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Streptococcal IntertrigoStreptococcal Intertrigo is seen as a crack or a fissure covered by a honey-colored, stuck-on crust at the skin flexures, viz., behind the ear (retro-auricular), below the ear (infra-auricular), angles of the mouth (perleche), the naso-Iabial junction and, less commonly, the groins, the junction of the penis with the scrotum and the infra-mammary region. The removal of the crust reveals the crack and produces slight bleeding. It is usually a chronic condition. It may be associated with seborrhoeic dermatitis, avitaminosis and focal sepsis. Streptococcal intertrigo should be differentiated from monilial intertrigo. In the latter, there is more maceration than in streptococcal intertrigo, in which there is more crusting. Gram's stain and potassium hydroxide preparations help to confirm the diagnosis. The treatment is on the same lines as for angular stomatitis. |
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