Intertrigo

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Intertrigo
Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Rash, redness, itching, burning sensation
Complications	Secondary infection
Onset
Duration
Types	N/A
Causes	Friction, moisture, heat
Risks	Obesity, diabetes, immunocompromised state
Diagnosis	Clinical diagnosis
Differential diagnosis	Candidiasis, tinea cruris, inverse psoriasis
Prevention	Keeping skin dry, reducing friction
Treatment	Topical antifungals, topical corticosteroids, barrier creams
Medication
Prognosis	N/A
Frequency	Common
Deaths

Introduction

Intertrigo refers to a dermatological condition where inflammation occurs between two opposing skin surfaces that are in frequent contact. Common sites for intertrigo include the armpits, beneath the breasts, between the thighs, and other areas where skin surfaces rub against one another.

Characteristics and Symptoms

Manifestations

Intertrigo often presents as:

• Red or reddish-brown rash
• Raw, moist areas of skin
• Itching or burning sensation
• Unpleasant odor

These symptoms can be exacerbated by various factors including moisture, friction, heat, and the presence of infectious agents.

Causes and Risk Factors

Friction and Moisture

Constant rubbing of skin surfaces, combined with sweat or moisture, can lead to chafing and inflammation, setting the stage for intertrigo.

Infections

Intertrigo can also be complicated by secondary bacterial, fungal, or viral infections. Fungi like Candida often thrive in the moist and warm environment of skin folds, further aggravating the condition.

Other Risk Factors

Individuals with certain conditions or characteristics might be more susceptible to intertrigo:

• Obesity
• Diabetes
• Poor hygiene practices
• Malnutrition
• Immunosuppressed states

Diagnosis and Treatment

Diagnosis

Diagnosis of intertrigo primarily involves a clinical examination of the affected areas. In cases where a secondary infection is suspected, a skin swab or biopsy may be taken for laboratory analysis.

Treatment

Treatment strategies vary based on the severity and cause:

• Keeping the affected area clean and dry.
• Application of barrier creams or ointments.
• Topical antifungal or antibiotic creams for secondary infections.
• In severe cases, oral medications may be prescribed.

Prevention

Effective preventative measures include:

• Regularly drying skin folds after bathing.
• Wearing moisture-wicking or breathable fabrics.
• Applying talcum powder or antiperspirants to reduce sweating.
• Maintaining good personal hygiene.

Conclusion

Intertrigo, while often uncomfortable and distressing, is a treatable condition. Early identification and appropriate management can prevent complications and improve quality of life.

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