Why do I have recurrent jock itch that resists treatment now?

Question

Hi doctor,

I have been having jock itch off and on for the last month. Usually, when I have had it, I would treat it with jock itch sprays and medicated powders, and it would go away in a day or two. I have just been having it off and on for the past month. I have had it a couple of times in the last 25 years, treated it myself, and it would go away in a couple of days. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your query.

I saw your pictures (attachments are hidden to protect the patient's identity). What you have is intertrigo, meaning an infection of the skin folds because of constant rubbing, occlusion, sweat, and many factors. When the skin is eroded because of the above-mentioned factors, usually the fungus invades the area and makes the rash worse and nonhealing.

My suggestion is,

Such intertrigo wounds will respond to topical antifungal creams like Ketoconazole or Miconazole. Medicated powders will help to keep the area dry and lessen friction. Keeping the area dry is very important to help it heal, and also, the area should be well-ventilated. If the infection is repeated, I would suggest you get your blood glucose level checked.

Hope this helps.

Thanks and regards.