Talk:Tinea cruris

From Wikipedia, the free encyclopedia

WikiProject Medicine This article is within the scope of WikiProject Medicine. Please visit the project page for details or ask questions at the doctor's mess.
Start This page has been rated as Start-Class on the quality assessment scale
Mid This article has been rated as Mid-importance on the importance assessment scale

Contents

[edit] Copyrighted materials from NIH

In spite of the fact that sections of this article were from NIH, they were copyrighted; see the bottom of the NIH page [1]: "Copyright 2005, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited." See also the copyright faq [2]

I modified the opening line, and deleted the other sections that were in violation, leaving the heading tags in hope that this will soon be restored to its former glory. DDerby 01:17, 12 Apr 2005 (UTC)

[edit] causes

We should really change the information under causes, it's completely innapropriate, not to mention, it doesn't state the causes.

I decided to change the current information under causes: "stinking ithchy skin, u got it........... wash ur nuts and keep them clean and dry" to some more general causes.

[edit] use of astringent

I had a nasty case of this recently, and I applied witch hazel to the affected region. Stang a bit, but my god did it get rid of it quickly. Can anyone comment why the use of astringent could have been so effective?

[edit] symptoms

could someone make a section describing symptoms? -Gogabego 02:09, 2 January 2006 (UTC)

I second this motion. It might seem redundant for a affliction called "Jock Itch", but itches can have different causes. I'd add it myself but I don't think I know.

--66.74.223.57 08:08, 7 December 2006 (UTC)

[edit] not restricted to "jock" area

I believe the fungus can thrive on any area of the body. Besides topical salves and sprays, there are a couple of pills that can get rid of the infection.

True, but the name of the article refers to a fungal infection of that area, and is not the name of the fungus itself. See ringworm, especially the "types" section. 76.202.58.168 21:45, 15 June 2007 (UTC)

[edit] Slag terms need citation???

You hear these terms used all the time, I hardly think a citation in necessary. Next, should I need to cite my birth certificate every time I write my full name? When does it stop? Stovetopcookies 03:30, 3 May 2006 (UTC)

I agree, citations seem unnecesary unless we get a term for which there is no consensus of general knowledge. Interestingstuffadder 04:38, 3 May 2006 (UTC)

Dhobi and ringworm pass the Google test easily. Crack and bag do not. --Kizor 17:00, 22 June 2006 (UTC)

[edit] Garlic

The line "Don't remove this last line, because it is true,even though the drug companies might not like it!" is a proof by assertion. Furthermore, claiming that there is a government/corporate conspiracy to suppress a particular area of research is a hallmark of crackpots. That's not to say that there aren't cases of corporate conspiracies covering up science, but, in the general case, it is more probable that the accuser is selling us some kind of snake-oil. What I am getting at is, if it has "been proven to kill the fungus completely," then the part in parenthesis is unnecessary, and we should cite a peer-reviewed study where this effect was demonstrated, otherwise it sounds no better than all of the other "natural remedies" that people try to sell you.

A quick, and by no means exhaustive, litterature search (scholar.google.com) suggests that oral garlic is not an effective anti-fungal (http://aac.asm.org/cgi/content/abstract/23/5/700) but a topical garlic paste is probably an effective treatment (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11050588&dopt=Citation). However, garlic contains some potent chemicals, and may burn sensitive skin, and cause other irritations (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1831097&dopt=Citation) "... [T]he practice of direct application of fresh garlic onto the skin for treating infections should be discouraged."

[edit] Treatment

I removed the statement about the corticosteroid being unnecessary as i have had this fungus before on two occasions and both times was prescribed a drug containing a corticosteroid and clotrimazalon in a combination cream. Not only does the steroid get rid of the itching, redness, and swelling almost the day after applying it, it had no ill side effects with my use. Upon further reading in the packet that came with the prescription it said that the cream with the corticosteroid was show in clincal studies to be at least as effective as the cream with only clotrimazalon and that it had a low chance of side effects in most cases. To agree with the change, a slight change to some of the sentences in the paragraph were changed.

