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Management of intertrigo in adults

Management of intertrigo in adults

* Although other topical antifungal drugs may be effective, we typically use azole antifungal drugs because of their combined anti-Candida, antibacterial, and anti-inflammatory effects.

¶ Long-term topical corticosteroid use is associated with risk for skin atrophy, thus short courses (eg, <3 weeks) are preferred. Higher potency topical corticosteroids should be avoided because of increased risk for corticosteroid-induced skin atrophy. Combination antifungal-corticosteroid creams often contain high or medium-potency corticosteroids.

Δ Examples include obesity, incontinence, hyperhidrosis, poor hygiene, immunodeficiency, immobility, and causes of frictional stress on the skin.fn5: Findings suggestive of candidal intertrigo include erythematous papules and pustules in or near the affected area.

◊ Examples of common disorders in the differential diagnosis include inverse psoriasis, tinea cruris, erythrasma, and allergic contact dermatitis. Refer to UpToDate content on intertrigo for greater detail.

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