Etiology and management of seborrheic dermatitis. Streptococcal intertrigo: an under-recognized condition in children. Candidal intertrigo: treatment with filter paper soaked in Castellani's paint. MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis: a consensus. The global burden of diabetic foot disease. 2004 39(suppl 2):S104-S114.īoulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. Medical treatment of diabetic foot infections. Color Atlas and Synopsis of Clinical Dermatology: Common and Serious Diseases. Modern methods to treat superficial fungal disease. 2009 58(7):1482-1484.ĭel Rosso JQ, Draelos ZD, Jorizzo JL, Joseph WS, Ribotsky BM, Rich P. Brown fat in humans: turning up the heat on obesity. Obesity and the skin: skin physiology and skin manifestations of obesity. London, United Kingdom: Saunders/Elsevier 2011. Andrews' Diseases of the Skin: Clinical Dermatology. James WD, Elston DM, Berger TG, Andrews GC, eds. Intertrigo and common secondary skin infections. Janniger CK, Schwartz RA, Szepietowski JC, Reich A. Fitzpatrick's Dermatology in General Medicine. Yeast infections: candidiasis, pityriasis (tinea) versicolor. Most common skin cancer pink or flesh-colored papule often containing a telangiectatic vessel Solitary, enlarging, erythematous, well-defined plaqueĮrythematous plaques with scaling, crusting, and/or exudation affects the breast, axillae, or anogenital region may represent a neoplastic process Well-demarcated, hypopigmented, atrophic plaques on the genitalia, trunk, and axillae Pruritic regions of erythema and peripheral scaling between skin folds Hyperpigmentation with velvety, thickened skin, predominantly on posterior neck and body foldsĬhronic condition of apocrine gland–bearing skin in the axillae or anogenital region deep abscesses and old scars Serious, often fatal, autoimmune disease flaccid bullae, Nikolsky sign (i.e., disruption of the epidermal layer with lateral pressure, leading to ulceration)Ĭhronic scaling papules and plaques often affects extensor surfaces of the elbows and knees associated with silvery scale Red or brownish patches with intense pruritus personal and/or family history of seasonal allergies and asthma is common Yellow, greasy, scaly plaques with overlying erythema most often affects the face, postauricular region, and chest Infection with intense pruritus and minimal cutaneous manifestations, including intertriginous burrows and papules the head is spared in all age groups except infants Small, red-brown macules that may coalesce into larger patches with sharp borders may be asymptomatic or pruritic fluoresces coral-red on Wood lamp examinationĪggressive infection with boggy, blue-red bullae that progress to deep ulcers with hemorrhagic bases Pruritic infections of nonviable keratinized tissues, such as nails and hair contains a leading scale Superficial erythematous infection, commonly affecting moist, cutaneous areas of the skin satellite pustulesĭermatophytosis (tinea corporis, tinea versicolor) Corynebacterium infections are treated with oral erythromycin. Secondary streptococcal infections are treated with topical mupirocin or oral penicillin. Fungal lesions are treated with topical nystatin, clotrimazole, ketoconazole, oxiconazole, or econazole. Bacterial superinfections may be identified with bacterial culture or Wood lamp examination. Resistant cases require oral fluconazole therapy. Diagnosis may be confirmed using a potassium hydroxide preparation. Candidal intertrigo is commonly diagnosed clinically, based on the characteristic appearance of satellite lesions. Excessive friction and inflammation can cause skin breakdown and create an entry point for secondary fungal and bacterial infections, such as Candida, group A beta-hemolytic streptococcus, and Corynebacterium minutissimum. Physical examination of skin folds reveals regions of erythema with peripheral scaling. Bodily secretions, including perspiration, urine, and feces, often exacerbate skin inflammation. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation.
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