Synopsis
Recognise Candida-associated fold inflammation, distinguish it from dermatophyte, bacterial and inflammatory mimics, correct moisture and friction, and use topical antifungal treatment while investigating recurrent disease selectively.
- Candidal intertrigo is a sore, moist, confluent fold eruption with maceration, fissures and possible satellite papules or pustules.
- Erythema may look red, violet, grey or dark brown across skin tones; gloss, erosion, tenderness and satellite morphology are often more reliable.
- Reduce moisture and friction with gentle drying, breathable clothing, absorbent non-adherent material and management of sweat or incontinence.
Key red flags
Fever, rapidly spreading pain, crepitus, necrosis, perineal involvement, diabetic decompensation, severe immune compromise, extensive erosion or failure of a well-used regimen requires urgent or specialist reassessment.
Rapid spread, disproportionate pain, crepitus, necrosis, fever or shock is not uncomplicated intertrigo and needs emergency care.
Investigation priorities
Confirm Candida or dermatophyte in recurrent, atypical or non-responsive disease.
Management branches
A local moist satellite-pustular fold eruption occurs without invasive infection or major immune compromise.
- Clean gently, pat completely dry, reduce friction and moisture and address incontinence or occlusive clothing.
- Apply clotrimazole 1% cream thinly two or three times daily for at least two weeks, extending to the affected margin.