What causes intertriginous dermatitis?

What causes intertriginous dermatitis?

Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. Intertrigo frequently is worsened by infection, which most commonly is with Candida. Bacterial, viral or, other fungal infection may also occur.

How do you treat fungal intertrigo?

Intertrigo associated with Candida should be managed with topical antifungals applied twice daily until the rash resolves. Fluconazole (Diflucan), 100 to 200 mg daily for seven days, is used for intertrigo complicated by a resistant fungal infection. Patients who are obese may require an increased dosage.

Is baby powder good for intertrigo?

Powders such as Johnson and Johnson Baby Powder or Gold Bond Powder are excellent for keeping intertriginous areas dry, and they reduce the friction in these areas as they function like little ball bearings that allow the skin to essentially slide smoothly across each other.

Can I use hydrocortisone cream on intertrigo?

Prescription topical steroid creams such as hydrocortisone can be used, but only for a few weeks. Stronger topical steroid creams will be more rapidly effective, but if used for more than a few days may cause serious skin damage. Keeping the area dry and exposed to the air can prevent recurrences.

Is cream or powder better for intertrigo?

Over-the-counter intertrigo treatments include antifungal powders (preferred over creams, which keep the skin fold moist), topical corticosteroid creams, and antibacterial ointments. Do not overuse antibacterial ointments, as this can cause a different type of rash to develop.

What kind of rash can you get from intertrigo?

Cracked or crusty skin Intertrigo may appear in any skin folds that rub together and trap moisture. In infants, intertrigo often shows up as diaper rash.

What does inframammary intertrigo look like on skin?

Inframammary intertrigo appearing as skin discoloration with no evidence of fungal or bacterial superinfection. Figure 1. Inframammary intertrigo appearing as skin discoloration with no evidence of fungal or bacterial superinfection. Figure 2. Severe interdigital intertrigo with erythema suggestive of cellulitis.

How are skin folds involved in intertrigo candidiasis?

Inframammary (Figure 1), intergluteal, genitocrural, axillary, and/or interdigital skin folds can be involved in isolation or in combination with other body sites. There may be maceration or erosion, which would raise the suspicion for an infectious component. Figure 1.

Which is more common intertrigo or secondary skin infection?

Skin folds, including inframammary ( Figure 1), intergluteal, axillary, and interdigital ( Figure 2) areas, may be involved. 1 Intertrigo is more common in young and older persons secondary to a