I think the article is confusing treating with preventing further occurrences. Steroids used alone almost inevitably worsen fungal infections. Anti-fungals alone will kill off fungi, but may take such a long time to prove effective that further skin damage/irritation is caused in the meantime as the patient continues to scratch the area (this both leaves the patient with prolonged discomfort and risks secondary bacterial infection). Hence a non-itchy rash only requires an anti-fungal, but if very itchy the combination (anti-fungal plus steroid) both speedily settles the irritation as well as killing of the fungi. Fungal spores can persist for some time, so generally anti-fungal creams need be continued after the rash has apparently resolved (e.g. extra 10 days with Miconazole after rash settled, giving a total treatment course of generally about 2-3 weeks).
For prevention, steroids are not required long-term - if the fungal infection has not fully eradicated by the treatment phase, then steroids alone will promote the remaining fungi back to a full outbreak. Long-term steroids used "routinely" result in thinning of the skin (atrophy), and such (past) inappropriate use led to much of the fear patients now expresses about "dangerous" steroid cream use. Prevention by definition implies no current fungi (else not being prevented) and is surely more about hygiene, keeping the skin dry and with good air flow (i.e. loose clothing)... David Ruben Talk 01:06, 8 July 2006 (UTC)

[edit] Tinea

According to Mayo Clinic and emedicine.com, Tinea species are the most likely cause of "jock itch", not trychophyton.

Tinea is not a species of fungus, it is a medical term for fungal infection of the skin. The funguses that cause tinea are called dermatophytes, Trychophyton and Microsporum are the most common dermatophytes. There are many species of both Trychophyton and Microsporum, some species live primarily in the environment, some on various animals, and some primarily live on humans. The mayo clinic articles are not clear about this. Medline has it just plain wrong. The wikipedia articles are pretty much on spot though 74.71.240.38 04:34, 2 June 2007 (UTC)

[edit] Title

For a medical article, surely it is incorrect to use the lay-term 'jock itch' rather than the correct medical term 'tinea cruris' in the title, especially as the article then gives symptoms/signs, diagnosis, treatment in the style of a medical article. I feel that the use of jock itch is no more scientific than using crotch rot as the title. I suggest the jock itch term is removed from the title and replaced with 'tinea cruris', and a redirect added for a jock itch search.—Preceding unsigned comment added by 91.108.44.214 (talk • contribs) 13:32, 13 June 2007

Agree - and this is general policy for medical topics, see the guideline WP:MEDMOS "The article title should be the scientific or recognised medical name rather than the lay term or a historical eponym that has been superseded". In UK alternative terms for use by GPs (as given by NHS READ codes) are also "Dermatophytosis of groin and perineal area" (AB03) or "Dhobie itch" (AB03-1) (Tinea cruris has code AB03-2 meaning it too is a synonym in the READ code system for the main AB03 code "Dermatophystosis..."). But yes the accepted general medical term is Tinea Cruris, and this is as per ICD10 naming. As per the WP:MEDMOS guideline, page to be moved.David Ruben Talk 13:44, 13 June 2007 (UTC)

[edit] Prevention

I wonder if sleeping naked can help to prevent the onset of mycosis. Is there a study on this subject? —Preceding unsigned comment added by 83.190.224.249 (talk) 11:15, 21 February 2008 (UTC)

[edit] Tinea cruris

Might be under the wrong name so please feel free to correct

Well I have been suffering with this condition for most of my life. It has taken me nearly 35 yaers to identify that Ginger enhances this and I suffer weekly with this.... or should I say it never goes away only shows less. I will add a photo at a later stage including a listing of all creams that I have used. I have been so desperate that I evenused yoghurt which eased the itch for a day or so but it still remains... has any one got any ideas as this is driving me nuts.... I have used all kinds of different materials and fodds and all and found that Ginger id the cause.

Any inputs would be appreciated —Preceding unsigned comment added by Moereloos (talk • contribs) 10:17, 16 May 2008 (UTC)