Intertrigo L30.49

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 21.04.2021

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Synonym(s)

Hautwolf; intertriginosa dermatitis

Definition
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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.

Etiopathogenesis
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Friction, sweating (possibly occurring after intensive sports activity, or after wearing tight clothes), maceration in case of obesity.

Manifestation
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Often obese, slightly sweating persons.

Localization
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Submammary, axillae, groin, perianal region, diaper region

Clinical features
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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)
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Secondary infection by bacteria or fungi, especially Candida albicans. S.a. Candidosis.

General therapy
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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 therapy
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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/forecast
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Favourable with sufficient therapy.

Literature
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  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.

Outgoing links (2)

Candida; Candidoses;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 21.04.2021