Examples of intertriginous areas include the armpit and the groin. A type 1 excludes note is a pure excludes. Sweat rash most commonly appears in areas where your skin rubs together and where there is less air ci The main causes of intertrigo are sweat rashes, ‘skin to skin’ rubbing and the growth of yeast which appears as a rash in the skin fold under the breast. steroid creams. Most often seen in the groin, axillae or in inframammary folds (1). Hello, It can be due to intertrigo skin. Chafing of the underarms, inner thighs, buttocks, groin, and nipples can lead to redness and irritation in those areas. Causes of chafing include: Endurance sports. This yeast does not normally live on the skin andScrotal eczema symptoms may include: intense itchiness. Common causes include intense exercise, ill-fitting clothes, excess skin and hot weather. 2 became effective on October 1, 2023. Treatment for intertrigo that has caused an infection depends on what caused it. Diagnosis. It may be associated with a superimposed bacterial and candida infection. Ketoconazole is an antifungal medicine. In some cases, it can lead to a creamy coloured discharge with a pungent (strong) smell. One possible cause of skin discoloration between the buttocks is a condition called intertrigo. Use anti. Such an environment encourages skin breakdown and can lead to fungal, viral, or bacterial. It can occur in any area of the body where two skin surfaces are in close contact with each other, such as the axillary, inframammary, umbilical and inguinal areas, and is. Treatment of anal itching depends on the cause of the problem. Jock itch is a common fungal (caused by a fungus) infection similar to ringworm. Inverse psoriasis is an unusual form of psoriasis. Intertrigo (in-tur-TRI go): This is one of the more common rashes and occurs when two warm, moist. Intertrigo presents as a reddish, raw-looking rash that soon begins oozing, crusting, opening again, and oozing some more. If you're suffering from folliculitis or saddle sores, Dr. Intertrigo treatment. When intertrigo causes an infection, the rash may give off a foul smell, and the bumps may ooze or fill with pus. Tip: Blow your skin with a hair dryer set at its lowest setting 2 to 3 times a day to keep your skin dry. Causes. Chafing. Intertrigo is skin maceration in intertriginous areas caused by moisture and/or infection. The medical term for intertrigo is intertriginous dermatitis . Summary Intertrigo is a skin condition that causes a rash in skin folds, such as under the breasts, in the groin, or in stomach folds. Background. Symptoms of Intertrigo. The most common symptoms of erythrasma include pink, red, or brown skin patches with scales, and mildly itchy skin. . On Caucasian skin, it appears as bright red lesions in body folds. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The treatment for a circular rash depends on what is causing it but can include medications taken by mouth or put on the skin. In the inner thigh; In the neck crease; Between fingers and toes; On the underside of the breast and belly; In the groin and scrotum; In the armpits; Between the buttocks; The condition normally appears to be:Yeast Infection. Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. The common sites for erythrasma are armpits, groin and between the toes. bacitracin mupirocin ointment (Mupirocin, Centany) Learn about antibiotics. Symptoms of Intertrigo. Use anti-chafing or barrier gels. 1. A good moisturizer for areas of dry and cracked skin may include a number of active ingredients, such. Treatment and prevention. 1 This common skin disorder may be localized in a small area or involve larger surfaces. Intertrigo is inflammation and irritation of touching skin surfaces in body fold regions (armpits, under the breasts, belly folds, buttocks, inner thighs and groin folds and sometimes between fingers or toes) 1). Treatment includes drying agents and sometimes topical antibacterial or antifungal medications. Intertrigo develops when friction and trapped moisture in intertriginous areas cause skin maceration and. Thrush and fungal infections are caused by germs that thrive in moist, warm, airless areas, such as around the anus. Intertrigo affects the top layers of skin. Your doctor may also want to prescribe a topical steroid cream. It means "not coded here". Infections. Intertrigo is a rash that results from irritation of the skin in body folds (eg, armpits, under the breasts, belly, buttocks, groin, and sometimes between fingers or toes). Mucocutaneous candidiasis appears with nail abnormalities. CH. A candidiasis infection is the result of an overgrowth of Candida yeast due to an imbalance of healthy bacteria and yeast in your body. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. 