Dr. Alai is an actively practicing medical and surgical dermatologist in south Orange County, California. She has been a professor of dermatology and family medicine at the University of California, Irvine since 2000. She is U.S. board-certified in dermatology, a 10-year-certified fellow of the American Academy of Dermatology, and Fellow of the American Society of Mohs Surgery.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Jock itch is a common, itchy rash of the groin. It can be a very intense itch
with or without a visible red or pink rash in the groin folds and genitals. Jock
itch is primarily a skin condition in men.
The symptoms of jock itch may come and go, and many cases of jock itch resolve
spontaneously without any treatment. Jock itch is primarily seen in the groin,
although it may spread to the inner thighs, genitals (including penis, scrotum,
labia, and vaginal opening), and anus.
While jock itch is frequently noted in otherwise healthy patients, patients
with diabetes and/or obesity are more susceptible. Possible causes of this
common groin itch include irritation from tight or abrasive underwear, excess
moisture, sweating, skin rubbing or friction, allergic problems, fungal
infection, Candida (yeast) infection, and bacterial overgrowth or skin
infection.
Treatment of fungal-related jock itch may include one or a combination of
antifungal shampoos to wash the groin, antifungal creams, and rarely antifungal
pills. Treatment of jock itch that is not caused by fungus involves proper groin
hygiene, keeping the area clean and dry, and washing frequently with gentle soap
and water (especially after sweating or exercise).
Jock itch causes a symmetrical red or pink rash on the sides of the groin
folds. There may be a dry, scaly rash or a collection of small, pinpoint red or
pink bumps at each hair follicle. Sometimes, there may be no rash at all.
What causes jock itch? Who gets jock itch?
Jock itch is a basic problem with inflammation of the skin in the groin. This
inflammation may be caused by simple mechanical irritation, infections like
bacteria and yeasts, or other noninfectious skin conditions. Causes of jock itch include the following:
moisture, warmth, and skin friction in the groin folds;
tight, occlusive
clothing and undergarments that trap in sweat;
Jock itch is most common in adult and middle-aged men. Anyone can get jock
itch, which is thought to affect nearly all people at some point in their lives.
Certain groups of people may be more prone to jock itch. Patients with
diabetes, obesity, and those with a compromised immune system like in HIV/AIDS,
hepatitis, chronic illnesses, cancer, systemic chemotherapy, immunosuppressive
drugs like prednisone, and those on biologic immune-system-modifying drugs like infliximab (Remicade) or etanercept (Enbrel) may be more prone to jock itch.