Inguinal athlete's foot in men - treatment at home with ointments and antifungal agents. Athlete's inguinal disease - treatment with modern methods in men and women

Diagnosis of athlete's foot

In addition, to confirm the diagnosis, the doctor takes scrapings from the lesions, after which laboratory specialists examine them under a microscope. With epidermophytosis, threads are found in scrapings fungi, which allows us to clarify the diagnosis. However, scraping can be uninformative if taken from damp, weeping skin. Any other diagnostic procedures, with the exception of scrapings and external examination, are not performed to confirm epidermophytosis.

Athlete's foot - treatment

Principles of treatment for athlete's foot

So, at the first stage therapy to relieve inflammation and eliminate weeping, lotions with 1 - 2% solution of resorcinol, 0.1% solution of ethacridine lactate, 0.1% solution of chlorhexidine, 0.25% solution of silver or Mycozolon are used. If the inflammation is very severe (so much so that a person cannot perform normal household duties or go to work), then ointments and creams with glucocorticoid hormones, for example, Dexamethasone, Hydrocortisone, etc., are used to quickly relieve it. Such hormonal drugs are used in short courses lasting 2 to 7 days. After completing hormonal therapy, lotions with the above-mentioned anti-inflammatory drugs begin. If there are bubbles, they are first pierced with a sterile needle and the liquid is released. The lotions are changed twice a day. To apply lotions, pieces of cotton wool are moistened in any specified solution and applied to the lesions, securing with a bandage. When, under the influence of lotions, inflammatory phenomena (redness, swelling, pain, itching) pass, proceed to the main stage of therapy - the use of antifungal agents.

At the second stage You can use various antifungal agents applied externally. Thus, Fukortsin solution, sulfur-tar ointment, sulfur-salicylic ointment, zinc ointment, Wilkinson ointment, tincture of iodine 2% effectively destroy epidermophyton fungi. Also effective for antifungal therapy are modern ready-made preparations containing antimycotic active substances (ointments, gels, lotions and aerosols containing terbinafine, naftifine, oxiconazole, ketoconazole or bifonazole). The choice of a specific antifungal agent for external use is made by the doctor or the patient himself based on ease of use and personal ideas about the effectiveness of the drugs. Any antifungal drugs applied to the affected areas twice a day, and continue therapy until the symptoms of infection completely disappear - that is, until the skin becomes completely healthy and normal look(average 3 to 6 weeks).

At the first anti-inflammatory stage of therapy, you can additionally take any antihistamines (for example, Erius, Telfast, Cetrin, Zodak, Parlazin, Suprastin, etc.) to relieve itching, reduce swelling and eliminate allergic manifestations of fungal infection. If athlete's foot is complicated bacterial infection with purulent skin lesions, then initial stage therapy together with anti-inflammatory lotions, a short course of antibiotic therapy is required. Antibiotics are used for this wide range actions, such as Cephalexin, Imipenem, etc.

Principles of treatment of athlete's foot

At the first stage in the squamous-hyperkeratotic form, scales and horny layers are removed from the surface of the lesions to free the skin from dead tissue. For this purpose they use various methods detachments, among which the Arisvich detachment is quite effective. For such detachment, a composition is prepared containing 12 g of dry salicylic acid powder, 6 g of lactic acid powder and 82 g of medical white petroleum jelly. The composition is applied to the affected areas, covered with a compress and left for two days, after which all exfoliated skin is removed with scraping movements. In addition, to detach scales and horny elements, you can use lactic-salicylic collodion, which is prepared at the rate of 10 g of lactic acid powder, 10 g of powder salicylic acid and 80 g collodion. The prepared collodion is applied to the affected areas twice a day (morning and evening) for a week, after which 5% salicylic petroleum jelly is applied under a compress at night. In the morning, the compress is removed, the legs are steamed in a soap-soda solution, removing the exfoliating epidermis with pumice. If necessary, the detachment of scales and horny elements is repeated.

