist in careful observance of hygiene rules, wearing underwear made from natural fabrics and changing it daily, should not be allowed profuse sweating, the use of talcs or powders is recommended.

(epidermophytosis of large folds) - a lesion of the epidermis of fungal etiology that occurs in large folds of the skin. Appears as typical flaky patches Pink colour with a clean center and a periphery covered with vesicles and pustules. Most often localized in the region of the inguinal folds. The diagnosis of epidermophytosis groin is confirmed by the detection of mycelium of the fungus by microscopy of scales from the surface of the spots and the growth of characteristic colonies during a cultural study. Treatment is carried out antihistamines and topical antifungals.

Inguinal epidermophytosis is more common in men. It is extremely rare in adolescents and children. Inguinal epidermophytosis refers to fungal diseases or ringworm. Its causative agents are the fungi Epidermophyton floccosum, Trichophyton mentagrophytes, Trichophyton rubrum, which are infected by household contact. The transmission of fungi can be through bedding, towels, linen, washcloths, while neglecting the rules of personal hygiene in the bath, pool, shower. Walking in a bathhouse or a public shower without bath slippers is fraught with infection of inguinal epidermophytosis with a rare, but occurring, localization on the feet and nails.

Factors that favor infection include: heat environment, high humidity, increased sweating, damage to the surface layer of the skin (scratches, minor abrasions, maceration), obesity, in which it is difficult hygiene care behind the skin in large folds.

Symptoms of inguinal epidermophytosis

Inguinal epidermophytosis begins with the appearance of pink itchy spots up to 1 cm in size. The spots have a rounded shape and a flaky surface. Due to their peripheral growth, they gradually increase, reaching a diameter of up to 10 cm. Such lesions have clearly demarcated scalloped edges. On their periphery, on a hyperemic background, there are multiple pustules and vesicles. At the same time, the inflammation in the center of the spot subsides, leaving behind clean skin, which gives the foci of inguinal epidermophytosis characteristic appearance rings. The patient is concerned about severe itching, discomfort while walking.

The most typical localization of inguinal epidermophytosis, as the name implies, is the inguinal folds. But the fungus can also affect the skin of the inner thighs, intergluteal folds and axillary areas. Sometimes the process extends to the skin in the anus and can occur in the interdigital spaces on the feet. Occasionally in men there is a lesion of the scrotum, in women - folds under the mammary glands. The nails are least commonly affected.

With absence adequate therapy Athlete's groin can last up to several years. If it is caused by Trichophyton mentagrophytes, then it is characterized by an acute course with a pronounced inflammatory reaction. For inguinal epidermophytosis caused by the fungi Trichophyton rubrum and Epidermophyton floccosum, a less acute course is typical and, with a sufficient duration of the disease, alternation of periods of remission and exacerbation.

Diagnosis of inguinal epidermophytosis

The diagnosis of inguinal epidermophytosis is established by a dermatologist or mycologist. To confirm the etiology of the disease, a scraping test for pathogenic fungi is carried out, sowing material on nutrient medium and examination of the affected areas of the skin using a Wood's lamp.

Scraping is taken from the affected areas of smooth skin, and, if necessary, from the nail plates. Microscopic examination of skin scrapings reveals short branching mycelial filaments characteristic of Epidermophyton floccosum and rectangular arthrospores that form chains. Sowing material from scrapings on Sabouraud nutrient medium gives the growth of yellowish colonies round shape and fluffy consistency, typical of fungi that cause inguinal epidermophytosis.

Luminescent diagnostics with a Wood's lamp reveals a greenish glow of skin areas in the affected area, which confirms the fungal genesis of the disease. It allows you to distinguish between inguinal epidermophytosis and erythrasma, for which a red-coral glow is typical. Inguinal epidermophytosis is differentiated from diaper rash, skin candidiasis, psoriasis, allergic contact dermatitis, smooth skin trichophytosis, rubromycosis.

Treatment of inguinal epidermophytosis

Patients with athlete's groin should great attention pay attention to personal hygiene, especially in areas of affected skin. Requires daily washing with thorough processing skin folds. It is useful to take baths with infusion of chamomile, celandine, oak bark, succession. They have a drying and anti-inflammatory effect. To reduce itching and discomfort in the area of ​​\u200b\u200bfoci of inguinal epidermophytosis, oral administration is prescribed antihistamines: chloropyramine, clemastine, loratadine, cetirizine, etc.

