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Flexures
Published in Richard Ashton, Barbara Leppard, Differential Diagnosis in Dermatology, 2021
Richard Ashton, Barbara Leppard
The word intertrigo comes from the latin verb ‘intertrerere’ meaning to rub together. Intertrigo therefore describes painful red skin due to two moist surfaces rubbing together. It occurs in the summer months in the flexures of individuals who are too fat, usually in the sub-mammary, lower abdominal and groin folds. Only the areas of skin that are touching are involved. In the summer, it is impossible to prevent intertrigo from developing in patients who are overweight because the sweaty skin surfaces will rub together.
Monographs of Topical Drugs that Have Caused Contact Allergy/Allergic Contact Dermatitis
Published in Anton C. de Groot, Monographs in Contact Allergy, 2021
A 21-year-old woman presented with intertrigo of the groin. She was treated with 0.05% desonide cream three times a day and the intertrigo cleared after several days of treatment. Several months later, the patient had a recurrence of intertrigo and was again given desonide cream, but now, the dermatitis became worse. An open patch test to the desonide cream was strongly positive. Patch tests were positive to desonide cream, desonide ointment and desonide 0.05% pet. (4).
Basic dermatology in children and adolescents
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Kalyani Marathe, Kathleen Ellison
Intertrigo refers to an inflammatory disorder of the skin that is often secondarily infected with Candida; this occurs in areas of skin-to-skin contact, known as the intertriginous areas, such as the neck in infants, axillae, and groin. The combination of friction in a moist and warm environment causes inflammation to occur, resulting in macerated erythematous plaques in these areas.
Corset trunkoplasty is able to preserve postoperative abdominal skin sensation in massive weight loss patients
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Kathrin Bachleitner, Maximilian Mahrhofer, Friedrich Knam, Thomas Schoeller, Laurenz Weitgasser
Obesity and its comorbidities represent one of the most prevalent public health issues today. Bariatric surgery can be an effective treatment for this patient collective resulting in massive weight loss and improvement of overall health. Remission of many obesity-related comorbidities, such as type 2 diabetes mellitus or elevated blood pressure levels and an overall increased live expectancy can be achieved by bariatric surgery [1,2]. Skin redundancy represents a well-known consequence of bariatric surgeries and massive weight loss. Recurrent rashes and intertrigo due to overlapping skin folds and poor hygiene as well as impaired mobility lower patients’ quality of live and self-reliance [3]. Abdominal skin aprons and skin atony of the thighs limit post-bariatric patients ability to participate in normal everyday life. Skin tightening and body lifting operations are known to be able to address these concerns and help to improve quality of life [4,5]. Today body contouring surgery plays an instrumental role in the completion of the entire weight loss process for patients and is therefore frequently covered by insurances and health care providers, depending on the degree of disability caused by the excess skin [6].
Palliative dermatology – An area of care yet to be explored
Published in Progress in Palliative Care, 2018
N. A. Bishurul Hafi, N. A. Uvais
The largest study on this subject was done by Neloska et al. It is the only prospective study available. A dermatological examination was conducted in 271 patients prospectively for 1 year. All the patients had at least one skin condition and a total of 1267 dermatological conditions were recorded with more than 50 diagnoses under seven major categories. Among patients, 51.8% had three different skin conditions while 19.1% had even five or more dermatoses. The most common group of skin disorders was dermatitis (18.3% of all dermatological conditions, in 43.9% patients), in which intertrigo was the most common (26.1%), followed by diaper dermatitis (18.9%) and seborrheic dermatitis (17.7%). Second most common category of dermatoses was nail and hair disorders (17.5% in 81.9% patients). Xerosis cutis was the most prevalent cutaneous finding (77.8%), followed by benign skin tumours (44.6%), effluvium (38.3%), pruritus (35.1%), and intertrigo (26.1%). Almost 50% of dermatological conditions (623/1267) were hospital-acquired: 88% of xerosis cutis, 82% of diaper dermatitis, 78% of intertrigo, 63% of effluvium, 56% of pressure ulcers, and all bacterial and viral infections developed during the hospital stay.11
Skin diseases of the vulva: eczematous diseases and contact urticaria
Published in Journal of Obstetrics and Gynaecology, 2018
Freja Lærke Sand, Simon Francis Thomsen
Irritant contact dermatitis is the most common form of contact dermatitis and several factors have been identified that may cause vulvar eczema (Table 2). Women with known atopic dermatitis have an increased risk of developing irritant vulvar contact dermatitis (Crone et al. 2000). Intertrigo is a non-specific (irritant contact) dermatitis caused by increased moisture and friction in the intertriginous areas including the femoral folds that may spread to the vulvar area, especially affecting middle-aged and older women. Predisposing factors include obesity, sweating, poor hygiene, urine incontinence and occlusion due to diapers. Symptomatic therapy includes intermittent use of medio-potent topical corticosteroids.