After removing the horny scales, the second (main) stage of treatment of the squamous-hyperkeratotic form of epidermophytosis begins. At the second stage treatment consists of external use of antifungal ointments, creams, lotions and sprays containing active substances terbinafine, naftifine, oxiconazole, ketoconazole or bifonazole. These antifungal agents are used until they disappear completely. clinical manifestations infections, that is, until the condition of the skin is completely normalized.

For intertriginous and dyshidrotic forms of athlete's foot, at the first stage, anti-inflammatory therapy is carried out in order to eliminate inflammatory elements, relieve swelling and stop weeping. Anti-inflammatory therapy of the first stage is carried out by applying lotions with 1 - 2% solution of resorcinol, 0.1% solution of ethacridine lactate, 0.1% solution of chlorhexidine, 0.25% solution of silver or Mycozolon twice a day to the affected areas of the skin. If the inflammatory elements are strongly expressed, then you can use it for a short course hormonal ointments with glucocorticoids (Dexamethasone, Hydrocortisone, etc.). Hormonal agents They are used in short courses lasting 2–7 days, and after the period of their use is completed, they begin to make lotions with the above-mentioned anti-inflammatory drugs. If there are bubbles, they are first pierced with a sterile needle and the liquid is released. When redness, swelling, pain, itching and weeping go away, proceed to the main stage of therapy - the use of antifungal agents. At the second stage, for intertriginous and dyshidrotic forms of athlete's foot, antifungal drugs for external use are used, containing terbinafine, naftifine, oxiconazole, ketoconazole, bifonazole, etc. as active substances. Antifungal therapy carried out until the condition of the skin on the feet is completely normalized.

For advanced infections and very in serious condition skin with squamous-hyperkeratotic, dyshidrotic and intertriginous forms of athlete's foot, antifungal agents are prescribed for oral administration. However, this happens very rarely, and taking antifungal drugs orally should be resorted to only if external agents are ineffective.

With an erased form of epidermophytosis Stop treatment is carried out in one stage, which consists of using external antifungal drugs until the pathological symptoms disappear.

For nail athlete's foot treatment is also carried out in one stage, which consists of taking antifungal drugs internally and applying them externally to the nail. Only local treatment(applying medication to the nail) will not cure athlete's foot, so if your nails are affected, you should always take antifungal medications by mouth. When the fungus is localized on the fingernails, antifungal drugs are taken for 6–12 weeks, and for toenail fungus – for 12–30 weeks. For treatment, drugs containing griseofulvin, nystatin, itraconazole, ketoconazole, fluconazole, and terbinafine as active substances are used. In addition, in case of athlete's foot, the affected nails should be removed by a surgeon before starting therapy. If this is not possible for some reason, then during the entire period of taking antifungal drugs orally, the damaged nail should be filed off daily and soaked in fungicidal liquids, such as a solution of salicylic acid, iodine, Loceryl or Batrafen varnishes.

Preparations for the treatment of athlete's foot

1. Iodine solutions (for external use).

2. Antifungal antibiotics for oral administration:

• Griseofulvin;
• Amphoglucamine;
• Levorin (Levoridon);
• Nystatin;

• Fluconazole (Diflazol, Diflucan, Medoflyukan, Mikomax, Mikosist, Fluconazole, Flucostat, Ciskan, etc.);
• Itraconazole (Irunin, Itrazol, Itraconazole, Canditral, Orungal, Orunit, Rumikoz, Teknazol);
• Ketoconazole (Ketoconazole, Mycozoral, Nizoral, Oronazole, Funginok, Fungistab, Fungavis);
• Terbinafine (Atifin, Binafin, Bramisil, Lamisil, Terbizil, Terbinafine, Terbinox, Terbifin, Tigal-Sanovel, Fungoterbin, Exiter, Exifin).

