Differential Diagnosis > Distribution > Intertriginous

Intertriginous

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Some diseases distribute this way because of the moist environment:

•Candida intertrigo
•pemphigus vegetans

 

others because this is the distribution of apocrine glands:

•Fox-Fordyce
•hidradenitis suppurativa
•extramammary Paget’s disease

 

and others for unknown reasons:

•HSV type II
•Bowen’s disease
•LS and A
•perianal streptococcal cellulitis/dermatitis
•Hailey-Hailey disease
•Darier's disease
•inverse pityriasis rosea
•histiocytosis X
•scabies

 

hmtoggle_plus1"Intertrigo" ddx (red and scaly groin folds):
•candida (mnemonic: symmetric, scrotum, and satellites)
•dermatophyte
•erythrasma
•inverse psoriasis
•seborrheic dermatitis

 

*rule of thumb:  intertrigo that does not respond to treatment - biopsy it (for extramammary paget's vs. histiocytosis etc...)

 

see Seborrheic distribution