Journal of the Dermatology Nurses' Association:
Theodore D. Scott, MSN, FNP-C, DCNP, Nurse Practitioner, Southern California Permanente Medical Group, San Marcos, California.
Correspondence concerning this article should be addressed to Theodore D. Scott, MSN, FNP-C, DCNP, Department of Dermatology, Southern California Permanente Medical Group, 400 Craven Road, San Marcos, CA 92078-4201. E-mail: Tedscott59@cox.net
Intertrigo is a skin condition that occurs inmoist body fold areas. This skin condition is common under the breasts, inthe groin area, and under the tummy fold. Usually skin has rubbed against skin, causing irritation. The moist, irritated skin allows bacteria and yeast to grow in the folds (Figure 1).
* When bathing or showering, use ketoconazole 1% (Nizoral AD) shampoo (available over the counter) as a soap all over the affected area. Leave it on for 2 to 5 minutes, then rinse off.
* Use a hair dryer on a low setting two to three times per day (including lunchtime) to dry the area(s) completely.
* Mix equal parts of clotrimazole 1% cream (Lotrimin) or miconazole 1% cream and hydrocortisone 1% cream in your hand. Some patients find that mixing in a little Desitin or Triple Paste also helps if friction is a major problem. Apply a thin layer of this mixture to the affected area(s) two times per day until the rash has cleared (usually 3-8 weeks). When the rash is clear, the skin may look a little darker than usual, but there should be no redness, discomfort, or sores present.
* When the rash has cleared, continue to use the shampoo as soap in the affected area at least weekly. You should still use the hair dryer (only on low setting) after each bath or shower or whenever the skin feels extra damp. After the skin is dry, apply Zeasorb AF Powder. Do this treatment once or twice a day to prevent the rash from coming back. If it recurs, resume the treatment outlined above.
* Call your healthcare provider if this does not control your condition.