• Isoconazole (Travogen);
• Clotrimazole (Amiclon, Imidil, Candibene, Candide, Candizol, Kanesten, Kanizon, Clotrimazole, Funginal, Fungicip);
• Miconazole (Daktarin, Mycozon);
• Oxiconazole (Mifungar);
• Econazole (Ifenek);
• Naftifine (Mikoderil, Exoderil);
• Sertaconazole (Zalain, Sertaconazole, Sertaconazole);
• Loceryl;
• Batrafen;
• Octicyl;
• Anmarin;
• Decamine;
• Nitrofungin;
• Fukortsin.

• Mycozolon;
• Mycosporus;
• Pimafukort.

Ointments for the treatment of athlete's foot

• Isoconazole (Travogen);
• Clotrimazole (Amiclon, Imidil, Candibene, Candide, Candizol, Kanesten, Kanizon, Clotrimazole, Funginal, Fungicip);
• Miconazole (Daktarin, Mycozon);
• Oxiconazole (Mifungar);
• Econazole (Ifenek);
• Naftifine (Mikoderil, Exoderil);
• Sertaconazole (Zalain, Sertaconazole, Sertaconazole);
• Ketoconazole (Ketoconazole, Mycozoral, Nizoral, Oronazole, Funginok, Fungistab, Fungavis);
• Terbinafine (Atifin, Binafin, Bramisil, Lamisil, Terbizil, Terbinafine, Terbinox, Terbifin, Tigal-Sanovel, Fungoterbin, Exiter, Exifin);
• Loceryl;
• Batrafen;
• Undecylenic acid (Undecin, Zincundan);
• Octicyl;
• Anmarin;
• Decamine;
• Nitrofungin;
• Fukortsin;
• Mycozolon;
• Mycosporus;
• Travocort;
• Triderm;
• Pimafukort.

Treatment of inguinal athlete's foot: antifungal agents, antimycotics, antihistamines, ointments, etc. Traditional medicine - video

Athlete's foot: treatment and care for the feet (recommendations from a dermatologist) - video

Treatment of athlete's foot in men and women

Treatment of athlete's foot at home

Disease prevention

Tr. interdigitale – fungus that causes athlete's foot

Athlete's inguinal(or dermatophytosis of the groin) is fungal disease, which affects large folds of skin, mainly inguinal. Perhaps because the disease manifests itself in such a delicate place, some people classify it as a sexually transmitted infection and confuse it with candidiasis, which is also caused by fungi.

It is also worth distinguishing between athlete's foot and athlete's foot. Despite the apparent similarity, these diseases develop due to the fault of different fungi, and each has its own characteristics.

In this article we will tell you how athlete's foot occurs in men and women, we will analyze the treatment and principles of diagnosis, and we will understand why it is not a sexually transmitted disease.

Athlete's inguinal: is it contagious and what causes it?

The causative agent of the disease Epidermophyton floccosum(Epidermophyton flocosum) is an opportunistic fungus. This means that it can live quietly on the surface of the skin without causing disease. The fungus survives well in the environment, is resistant to drying and freezing, and dies when boiled - but only after 10-20 minutes.

Epidermophyton infection occurs contact or household by way - that is, through different objects.

It turns out that you can become infected:

• at direct contact with the sick person (for example, when shaking hands, hugging, sex)
• and through towels, washcloths, and items of clothing.

Epidermophyton is a highly contagious pathogen, meaning it is very easily transmitted from person to person. But at the same time, it cannot be considered a full-fledged sexually transmitted infection, because penetration during sex itself does not lead to infection. Transmission of the fungus is possible through close skin-to-skin contact - for example, during a massage, during hugs and caresses that do not lead to sex.

However, infection with epidermophyton itself does not necessarily lead to the disease - epidermophytosis. Fortunately, the mere presence of fungus on the skin is not enough to get sick - even if there is a lot of it. For a person to develop athlete's foot, the fungus must enter the favorable conditions and penetrate into the thickness of the upper layer of skin (epidermis).

These conditions include:

• microdamage to the skin;
• heat;
• and high humidity.

