![]() Intertrigo and common secondary skin infections. Janniger CK, Schwartz RA, Szepietowski JC, Reich A.Calcineurin inhibitors such as tacrolimus ointment or pimecrolimus cream are also effective in skin folds. More potent steroids are best avoided in the flexures because they can cause skin thinning, resulting in stretch marks ( striae atrophicae) and rarely, ulcers. Inflammatory skin diseases are often treated with low potency topical steroid creams such as hydrocortisone.Yeasts and fungi may be treated with topical antifungals such as clotrimazole and terbinafine cream or oral antifungal agents such as itraconazole or terbinafine.Bacterial infection may be treated with topical antibiotics such as fusidic acid cream, mupirocin ointment, or oral antibiotics such as flucloxacillin and erythromycin.Sweating can be reduced with an antiperspirant cream or powder.A hairdryer on cool setting is an effective approach for drying underarms and breasts. Physical exertion should be followed by bathing and completely drying skin flexures.Zinc oxide paste can be used for napkin dermatitis or incontinence-associated irritant contact dermatitis.Treatment depends on the underlying cause if identified, and on which micro- organisms are present in the rash.A skin biopsy may be performed for histopathology if the skin condition is unusual or fails to respond to treatment.A scraping for microscopy and culture of fungi (mycology).A swab for microscopy and culture of bacteria (microbiology).Investigations may be necessary to determine the cause of intertrigo. Itchy, moist, peeling, red and white skin. ![]()
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