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.
Residual skin discoloration in the groin may persist for weeks to months
after more severe forms of jock itch clear. This darkish discoloration is called
hyperpigmentation and may be treated with one or a combination of
hydroquinone 4% cream,
kojic acid cream,
azelaic acid 15% cream,
over-the-counter fading cream with 2% hydroquinone (Porcelana), or
specially designed
prescription creams for particularly resistant skin discoloration using higher
concentrations of hydroquinone 6%, 8%, and 10% may also be formulated by
prescription by compounding pharmacists.
What is the best drug for jock itch?
Overall, the best jock-itch drug is a topical antifungal cream like miconazole, clotrimazole, or terbinafine. If the jock itch does not improve within two to three weeks of treatment, then
a physician should be consulted.
What is the prognosis with jock itch?
The prognosis with jock itch is very good. Overall, jock itch tends to be an
easily treated and curable skin condition. Commonly, it is a mild, benign,
usually noncontagious, and self-limited skin condition. More widespread,
atypical cases of jock itch may be embarrassing, chronically disfiguring, and
psychologically distressing for the patient.
When should I call my doctor?
If your jock itch persists over one to two weeks despite proper skin care and use of
over-the-counter medications, you may need to schedule an appointment to see
your physician. In addition, if your rash is worsening despite medical treatment
or if you develop any of the following signs of an advancing skin infection, you should contact your
physician.
spreading despite treatment
increasing pain
rapidly spreading rash
formation of pus, abscesses, or draining sores
red streak(s) extending from
the groin (called lymphangitis)
Yeast vaginitis is a yeast infection of the vagina. Symptoms include itching, burning, soreness, pain during intercourse and urination, and vaginal discharge. Yeast infections can be treated with over-the-counter and prescription medications.
The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
The term "ringworm" or "ringworms" refers to fungal infections that are on the surface of the skin. A physical examination of the affected skin, evaluation of skin scrapings under the microscope, and culture tests can help doctors make the appropriate distinctions. A proper diagnosis is essential to successful treatment. Among the different types of ringworm are the following: tinea barbae, tinea capitis, tinea corporis, tinea cruris, tinea faciei, tinea manus, tinea pedis, and tinea unguium.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. Symptoms include itching, burning, cracking, peeling, and bleeding feet. Treatment involves keeping the feet dry and clean, wearing shoes that can breathe, and using medicated powders to keep your feet dry.
Itching can be a common problem. Itches can be localized or generalized. There are many causes of itching to include: infection (jock itch, vaginal itch), disease (hyperthyroidism, liver or kidney), reactions to drugs, and skin infestations (pubic or body lice). Treatment for itching varies depending on the cause of the itch.
Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
Neutropenia is a marked decrease in the number of neutrophils, neutrophils being a type of white blood cell (specifically a form of granulocyte) filled with neutrally-staning granules, tiny sacs of enzymes that help the cell to kill and digest microorganisms it has engulfed by phagocytosis.
Obesity is the state of being well above one's normal weight. A person has traditionally been
considered to be obese if they are more than 20 percent over their ideal weight.
That ideal weight must take into account the person's height, age, sex, and
build.
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.