Therefore, the most susceptible to this fungal infection are:

• bath and sauna workers,
• athletes,
• hot shop workers
• overweight people and excessive sweating.

It has been established that inguinal athlete's foot occurs more often in men. The reasons for this statistics are still unknown

Course and outcome of the disease

Taking advantage of favorable conditions, epidermophyton penetrates human skin and does not make itself felt for some time. This time period ( incubation period) lasts on average 3-5 days.

Although the fungus itself is resistant to environmental factors, it can only reproduce under strictly defined conditions. For the existence and spread of the fungus you need:

• not too high temperature (28-30°C)
• oxygen access

Human skin meets these conditions. Therefore, the fungus does not attack internal organs and even just the deep layers of the skin - it cannot live there.

As soon as epidermophyton gets the opportunity, it begins to form its mycelium. It branches and grows into new areas of the skin, forming a focus of the disease. This is how visible and tangible symptoms of dermatophytosis inguinalis arise.

Then the old mycelial threads are destroyed and form spores, which are exfoliated along with damaged epithelial cells and enter the environment. This is how they infect the next person.

The further course of the disease depends on two conditions:

• how quickly the fungus will grow;
• how quickly the patient’s skin will renew itself.

If the mycelium grows faster than the skin is renewed, then it captures more and more new areas. And if the opposite happens, then the infection can go away on its own along with the falling scales. Then the person recovers on his own.

In some cases, if the body cannot completely get rid of the pathogen - for example, without treatment or when it does not help well - then dermatophytosis becomes chronic. In this case, the patient experiences periodic exacerbations. Most often they begin with a decrease in immunity.

Athlete's inguinal: symptoms in women and men

Athlete's inguinal

Photo: athlete's foot on the gluteal folds Photo: inguinal athlete's foot under the mammary glands Photo: athlete's foot in the buttocks and thighs Photo: athlete's foot in the groin and labia area

Favorite place for fungi to invade:

Less commonly, the infection affects the skin axillary area, folds of the abdomen and the area under the mammary glands in women.

The disease begins with the appearance of red, scaly spots 3-5 millimeters in size. The spots gradually grow and become oval - red or Pink colour. Bubbles, crusts or scales may appear on them. Also, the spots may become wet, as with eczema. They merge with each other, forming large formations with complex boundaries. If the inflammation in the area of ​​the spot subsides, then its middle turns pale. The size of the merged spots can reach the size of a palm.

Except skin manifestations, a person is bothered by itching different intensity. There are no fundamental differences in the manifestations of inguinal athlete's foot in women and men.

Diagnosis of athlete's foot

The disease is easily suspected by the characteristic places where the infection settles and by the changes in the skin that it causes. But still “by eye” accurate diagnosis can't be placed.

A number of diseases have similar manifestations, and it is sometimes difficult to distinguish epidermophytosis from them:

• candidiasis of large folds - including diaper dermatitis
• erythrasma
• eczema, including seborrheic
• rubromycosis
• contact dermatitis

In addition to the usual examination, examination under light helps to make a diagnosis. wood lamps. It produces light close to the ultraviolet spectrum. In the rays of the device fungal infections have a greenish tint.

Helps clarify the diagnosis laboratory methods diagnostics:

• scraping microscopy - examination under a microscope of scrapings from the affected area;
• cultural (bacteriological) inoculation on the medium.

Scraping microscopy - cheap and quick method additional diagnostics. Before placing the material under a microscope, it is treated with a solution of potassium hydroxide (it dissolves epithelial scales) and a special dye.

When examining such a scraping, a laboratory technician can easily detect the fungus and determine whether it belongs specifically to dermatophyte fungi - a group of fungi that live in the epidermis. True, in this way it is impossible to determine which type of fungus - epidermophyton or another from this group - is to blame for the disease. However, most often there is no real need to accurately determine the type of fungus - because almost the same treatment is prescribed for the entire group of dermatophytes.

In some in doubtful cases The cultural method is also used - when the scraping material is placed on a nutrient medium and microorganisms are grown in it. When they multiply, it will be possible to clearly determine what kind of infection the patient has.

