Intertrigo and
Irritancy in Body Folds
(Crotch Rot, Pit Rot)
Perspiration as well as other
skin irritants (e.g. soap residue, petroleum products, sawdust,
fiberglass etc) can collect in body folds and cause an irritant
dermatitis. The condition is most commonly seen in patients in whom
the body folds predispose to trap moisture and irritants rather than
vent to the air. As you can imagine, service members who are
constitutionally sweaty, who serve in hot, sweaty places, doing hot
sweaty things or who are pregnant (figure 1) are more prone to this
condition. In addition, what starts as a simple case of Interigo may,
with time, become secondarily colonized with Staph and/or Candida.
The best way to prevent
interigo is the use of hygienic measures outlined above. Strongly
counsel your patient not to be overzealous in personal hygiene
measures. Recommend avoiding over the counter (OTC) remedies and
harsh soaps. If it occurs despite these measures, the use of mild
topical corticosteroids (e.g. hydrocortisone or desonide cream) should
be considered.
Intertrigo |
Written and revised by CAPT Dennis A. Vidmar, MC, USN,
Department of Military and Emergency Medicine, and Department of
Dermatology, Uniformed Services University of the Health Sciences, Bethesda,
MD (1999).
*Additional images provided by CAPT Vidmar in
June, 2000, subsequent to the initial publication of this manual. |
Preface
· Administrative Section
· Clinical Section
The
General Medical Officer Manual , NAVMEDPUB 5134, January 1, 2000
Bureau
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