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Intertrigo - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
User :   I have this kind of rash that stared out between my breasts that is kind of a red-brown splotchy dry patch. It hardly ever itches. But sees to have spread some undrneath my breasts. It is very ugly and I really would like to know what it is and what I can do to fix it?
Doctor :   Hi
User :   Hi
Doctor :   Pls. give me few secs. to go through your query.
User :   ok
Doctor :   This can be a simple yeast infection .
Doctor :   May I ask you a few questions pertaining to your problem ?
User :   I figured as much but I have tried everything for yeast
User :   of course
Doctor :   Ok, May I know if you have any excessive sweating and it aggravates during sweating ?
User :   I dont but wen I do it does irritate me in that certain area
Doctor :   Have you ever got it screened for any Candidiasis ?
User :   No....what is that?
User :   I have talked to my sisters husband who is a doctor and he said he thought it was yeast and gave me some things to fix it and they didnt work
Doctor :   It is Cutaneous Candidiasis , A fungal infection which is very common and can cause cosmetic problems.
User :   Can it be fixed?
Doctor :   Intertrigo is a yeast infection, but they are unrelenting and recur .
User :   How did I get it?
Doctor :   May I know what medication you have used ?
User :   Idk the names just different types of creams
Doctor :   Any of these can cause either of them : Hot, humid weather ;
Tight or abrasive underclothing ;
Poor hygiene ;
Doctor :   Yeast or any other fungus and they get opprtunistic when these conditions are there.
Doctor :   May I know your height and weight please ?
User :   5 ft and 180 i think
Doctor :   Ok, Do you feel you are a bit over weight?
User :   Lol yes. Been working on it...recently been losing weight
Doctor :   Prevention of Intertrigo
Most preventative measures involve reducing skin to skin contact and keeping the area dry.
1.Weight loss to reduce the size of fat folds, size of the breasts
2.Wear loose, soft underclothing
3.Apply antifungal absorbent powder to affected areas daily
4.Wash affected areas with soap and water daily
Doctor :   5.Treatment of Intertrigo
Intertrigo is treated with antifungal creams such as clotrimazole and miconazole. Equally important in the treatment of intertrigo is keeping the skin folds as dry as possible. A drying solution such as Burow's compresses can be applied to the skin folds for 20 to 30 minutes several times a day to promote drying.
User :   Well i wash it multiple times a day. I shower alot and had been keeping baby powder on it...
Doctor :   Ok.
Doctor :   Could you get a small derm test done , that would be useful
Doctor :   The majority of cases of intertrigo can be diagnosed based on the characteristic appearance. If there is any question about the diagnosis, a KOH test can be performed to detect the presence of yeast. A bacterial culture can help diagnose a secondary bacterial infection.
User :   I suppose I could. Think I need to?
User :   Oh...ok
Doctor :   I would have been mor e helpful if I could have examined the infection, please get a physical done
User :   But it nothing serious then?
Doctor :   It would be easier and better and faster.
Doctor :   No not all.
Doctor :   thank you
Doctor :   bye for now.
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