Intertrigo, or intertriginous dermatitis, is a common inflammatory condition of skin folds characterized by moist erythema, malodor, weeping, pruritus, and tenderness ( picture 1A-D ). Axillary granular parakeratosis. We used the keywords intertrigo, fungal infections, and secondary skin infections. [QxMD MEDLINE Link]. Trapped moisture, which is usually due to sweating, causes the surfaces of your skin to stick together in your skin folds. Candida grow and thrive in warm, dark environments. English JC 3rd, Derdeyn AS, Wilson WM, Patterson JW. Avoid over-cleaning the areas involved; rubbing can irritate the skin more, After morning shower, dry the involved area well with a blow dryer or gently with a soft towel, Place a small amount of nystatin powder in the area. How to treat intertrigo with salt solution: Take one cup of lukewarm water. Breast Yeast Infection While Breastfeeding Guide | Medela Staphylococcus aureus may present alone or with group A beta-hemolytic streptococcus (GABHS).6 Pseudomonas aeruginosa, Proteus mirabilis, or Proteus vulgaris also may occur alone or simultaneously. [QxMD MEDLINE Link]. Wearing open-toed shoes can be beneficial for toe web intertrigo. Uncomplicated, uninfected intertrigo can be treated with barrier ointments, such as petrolatum (such as Vaseline) and zinc oxide (such as Desitin). Applying cotton compresses saturated with a drying solution such as Burow's solution to the skin folds for 20 to 30 minutes several times a day can also help the rash heal. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. Initially some mild topical OTC (over the counter) corticosteroids might be used, but prolonged therapy with corticosteroids is not recommended as it might lead to skin atrophy. Intertrigo is a common and treatable skin condition that can lead to an infection. This is because a key contributing factor for intertrigo is friction from skin-to-skin rubbing, so only places on your body where your skin rubs together can have intertrigo. [QxMD MEDLINE Link]. Patient information: A handout on this topic is available at https://familydoctor.org/familydoctor/en/diseases-conditions/intertrigo.html. Weight loss should be encouraged if obesity is a predisposing factor. Advise patients to dry intertriginous areas after showering. Toe-web intertrigo is associated with closed-toe or tight-fitting shoes. Treatment depends on the underlying cause if Tissue removal may be needed to allow absorption of topical antibiotic agents, which promote healing and slow the spread of infection. Drugs Aging. 8. Intertrigo You cant get it from another person or spread it to another person. Contact irritant dermatitis due to urine. Holdiness MR. Management of cutaneous erythrasma. If both are used, they should be applied two to three hours apart. The presence of hyphae on potassium hydroxide examination confirms dermatophytic lesions, including tinea versicolor and tinea corporis, and the presence of pseudohyphae confirms Candida infection. Oral terbinafine or oral triazoles (e.g., fluconazole [Diflucan], itraconazole [Sporanox]), may accompany the topical treatment.3,16,18 Topical terbinafine and ciclopirox have strong anti-inf lammatory properties, making a topical steroid, such as hydrocortisone 1 percent cream, unnecessary. Some suggest the use of absorptive powders, such as talc and cornstarch, or barrier creams.
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