With inguinal epidermophytosis, local treatment is quite effective. Apply lotions of 1% solution of resorcinol and 0.25% solution of silver nitrate, apply an ointment with betamethasone and clotrimazole. Good result give modern antifungal drugs widely used in dermatology: terbinafine, undecylenic acid, clotrimazole. Local antimycotic therapy is carried out for a long time (4-6 weeks), continuing it for some time after the symptoms have completely disappeared. Places of resolved foci of epidermophytosis are treated with iodine tincture or fucarcin.

Prevention of inguinal epidermophytosis

Preventive measures should primarily be aimed at preventing infection of persons living with the sick. To do this, disinfection of contact surfaces, linen, bedding and household items is carried out. The patient and all his relatives must carefully follow the rules of personal hygiene.

Prevention of inguinal epidermophytosis is facilitated by the individual use of personal hygiene items, compliance with hygiene rules in public showers and baths, regular hygiene body, the fight against hyperhidrosis.

The best environment for the growth of a fungal colony is warm and high humidity. The perineal region satisfies these conditions in most. Moreover, the situation is exacerbated by high acidity skin in this area with insufficiently thorough hygiene rules.

Several different fungi can provoke the appearance of mycosis.

It is important to establish what exactly is the cause, since with fairly similar symptoms, the treatment should be completely different:

• Epidermophytosis - appears when a fungus affects the epidermal layer of the skin. Causes 40% of all cases of the disease. It is caused by the fungus epidermophyton floccosum. It grows and develops only on the human body. The fungus is transmitted by household contact, that is, through objects common use, as well as through a handshake or other touch. Despite the fact that the pathogen is quite resistant to action external factors, like temperature, it begins to multiply only in a suitable environment and in cases where the patient's immunity is weakened.
• Rubromycosis - is formed when high activity red trichophyton. It is observed in 20%. Symptoms mostly appear in large folds. However, in general, the signs are so similar that the only way for diagnosis is a special analysis.
• Erythrasma is caused by Corynebacterium minutissimum. The disease is rarely accompanied by discomfort, unless, of course, the very appearance of dark red spots is considered. Treatment is only external, which greatly facilitates healing.

The fungus in the groin, if left untreated, can spread to other parts of the body - buttocks, thighs, abdomen. In advanced cases, it leads to the appearance of pustules. In this case, not only the appearance of the body worsens, but there is also a real danger of secondary infections.

Inguinal mycosis of the skin is the third most common form of fungal infection after ringworm and foot lesions. Men are ill 3 times more often than women. The disease is more common in hot and humid climate, since in such conditions the fungus exists for a long time and is more easily transmitted from person to person.

Photo of mycosis of the inguinal region

Causes of inguinal mycosis

The development of pathogenic microflora is determined by the appropriate environment - high humidity, acid reaction, sufficient temperature. The inguinal region in men in this sense is the most vulnerable area. Firstly, in this area the temperature is always higher than in other areas. Secondly, the humidity, of course, is also higher, since the mucous tissues contain much more moisture. Thirdly, the microscopic remains of urine, the mucus secreted by the genitals, have a pH in the range of 5 to 7.

The latter is one of the factors that ensure such a prevalence of the disease in men. The fact is that both sweat and urine droplets are better kept in those areas where hair grows abundantly. In the groin area, women always have less hair, in addition, many prefer to remove part of the hair, or even all the hair in this area. Men resort to such procedures much less frequently.

Such conditions exist constantly, but the fungus begins to multiply under the action of additional factors, which temporarily reduce defensive forces organism.

These factors include:

• obesity - in this case, it is violated normal exchange substances that cause acidic urine. In addition, sweating increases markedly, which turns groin in the best environment for the reproduction of fungi and bacteria;
• diabetes mellitus and other diseases that lead to metabolic disorders - in all such cases, the composition of both blood and urine changes, and the immune system becomes noticeably weaker;
• patients already suffering from athlete's foot are at risk. Here main danger represents the ease of re-infection;
• hyperhidrosis - excessive sweating creates a favorable environment for the fungus literally on any part of the body, not to mention large folds;
• elementary non-compliance with the rules of hygiene - insufficiently frequent ablutions, non-use of soap, the habit of wearing damp linen, and so on;
• living in a humid and hot climate significantly increases the risk of fungal infection;
• stress - strong experiences reduce immunity. At the same time, any pathogenic microflora, including fungus, is activated;
• too much frequent visit baths and pools can also cause mycosis. In the first case, the combination of high humidity and heat creates a favorable environment for the fungus, in the second case, this role is played by chlorinated water with high acidity.