7. They include allergies, razor burns, pubic lice (crabs), autoimmune diseases, folliculitis, and jock itch. The skin sometimes cracks and oozes. Sweat rash is caused by moist areas of skin rubbing together. A dark, moist, sweaty area is prime perfect for yeast to grow and fungi also. Introduction. Preventing skin chafing can be as simple as keeping areas of the body. Now 20% Off. Intertrigo may present as an erythematous mirror image patch along a skin fold. A scoping review is a form of knowledge synthesis used to map key concepts, types of evidence, and gaps in research to inform policy makers, practitioners, and patients. The condition responds to loss of weight and attention to washing and to the care. Luckily, there are effective treatments available over the counter. 7. 0):Flexural psoriasis — shiny red plaques on the buttocks and around the genitalia; Anogenital warts— warty flesh-coloured papules most often located around the genitalia rather than the buttocks; Chronic intertrigo — inflamed moist reddish rashes in the genital folds. Tinea cruris typically responds well to topical antifungal treatment. Anal Yeast Infection. Jock itch causes an itchy, stinging, burning rash on the skin around your groin, inner thighs and butt crack (gluteal cleft). The primary treatment for intertrigo is preventative to eliminate friction, heat, and maceration by taking precautions to keep the skin folds cool and dry. May be due to mechanical causes (such as moisture, friction, or heat), and may have secondary bacterial or candidal infection. If the intertrigo is inflammatory only, without an infection, use over-the-counter. When intertrigo causes an infection, the rash may give off a foul smell, and the bumps may ooze or fill with pus. The main causes of intertrigo are sweat rashes, ‘skin to skin’ rubbing and the growth of yeast which appears as a rash in the skin fold under the breast. Created for people with ongoing healthcare needs but benefits everyone. inflamed, scaly skin. One central aim of Wund. Topical clotrimazole, ketoconazole, and oxiconazole are effective treatment options for yeast or fungal infected intertrigo. Treatment of fungal infections; Oral antifungal medications; Topical antifungal medications; Antifungal drug resistance; Differential diagnosis of fungal infections. The cause is most often friction combined with trapped heat. Treatment of the rash on buttocks due to an infectious cause will depend upon the cause and usually involves use of an antimicrobial. The diagnosis is based on the location and appearance of the rash and sometimes on an analysis of skin scrapings and culture to look for infection. Aquaphor Healing may cause serious side effects. Step 2: medical treatment. To treat intertrigo, your doctor may recommend short-term use of a topical steroid to reduce inflammation in the area. Home remedies for intertrigo Keep it clean and dry. Folliculitis may be superficial or deep. The aim of this scoping review is to identify and provide a narrative integration of the existing evidence related to the management and prevention of MASD. Intertrigo is a superficial inflammatory dermatitis affecting the top. Pustules are skin lesions formed by a collection of leukocytes (predominantly neutrophils) within the epidermis or superficial dermis. $16 at Amazon $14 at Walmart. Implementation of measures to minimize moisture and friction. This article looks at nine possible causes of itchy. The number one rule is to keep the area clean and dry. Common forms of lentigo are due to exposure to ultraviolet radiation: Sun damage including sunburn. Lesions mostly develop in the neck, axilla, sub. Sometimes, a musty odor may emanate from a prolonged or chronic case of intertrigo. Witch hazel: Witch hazel is effective in treating rashes on the buttocks and genital area, according to research published in the Journal of Cutaneous Medicine and Surgery. If you try to scrape off this whitish surface, you will usually find a red, inflamed area, which may bleed slightly. Use on your skin only. Fungal infection or a sexually transmitted infection (STI) Other symptoms with itchy bottom. Because these skin folds are. Intertrigo, one of the most common intertriginous skin disorders, is reviewed in detail separately. Intertrigo is inflammation of the skin caused by irritation in body folds—especially the groin, under the breasts, the armpits, under the abdominal fold, and around the anal area. Features, causes. Other conditions that may mimic tinea cruris include candidal intertrigo, erythrasma, mechanical intertrigo, psoriasis, and seborrheic dermatitis. Clean and thoroughly dry the area to be treated. Tinea Unguium. The use of measures to ensure continued drying of the skin fold is a primary treatment strategy. This Ayurvedic formula. The muscles and bones are now visible; thus, this condition is termed tissue necrosis. Pink patches. Apple cider vinegar bv treatment. 