Small, red-brown macules that may coalesce into larger patches with sharp borders may be asymptomatic or pruritic fluoresces coral-red on Wood lamp examinationĪggressive infection with boggy, blue-red bullae that progress to deep ulcers with hemorrhagic bases Pruritic infections of nonviable keratinized tissues, such as nails and hair contains a leading scale
#Triple paste antifungal skin#
Superficial erythematous infection, commonly affecting moist, cutaneous areas of the skin satellite pustulesĭermatophytosis (tinea corporis, tinea versicolor) Corynebacterium infections are treated with oral erythromycin. Secondary streptococcal infections are treated with topical mupirocin or oral penicillin. Fungal lesions are treated with topical nystatin, clotrimazole, ketoconazole, oxiconazole, or econazole. Bacterial superinfections may be identified with bacterial culture or Wood lamp examination.
Resistant cases require oral fluconazole therapy.
Diagnosis may be confirmed using a potassium hydroxide preparation. Candidal intertrigo is commonly diagnosed clinically, based on the characteristic appearance of satellite lesions. Excessive friction and inflammation can cause skin breakdown and create an entry point for secondary fungal and bacterial infections, such as Candida, group A beta-hemolytic streptococcus, and Corynebacterium minutissimum. Physical examination of skin folds reveals regions of erythema with peripheral scaling. Bodily secretions, including perspiration, urine, and feces, often exacerbate skin inflammation. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation.
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