[29M] With bumpy, red rash between legs

Patient Description

A 29-year-old male has been experiencing a gradually developing bumpy and red rash located on both the inner thighs and groin area for the past three weeks. The rash began to itch today. The patient has not changed any personal care products, laundry detergents, or clothing materials recently and has not been involved in activities that involve excessive sweating or moisture in the groin area. The rash has spread and has not improved with the use of an antifungal cream. No recent travel or exposure to new environments has been reported. This is the first occurrence of such a rash for the patient.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Jock Itch (Tinea Cruris): This is a common fungal infection that affects the skin of the groin area. It often presents as a red, bumpy, and itchy rash. It thrives in warm, moist environments, which is why it commonly affects the groin. Since you've already tried an antifungal cream without improvement, it might be worth considering a different antifungal treatment or consulting a healthcare professional for further advice.

  • Contact Dermatitis: This is a skin reaction that occurs after exposure to an irritant or allergen. It can cause a red, itchy rash and might be due to something that has come into contact with your skin, even if you haven't changed products recently.

  • Intertrigo: This is a rash that occurs in warm, moist areas of the body where skin rubs against skin. It can become infected with bacteria or fungi, leading to redness and itching.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Keep the Area Dry and Clean: Make sure to keep the affected area dry and clean. Change out of sweaty clothes promptly and consider using a powder to help absorb moisture.

  2. Wear Loose-Fitting Clothing: Opt for loose-fitting, breathable clothing to reduce friction and moisture buildup.

  3. Try a Different Antifungal Cream: If the current antifungal cream isn't working, you might try a different over-the-counter antifungal cream or powder. However, it's best to consult a healthcare professional for recommendations.

  4. Avoid Irritants: Avoid any known irritants or allergens that might be contributing to the rash.

  5. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you notice any of the following:

  • The rash continues to spread or worsen despite treatment.
  • You develop additional symptoms such as fever, pain, or swelling.
  • The rash becomes painful or starts to ooze.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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17 hr ago

People Also Ask


What are common causes of a red, bumpy rash in the groin area?

Common causes of a red, bumpy rash in the groin area include fungal infections like jock itch (tinea cruris), contact dermatitis from irritants or allergens, and intertrigo, which is a rash caused by skin friction in moist areas.


Why might an antifungal cream not be effective for a groin rash?

An antifungal cream might not be effective if the rash is not caused by a fungal infection, if the specific fungus is resistant to the treatment, or if the cream is not applied correctly or consistently. It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.


How can I differentiate between jock itch and contact dermatitis?

Jock itch typically presents as a red, itchy, and sometimes scaly rash that thrives in warm, moist environments. Contact dermatitis, on the other hand, is a skin reaction to an irritant or allergen and may appear as a red, itchy rash with possible blisters. A healthcare professional can help differentiate between the two based on symptoms and history.


What steps can I take to prevent rashes in the groin area?

To prevent rashes in the groin area, keep the area dry and clean, wear loose-fitting and breathable clothing, avoid known irritants or allergens, and change out of sweaty clothes promptly. Using powders to absorb moisture can also help reduce the risk of developing rashes.


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