Tinea cruris

Tinea cruris is a fungal infection that occurs mainly in the groin of adult men. The rash has a scaly raised red border that spreads down the inner thighs from the groin or scrotum. It may form ring-like patterns and is similar to tinea cor-poris or ringworm. It is not often seen on the penis or vulva or around the anus.

GENITAL WARTS

Genital warts are caused by human papillomavirus (HPV). Those with genital warts usually report the appearance of lumps or growths on their genitalia. Occasionally other symptoms such as itchiness are reported. A diagnosis of genital warts is made by visualisation of the lesions. Genital warts usually appear in women at the introitus, vulva, perineum and perianal area, and in men on the penis, scrotum, urethral meatus and perianal area. It is less common to find them on the vaginal walls or cervix in women. Areas of friction during sex are more commonly associated with warts.

Different morphologies exist: condylomata acuminata are cauliflower-like peduculated warts that are skin-coloured; warts may also be flat or dome-shaped. However, despite differing appearances most genital warts are caused by HPV type 6 or 11. Differential diagnoses include the condylomata lata of secondary syphilis and tumours either malignant or benign.

CONDYLOMATA LATA

Condylomata lata occur in a small proportion of patients with secondary syphilis. The lesions are moist, wart-like lesions that are highly infectious. They tend to present in moist, warm areas, and are generally whitish or grey.

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