Sunday 27 May 2018

Intertrigo rash pictures

What is Intertrigo rash?

It is the fancy term for rashes in between the skin folds such as armpit, abdomen, under the breast, spaces in between the fingers and toes, inner thigh, back of the knee, and genital area. It occurs in the skin that gets in contact with each other or so-called the intertriginous zone. (1, 2, and 3)



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What causes intertrigo?

It is an irritant dermatitis, which is caused by frequent rubbing, intense moisture, and increased in temperature. However, under favorable circumstances, harmful microorganisms can grow leading to allergic reactions. The rashes could progress to something serious, which would require intensive treatment. (2, 4, and 5)

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Who are at risks?

  • Those who are exposed to a highly humid environment such as during summertime or people living in a high-temperature area.
  • Those who are involved in activities with repetitive movements such as running, riding a bicycle, and any activities that produce frictional forces in the skin.
  • Those with large skin folds such as obese people.
  • People with diabetes mellitus.
  • Those who sweat excessively.
  • Malnutrition (3)
  • Poor hygiene
  • Those who wear a splint, brace, or with an artificial limb.
  • Those immune systems are compromised.
  • Those with pre-existing skin diseases such as psoriasis and eczema. (5)

Signs and symptoms

  • Itching and burning sensation in the skin folds (intertriginous zone)
  • strong musty smell
  • red, inflamed, and scaly skin (5, 6, and 7)

Is intertrigo contagious?

Intertrigo rash is not contagious in any way. It cannot be passed from one person to another even with direct skin contact. (6, 7)

Intertrigo rash treatment

The focus of treatment is on the prevention of things or circumstances that predispose the person to intertrigo rash. The use of prescription medication is rare. Intertrigo treatment management mostly involves home treatment and natural remedies, which include the following:
  • For inflammation and itch, a mild topical steroid cream is used.
  • For severe itching, the doctor might recommend antifungal medications.
  • Wear breathable clothing to promote air circulation and prevent moisture buildup.
  • Apply drying agent such as powder containing cornstarch.
  • Itching sensation can be alleviated by applying a cold compress.
  • Apply virgin oil to the affected area to retain the moisture of the skin and prevent scar formation.
  • Itching and irritation can be reduced by simply applying aloe vera extract. (8, 9, and 10)

What are the possible complications?

If intertrigo rashes are not dealt with right away, there is a possibility that harmful microorganisms will accumulate in the skin folds leading to fungal and bacterial infections. If the rashes do not seem to improve despite home remedies and over-the-counter treatment, then you should contact your doctor. A thorough and in-depth test will be performed to determine the appropriate course of action. (3, 9, and 10)

References
  1. https://www.medicinenet.com/intertrigo/article.htm
  2. https://www.webmd.com/skin-problems-and-treatments/guide/intertrigo-symptoms-causes-treatment-risk_factors_#1
  3. https://emedicine.medscape.com/article/1087691-overview?pa=ZjUcIj%2BeiFmU8%2F72R8k9KhXYk%2BulTy7FoPpxtVX1BXFFYuTqkjQiwtVbmnySQJN2d%2B0HdewlpL2rlW4ztTxniFGNDqtpq3248G9CjS7rQtE%3D
  4. https://www.dermnetnz.org/topics/intertrigo/
  5. https://en.wikipedia.org/wiki/Intertrigo
  6. https://familydoctor.org/condition/intertrigo/
  7. https://www.drbaileyskincare.com/info/blog/intertrigo-a-red-rash-in-the-skin-folds
  8. https://www.allthingsvagina.com/intertrigo-rash-creases/
  9. https://www.aafp.org/afp/2005/0901/p833.html
  10. https://www.verywell.com/intertrigo-yeast-infection-in-skin-folds-1069272