Intertrigo

Definition:
Intertrigo is an inflammation of the top layers of skin caused by moisture, bacteria, or fungi in the folds of the skin.

Intertrigo is usually pink to brown. If the skin is particularly moist, it may begin to break down. In severe cases, there may be a foul odor.



Common Causes:

Intertrigo requires a warm, moist environment with rubbing of skin on both sides. It is most often found in the skin folds of obese people.

This condition may also be seen in people who are restricted to bed rest, or in those whose artificial limbs, splints, or other medical devices trap moisture against the skin.

Intertrigo is common in warm, moist climates.

Home Care:

Avoidance of moist, compressed areas is critical to recovery from intertrigo. Weight loss and frequent repositioning are often helpful.

Affected areas may be cleared with simple steps such as propping open skin folds with dry towels or blowing a fan across moist areas. Loose, unrestrictive clothing should be worn.

Call your health care provider if:
Call your physician if intertrigo persists despite good home care or if it spreads beyond a skin fold.
What to expect at your health care provider's office:

Your physician can often make the diagnosis of intertrigo based upon the appearance of your skin. A skin scraping and KOH examination may also be conducted to eliminate the possibility of a fungal infection. A Wood's lamp may be used to rule out a bacterial infection called erythrasma. Rarely, a skin biopsy may be needed to confirm the diagnosis.

Your physician may opt to treat your intertrigo with a weak topical steroid cream, a drying agent such as Domeboro's soaks, or a topical antibiotic or antifungal cream.


Review Date: 9/1/2001
Reviewed By: Michael Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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