1 Depending upon the skin areas exposed to urine or stool and/or the use of containment devices, IAD can also extend to the inner and posterior thighs and may include other ele-ments such as candidiasis (Figures 1 and 2). It may appear smooth and shiny. Depending on the depth of the lesion, it happens. armpits. Areas affected by intertrigo may also become infected with yeast or bacteria. Treat secondary infection with appropriate systemic and topical agents. Treatment for intertrigo includes keeping the area clean and dry, and using a. Adjunctive treatment can include a low-dose corticosteroid. Some common treatment options include keeping the affected area clean and dry, avoiding tight clothing and prolonged sitting or standing, using topical antifungal or antibacterial creams, applying barrier creams or powders to reduce. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. It can be caused by wet or soiled diapers that aren't changed often enough. Anti-Fungal Cream. So correcting the causative factors is critical in management. For example, the pannus or abdominal skin folds, inner gluteal cleft, and axillae are some common anatomical locations of ITD. In addition, candidal or bacterial infection may initiate or aggravate intertrigo. With skin maceration, any skin that is broken, has poor circulation, or experiences prolonged hyperhydration may be vulnerable to injury or infection. Sores, swelling or irritation. Keep out of the reach of children. Intertrigo is an inflammatory rash that occurs between skin folds as a result of friction, moisture, and lack of airflow. The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. It is basically a rash in body folds. Intertrigo is a rash that forms in the folds of the skin. It was co-founded by the Initiative Chronische Wunden (ICW, Chronic wound initiative, Germany), the Austrian Wound Association (AWA, Austria) and the Swiss Association for Wound Care (SAfW, Switzerland). Doctors treat impetigo with antibiotics, either. Areas affected by intertrigo may also become infected with yeast or bacteria. Face, scalp, diaper area psoriasis. Many different things can cause diaper rash, including: Too much moisture in your baby’s diaper area. patches of inflammation or a. Honey: Rubbing honey on. Tinea cruris – Tinea cruris is a dermatophyte infection involving the groin, proximal medial thighs, perineum, or buttocks. TBH losing weight will help a lot. emollient moisturizers. For example, the pannus or abdominal skin folds, inner gluteal cleft, and axillae are some common anatomical locations of ITD. The rash usually responds to self-care. A reddened, sore skin on the crack of your buttocks could be a symptom of pilonidal sinus disease (PNS). In many people, a yeast called Candida albicans aggravates the condition. The drugs possessing Raktashodhaka, Raktaprasadana and Twak prasadana followed by. Causes and Risk Factors. Buttocks. The most effective treatment is: 1. The infection can cause the skin to become red, itchy, and inflamed. 4 is a valid billable ICD-10 diagnosis code for Erythema intertrigo . All of these factors work together to create a perfect breeding ground for yeast, fungus and bacteria. The diagnosis is based on the location and appearance of the rash and sometimes on an analysis of skin scrapings and culture. 6%). Intertrigo Intertrigo refers to the rash that is often seen where two skin surfaces are in contact such as beneath the breasts or pannus (abdominal skin folds). In infants, intertrigo often appears as a diaper rash. Sometimes bacterial or yeast infections develop. For mild cases, your doctor will tell you to keep the affected area of your skin dry and exposed to air. Using Hydrocortisone Cream for a Rash. If you are currently dealing with a rear-end rash, here are some of the most common rashes and how they may appear depending on your skin tone, so you know exactly what to look for, plus treatments that can ease your symptoms. [7] How to use: Apply coconut oil on the affected area and leave it overnight. Inverse psoriasis is rare, accounting for anywhere from 3% to 7% of all psoriasis cases. In addition, candidal or bacterial infection. The classic presentation consists of a centrifugally expanding,. Incontinence- associated dermatitis (IAD) Damage from urine or stool around the groin, buttocks, inner thigh, perianal and perinealIntertrigo. It causes lesions to form in the areas of the body where skin-to-skin contact occurs, such as the armpits, buttocks, and under the breasts. Tinea cruris treatment for mild fungal infection. Diagnosis is typically by clinical appearance. The bacteria may be passed to other children and family members. 