Tinea Cruris and Tinea Unguium (jock itch) : What Is It ? Treatment and Nursing Management with Advice For Patient

Tinea Cruris and Tinea Unguium (jock itch) : What Is It ? Treatment and Nursing Management with Advice For Patient

Tinea cruris is a ringworm infection of the groin, which may extend to the inner thighs and buttock area. It most frequently occurs in young, obese person and those who wear tight under clothing and commonly associated with tinea pedis.

Clinical manifestation

-Itching may be severe, or the rash may be asymptomatic
-The lesion consists of erythematous plaque with well defined margin & cleared center
-Rarely the lesion may have a vesicle formation at the borders and satellite vesicle lesions are rarely present could be complicated by secondary Candidal infection.


b) Management

General measure

-Drying powder eg. Miconazole nitrate should be dusted in to the involved area in a patient with perspiration or occlusion of skin due to obesity. Under wear should be loose – fitting
-Advice to wear light cotton underwear.
-Iron or boil underwear and change daily.

Local Fungistatic measure (topical treatment)

-Clean affected area daily and keep it dry.
-Topical medication such as clotrimazole ketoconazol, miconazole cream will be used for 3 to 4 wks
-Terbenatin cream is curative in over 80% of cases twice daily for 7 days
-Systematic treatment griseofulvin ultramicor size reserved for severe case, 10-15 mg/Kg daily for 1-2 weeks

Tinea Unguium (onycho- mycosis)

Tinea unguium (fungal infection of the nails) is a chronic fungal infection of the nails and is most common on toe nails and less frequently toe nails.

a) Causative organism

The disease is caused by trichophyton species, Trichophytorubrum and candida Albicans

b) Clinical manifestation

Tinea ungum of toe nails is usually associated with long standing fungal infection of the feet.

- Nails thicken, crumble easily mostly starting of distal end of nail, and lack luster and the nail color changes to brown and the whole nail may be destroyed usually started at the distal end of the nail.

c) Management and nursing intervention

1. Grisofulvin is usually prescribed orally 10-15 Mg/Kg twice daily from 6 months tom years ( until normal nail grows fully)

2. If the causative organism is candidal infection the patient will be treated with topical lotion or cream like amphotericin – B lotion, miconazole,clotrimazole,and nystatin

3. Give daily nails care

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Tinea Cruris and Tinea Unguium (jock itch) : What Is It ? Treatment and Nursing Management with Advice For Patient 2018-12-25T23:29:00-08:00 Rating: 4.5 Diposkan Oleh: David Maharoni