However, such an analysis is not always necessary. The cultural method is quite expensive, and the result of the research will be ready no earlier than in 1-2 weeks.

Meanwhile for effective treatment it is enough to simply establish that the pathogen is a dermatophyte fungus - therefore microscopy of a stained smear is usually sufficient.

Treatment and prevention of inguinal athlete's foot

Is there a difference in how and with what to treat athlete's foot inguinal in women and men?

In most cases, treatment of inguinal athlete's foot in women and men can be carried out at home - with the same medications.

They treat the infection locally - apply medicine directly to the site of the disease. The basis of treatment is antifungal drugs, as in the treatment of any dermatophytosis - for example, the groin area or on the pubis.

They are produced in the form of gels and ointments. There are more than 200 names of these in the pharmacy chain, and only a doctor can tell you which ointments to use for the treatment of inguinal athlete's foot.
To do this, you will need to diagnose the disease, take everything into account accompanying illnesses And individual characteristics patient.

Most often from athlete's foot appoint:

• clotrimazole
• ketoconazole
• Lamisil.

In addition, based on the results of the examination, the doctor may prescribe additional medications different actions:

• keratolytic(dissolving skin flakes) - to speed up the renewal of the epidermis and prevent the fungus from firmly embedded in the skin;
• drying- so that the stains do not get wet and in damaged skin no infection has yet occurred;
• antiseptic actions: ointments based on salicylic acid, alcohol solution iodine, Sulfuric ointment- also to prevent the addition of other infections.

The course of treatment is 2-4 weeks. It is important to continue using antifungal ointments, even if the symptoms of the disease have already passed. The fungus may remain on the skin, although it will no longer be noticeable to the naked eye.

When treating epidermophytosis, it is necessary to apply ointments and gels by grasping externally healthy skin at a distance of 1-2 centimeters from the stain, because fungal threads may also be present in this area

There are also severe cases- when it is not possible to stop the growth of the spot local drugs. For example, this happens even with very weak immunity. Then the doctor prescribes antifungal drugs general action- in the form of tablets.

It can be:

• ketoconazole
• terbinafine
• itraconazole

Another important point in treatment - prevention of self-infection. Here it is simple rules:

• change and iron underwear daily with a hot iron;
• You can and should wash the affected area, but you must dry it thoroughly after the procedure.

If epidermophytosis of the groin is not treated, the disease will develop into chronic form. After this, the person will experience relapses whenever the immune defense decreases.

No one can be guaranteed to avoid athlete's foot. But this risk can be reduced many times over. For this it is necessary:

• do not use other people’s towels, washcloths, clothes and other household items;
• support good level immunity: eat right, lead active image life and give up bad habits.

Athlete's foot in the groin and other areas is a harmless disease and can be easily treated. But it can cause a lot of problems for the sick person.

This infection is quite easy to “catch” through common household items, especially in public baths and swimming pools. This is even more likely than during sexual or just close contact.

Preventing a disease is much easier than treating it. All that is required is to support protective forces body at a sufficient level and always use only individual household items in in public places.

Athlete's inguinal athlete can easily be caught through common household objects, especially in public baths and swimming pools.

Inguinal fungus or inguinal epidermophytosis is a skin disease that brings a lot to women discomfort and problems. It refers to fungal forms of dermatomycosis, common among people who prefer an active lifestyle. It is called an "inconvenient" disease because large spots red, which have to be hidden under clothes.

Causes of the disease

The main causative agent of this disease belongs to the genus Trichophyton or Epidermophyton, which causes most external mycoses in humans. All of them are considered opportunistic and form part of natural microflora.

• excess weight women;
• excessive sweating;
• wearing clothes with a large percentage of synthetics;
• minor injuries to the skin surface (friction or depilation);
• hormonal imbalance or stress, thyroid disease;
• failure to comply with hygiene rules in the groin area.

