Volume :

2

Issue :

4

Abstract :

Background Intertrigo, or intertriginous dermatitis, may be defined as inflammation resulting from moisture trapped in skin folds subjected to friction Several infections, predominantly fungal, bacterial and mixed infections, eczemas, vesicobullous disorders, papulosquamous diseases can manifest at the intertrigenous areas, when left unattended may lead to chronicity of the illness, serious complications and morbidities. Aims & objectives To study the rare dermatoses at intertrigenous areas with predisposing factors and clinical presentations and to correlate the dermatoses with obesity. Results In our study of 180 patients, candidal intertrigo was present in 42 patients, mechanical intertrigo was diagnosed in 30 cases, irritant contact dermatitis was present in 16 patients and acanthosis nigricans in 20 patients.Eleven patients in the study were diagnosed with tinea cruris, 9 with bacterial intertrigo 8 cases with atopic dermatitis. Tinea pedis was present in 7cases. Intertrigo with both bacterial and fungal infections was diagnosed in 6 cases, seborrhoeic dermatitis in 5 patients and tinea versicolor in 4 patients. Rarer dermatoses like inverse psoriasis were present in 7 cases, Hailey Hailey disease was diagnosed in 3 cases and Darier’s disease in 2 cases. 1 case each of hidradenitis suppurativa, pemphigus vegetans and trichomycosis axillaris were present in the study. Conclusion There was no significant difference in the distribution of dermatoses age group, sex of these patients. Even though a few patients were categorized as grade I and II obese, majority occurred in non obese category. Factors like climate, environment, occlusion and tight dressing were the other predisposing factors. Hence most of the intertrigenus dermatoses could be prevented by taking all measures to prevent occlusion and improving skin hygiene.