How to recognize

Mycosis of the inguinal region is quite specific. The problem is usually the "identification" of the true pathogen.

The fact is that the symptoms for any form of mycosis are very similar:

• first of all, raised spots with clearly defined borders appear on the skin. Color - from pale pink to burgundy brown;
• spots tend to coalesce. At the same time, they form large conglomerates that capture not only the inguinal region, but also inside thighs and buttocks. The combination of spots forms a well-distinguishable pattern, which is hallmark namely mycosis;
• as a rule, rashes in the form of pustules, erosion, bubbles appear on the borders of the spots. When opened, they strongly irritate the skin and cause painful itching;
• in the absence of treatment, the spots pass into the stage of weeping formations. At the same time, scabs, scars, ulcerations appear;
• in advanced cases, pustules appear instead of rashes. At this stage, mycosis is easily confused with eczema.

The video shows what mycosis of the inguinal folds looks like:

In certain cases, mycosis can go away on its own: for example, when some provoking factor disappears, and the immune system returns to normal condition. Much more often, the disease becomes chronic with relapses in the summer.

The disease develops gradually. The severity of symptoms depends on the stage.

There are 4 stages of mycosis of the inguinal folds:

• the initial stage - the reproduction of the fungus leads to the formation of pink, relatively pale spots. Itching is often not observed;
• at the second stage - acute, the spots become wet, the center brightens, the spot turns into a ring with scalloped edges. Itching and burning are very noticeable and painful;
• on chronic stage the spots either brighten, practically disappearing, then inflame again. The frequency depends on the action of provoking factors;
• the advanced stage is characterized by complications - the appearance of blisters, pustules, secondary infections. The latter can lead to tissue necrosis.

Very rarely, usually with an acute form of mycosis, the temperature may rise, but this symptom cannot be considered typical.

Diagnostics

Diagnosis of mycosis comes down to determining the true pathogen and separating the disease from dermatitis or eczema.

For example, sowing a fungus is optimal for solving this issue:

• To do this, the laboratory makes a skin scraping on the damaged areas, and then in special conditions grow the resulting culture. The sample is examined under a microscope and it is determined exactly which fungus caused the disease.
• You can also use a voodoo lamp. When irradiated, various pathogenic microorganisms gives a different glow. So, for example, causative agents of erythrasma cause a coral-red glow.

General blood or urine tests may be needed to evaluate general well-being sick.

How to get rid

Required for treatment local therapy. It is extremely rare in such cases to prescribe systemic drugs- only when the disease is combined with other forms of mycosis.

Step by step treatment:

1. At the stage acute course diseases are prescribed lotions and wet-drying dressings. Use 0.05% solution of chlorhexidine bigluconate, 2% solution boric acid, 2% resorcinol solution, as well as Castellani's paint and fucorcin solution. These drugs have a strong antimycotic effect and, in addition, relieve inflammation.

Solutions of such substances have a drying effect, and also shift the acidity of the skin to the alkaline side, thereby creating an unfavorable environment for the reproduction of the fungus. Treatment lasts from 1 to 3 days until the acute inflammation disappears.

In some cases, appoint combined preparations with glucocorticosteroids. However, the use of the latter should be conditioned by necessity.

1. After 3-4 days, they switch to iodine-ointment therapy. It is based on antifungal ointments and creams - batrafen, clotrimazole, ciclopirox, Andriasyan's liquid. The preparations are applied to the skin 2 times a day. The course lasts until the complete disappearance of all symptoms.

During this period, hygiene rules should be especially carefully observed. Disinfection of linen, baths, personal items is shown.

1. After the disappearance of foci of inflammation within 1.5–2 months, the above ointments are used for prophylactic purposes: for this, it is enough to apply the cream 2 times a week.

Provoking factors should be avoided: do not wear tight synthetic clothing, wet laundry, avoid swimming pools. If you are obese, you need to adjust your weight. In cases where inguinal mycosis is combined with extensive fungal infections in other parts of the body, treatment is supplemented with vitamin therapy, antibacterial therapy.

From home remedies, baths with herbal infusions St. John's wort, chamomile, lingonberry leaves. They have a soothing effect on the skin and relieve itching.

Inguinal mycoses are quite common. It responds well to treatment, although it is prone to relapse. Left untreated, it can lead to damage to a large area of ​​\u200b\u200bthe skin and the appearance of purulent formations.
On the video on what to do if redness appears in the groin area: