DefinitionThis section has been translated automatically.
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.
EtiopathogenesisThis section has been translated automatically.
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ManifestationThis section has been translated automatically.
LocalizationThis section has been translated automatically.
Clinical featuresThis section has been translated automatically.
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
Complication(s)This section has been translated automatically.
General therapyThis section has been translated automatically.
Weight reduction! Avoidance of irritative co-factors, especially tight-fitting clothing (e.g. jeans).
If necessary, plastic surgery procedures to remove excess skin aprons.
External therapyThis section has been translated automatically.
Drainage of the infected region by consistent insertion of linen cloths or gauze strips. Sitz baths or whipping with potassium permanganate solution (especially in case of superinfection). Subsequent application of a 1% hydrocortisone cream, which can be supplemented by a 20-minute moist application (by means of an overlay soaked with physiological saline solution) in case of severe oozing. If necessary in cases of bacterial superinfection, combination of topical steroids with topical antibiotics (e.g., Fucidine).
When the acute weeping condition subsides, transition to a zinc-containing application (e.g. 5% zinc oxide cream in Ungt. emulsif. aq.) or also to soft zinc paste.
In case of overlaying of the intertrigo by Candida albicans, Candio-Hermal Plus Paste is recommended initially for a short time and Candio Hermal Soft Paste afterwards.
Prophylactically: Linola Breathable Protective Balm
Progression/forecastThis section has been translated automatically.
LiteratureThis section has been translated automatically.
- 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.
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