
Skin problems on the back of the thigh may be a fungal infection?
The patient is 30 years old and has developed red patches, itching, and scaling on the skin at the back of the thigh. Could this be a fungal infection?

Such problems on the skin at the back of the thigh may be caused by a fungal infection—for example, tinea cruris (commonly known as jock itch), which often occurs when dermatophytes infect areas such as the inner and posterior aspects of the thigh. Symptoms typically include well-defined red patches with papules and vesicles at the edges, accompanied by itching. This is due to the growth and proliferation of fungi within the stratum corneum, which stimulates cutaneous nerve endings and triggers an inflammatory response.
It could also be contact dermatitis, caused by an allergic reaction to certain substances. It often presents acutely with intense itching and polymorphic rashes.
Avoid scratching to prevent skin damage and secondary infection. Keep the affected area clean and dry, and wear loose, breathable clothing. If a fungal infection is suspected, do not use medication blindly; instead, seek medical attention promptly for mycological examinations, such as direct microscopy or fungal culture. After a confirmed diagnosis of fungal infection, topical antifungal agents such as ketoconazole cream can be used according to the prescribed treatment course.
If the condition is contact dermatitis or eczema, identify and avoid the allergen, and follow medical advice for treatment with topical corticosteroids or oral antihistamines, as appropriate.