Most patients encounter fungus at home when using the personal belongings of their sick partner: towels, bed linen or washcloths. Infection can also occur when visiting public saunas, swimming pools, as well as when non-sterile instruments are used by a specialist performing depilation in intimate area.

Vika, 31 years old, Uman

10 months after treatment, the same spots in color and size appeared in the same places in the groin. I started applying creams again - everything went away, but a month later the spots appeared again. IN winter time There are practically no foci of fungus, but in the heat it’s just a nightmare. The groin area is an ideal breeding ground for fungal diseases. This is the problem I live with - now I apply myself like crazy and wait for winter for the sore to go away... I always have creams at the ready....I’ve already spent a fortune on them. Thank you for your attention.

Athlete's inguinal, or inguinal fungus, is one of the types of skin lesions that forms mainly in large folds of the skin. The usual location of this disease is groin area.

If the disease is in advanced stage, it can spread to other places - most often these are the inner thighs, buttocks, legs, and also the areas under the mammary glands in women.

Athlete's groin is a fungal disease and is quite common among adult men. In women, this disease is much less common.

Pathogen

Causes

The fungus is found on the skin flakes of a sick person and can be transmitted healthy people by touching or through objects with which the patient has been in contact. They are usually infected through towels, linen, shoes, socks, washcloths, any sports equipment .

Often this disease can be contracted in public places such as saunas, showers, locker rooms, baths, and beaches.

The likelihood of being affected by athlete's foot increases with the following factors:

• the presence of fungal diseases of the feet and hands in a person
• obesity, as a result of which a person develops many folds of skin, the care of which is difficult
• scratches on the skin make it easier for the fungus to enter the body
• excessive sweating, which creates favorable conditions for the fungus to reproduce
• poor hygiene, diaper rash
• disturbances in the functioning of the endocrine system
• reduced immunity

Symptoms

The disease manifests itself on the skin as scaly red or pink patches, initially small, but over time growing in the shape of a ring to an area of ​​up to 10 sq.cm. Around these spots, the skin becomes inflamed, red, and sometimes signs of swelling appear.

Small blisters filled with cloudy fluid may appear on the affected areas. Gradually, foci of the disease grow to nearby areas of the skin, with inflammation in the center of the foci fading. In the place where the disease began to manifest itself, the skin will look clean.

A characteristic sign of athlete's foot inguinal is that the appearance and growth of these spots are almost always accompanied by burning or itching, as well as discomfort with any movements affecting the affected areas.

Most often affected groin areas, external or inner part thighs, scrotum, penis.

In some cases - a fold between the buttocks, armpits, and in women there are often lesions in areas located under the mammary glands. In men, the groin can still develop, which for a non-professional has similar symptoms. Sometimes the disease can spread to, and in very rare cases, even to the nails.

How to treat athlete's foot

Treatment of this disease begins only with a thorough examination of the patient. They matter not only external forms manifestations of epidermophytosis, but also tests for fungi carried out in the laboratory. If an accurate diagnosis is made, the doctor prescribes a course of treatment.

Used in the treatment of inguinal athlete's foot complex therapy, which includes antifungal ointments, anti-inflammatory drugs and antihistamines.

In some cases, the patient suffers from intolerance to some of the above drugs. In this case, it would be advisable to use traditional methods treatment of inguinal athlete's foot at home.

To prevent the development of inguinal athlete's foot, you must follow certain rules of personal hygiene:

• Never use other people’s washcloths, towels, linen, dressing gowns, and also do not allow other people to use your things, especially those who are already infected with any skin diseases.
• Use products to combat excessive body sweating.
• If you are obese, do it more often water procedures, paying Special attention folds of the skin.
• In public places such as baths, saunas, beaches, swimming pools, be sure to wear your own slippers or flip-flops.

If you notice the first signs of inguinal athlete's foot, you should immediately consult a doctor. The sooner treatment for this disease begins, the smaller the area it can spread. The duration of treatment for this disease is quite long, so under no circumstances should it be delayed.