Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + Download Section PDF Listen ++ For further information, see CMDT Part 6-19: Intertrigo + Key Features Download Section PDF Listen +++ ++ Caused by the macerating effect of heat, moisture, friction Especially likely to occur in obese persons and in humid climates + Clinical Findings Download Section PDF Listen +++ ++ Symptoms are itching, stinging, burning Body folds develop fissures, erythema, maceration, and superficial denudation Candidiasis may complicate intertrigo + Diagnosis Download Section PDF Listen +++ ++ KOH preparation and Wood light to rule out Candida, tinea, and erythrasma Differential diagnosis Candidiasis Tinea cruris (jock itch) Psoriasis of body folds ("inverse psoriasis") Erythrasma Cellulitis Seborrheic dermatitis Tinea versicolor (pityriasis versicolor; rarely) Scratching resulting from pediculosis (lice) Contact dermatitis + Treatment Download Section PDF Listen +++ ++ Maintain hygiene in the area, and keep it dry Compresses may be useful in acute cases Hydrocortisone 1% and an imidazole cream or nystatin cream are effective Recurrences are common