Differential Diagnosis for Rash on the Groin
Single Most Likely Diagnosis
- Tinea cruris (Jock itch): This is a common fungal infection affecting the groin area, caused by dermatophytes such as Trichophyton, Epidermophyton, and Microsporum. It's characterized by a pruritic, erythematous rash with a well-defined border, typically sparing the scrotum.
Other Likely Diagnoses
- Eczema (Dermatitis): Atopic dermatitis, contact dermatitis, or seborrheic dermatitis can all present with a rash in the groin area. These conditions are characterized by inflammation, itching, and sometimes vesiculation.
- Intertrigo: A type of skin inflammation caused by friction and moisture in skin folds, including the groin. It can be complicated by fungal or bacterial infections.
- Psoriasis: Although less common in the groin, psoriasis can occur anywhere on the body, including intertriginous areas, presenting with well-delineated, erythematous, scaly plaques.
Do Not Miss Diagnoses
- Scabies: Caused by the mite Sarcoptes scabiei, scabies can present with a severe itch and rash, particularly in interdigital spaces and the groin area. It's highly contagious and requires prompt treatment.
- Syphilis (Secondary): Can manifest with a variety of skin rashes, including in the groin area, and is critical to diagnose due to its potential for serious complications if left untreated.
- Lymphogranuloma venereum (LGV): A sexually transmitted infection caused by certain types of Chlamydia trachomatis, which can present with genital ulcers, lymphadenopathy, and potentially a rash.
Rare Diagnoses
- Keratosis pilaris: A condition characterized by small, rough, sandpapery bumps on the skin, which can occasionally appear in the groin area.
- Erythrasma: A superficial fungal infection caused by Corynebacterium minutissimum, typically found in the groin and intergluteal areas, presenting with well-demarcated, brownish-red patches.
- Granuloma inguinale (Donovanosis): A rare sexually transmitted infection caused by Klebsiella granulomatis, characterized by ulcerative lesions in the genital area, which can secondarily infect the groin.