Intertrigo L30.49

Cumulative toxic dermatitis with highly red, usually sharply demarcated (satelite foci indicate intertriginous candidiasis or contact allergic eczema), extensive, pruritic or painful erosions or erosive plaques; rhagaden formation is also frequent. An unpleasant sweetish foetor indicates a bacterial superinfection.

Painful, sharply demarcated and highly red erosions (over large areas) up to macerations, partly greasy scaling

In case of candida infection: satellite foci

In case of superinfection: sweetish odour

Drainage of the infested region by consistent insertion of linen cloths or gauze strips. Sitting baths or lapels with potassium permanganate solution (especially in case of superinfection). Subsequently, application of a 1% hydrocortisone cream, which can be supplemented by a 20-minute moist application (using a pad soaked with physiological saline solution) in case of heavy wetting. If necessary in case of bacterial superinfection, combination of topical steroids with topical antibiotics (e.g. Fucidine).

When the acute wetting condition subsides, transition to a zinc-containing application (e.g. 5% zinc oxide cream in Ungt. emulsif. aq.) or to soft zinc paste.

If Candida albicans superimposes intertrigo, Candio-Hermal Plus Paste and then Candio Hermal Soft Paste are recommended.

Prophylactic: Linola Breathable protective balm

1. Arnold-Long M et al (2018) Incontinence-Associated Dermatitis and Intertriginous Dermatitis as Nurse-Sensitive Quality Indicators: A Delphi Study.J Wound Ostomy Continence Nurs 45:221-226.