5. Flexural psoriasis is sometimes called inverse psoriasis and describes psoriasis localised to the skin folds and genitals. Symptoms of Inverse Psoriasis. One central aim of Wund. Candidiasis is infection with the yeast Candida. ) We suggest treating underlying dermatologic and other contributing conditions, such as intertrigo, while the patient is receiving antimicrobial therapy. Bacterial, viral, or other fungal infection may also occur. Also wear loose-fitting cotton clothing and use an antibacterial soap or mild soap like dove. Common causes include intense exercise, ill-fitting clothes, excess skin and hot weather. Use a mild. In this expert consensus, the diseases incontinence-associated. Dry the skin well after washing, for example with a soft towel or a hair dryer on a cool setting. candidal intertrigo, erythrasma; Flexural dermatose eg, flexural psoriasis, seborrhoeic dermatitis,. Coping. buttocks, thighs, and cheeks. due to urine or stool around the groin, buttocks, inner thigh, perianal and perineal areas. Erosio interdigitalis blastomycetica occurs in the finger webs. Intertrigo (intertriginous dermatitis) is a clinical inflammatory condition that develops in opposing skin surfaces in response to friction, humidity, maceration, or reduced air circulation. It is a subset of onychomycosis, which includes dermatophyte, nondermatophyte and yeast infections of the nails. For most adults, the initial recommended antifungal treatment is an echinocandin (caspofungin, micafungin, or anidulafungin) given through the vein. Intertrigo — superficial skin inflammation occurring on two closely-opposed skin surfaces, such as the skin folds. This is a skin infection that can happen when there is friction and moisture in the skin folds. 2 - other international versions of ICD-10 B37. Therefore, wearing sweaty, wet. Is a superficial infection of the hair follicle, usually caused by staphylococcus aureus. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Intertrigo is skin maceration in intertriginous areas caused by moisture and/or infection. It's used to treat skin infections caused by a fungus (yeast). Perianal itch can be the result of an infestation, skin infection, inflammatory skin condition, and, rarely, a skin tumour. Incontinence-associated dermatitis can be complicated by partial and full-thickness pressure ulceration. Biking and running are two causes of chafing, along with other activities that combine sweat and repeated motions of the body. It is most often due to chafing together of the warm, moist skin, especially in those who are overweight. ↓ See below for any exclusions, inclusions or special notations. The skin folds around your genitals and between your. Intertrigo is irritation and breakdown of skin (maceration) in areas where two skin surfaces rub together. What is Intertrigo? Intertrigo is a common rash that typically occurs in skin folds, such as the armpits, between the toes, between the buttocks, the groin area (especially in men), neck creases and the underside of the breasts and stomach. Involvement of the buttocks and perineum may be seen but there is typically sparing of the penis, scrotum,. Allergic reaction to diaper material. Intertrigo is a rash that results from irritation of the skin in body folds (eg, armpits, under the breasts, belly, buttocks, groin, and sometimes between fingers or toes). Wund-D. Intertrigo, or intertriginous dermatitis, is a type of skin rash affecting the skin folds and areas where skin rubs together. Intertrigo is. Introduction. Folliculitis means an inflamed hair follicle due to any cause. Sometimes bacterial or yeast infections develop. This type of skin irritation is common in areas of the body where there are skin folds. Athlete's foot (rash between the toes, which is often caused by a. It reduces itching that leads to skin irritation and infection. If you miss a dose of this medicine, apply it as soon as possible. Intertrigo. Control Methods: Reduce heat and moisture within the skin fold. It occurs on areas such as the. Patients with risk factors for MASD should be identified as early as possible, and preventative measures initiated. However, the disease typically recurs if initiating and exacerbating factors are not eliminated. EC goes away on its own, and serious complications are rare. Several familial syndromes associated with widespread lentigines originate from mutations in Ras-MAP kinase. 7. Rosacea (roe-ZAY-she-uh) is a long-term (chronic) skin condition of adults that causes facial flushing. Some of the areas where intertrigo can develop include (Metin, 2018): Armpits. Intertrigo is most commonly found in the groin, axillae, and inframammary folds. The affected skin may be sensitive or painful, and severe cases can result in oozing sores, cracked skin or bleeding. Acanthosis nigricans is one of the most common skin conditions of obesity. . The treatment of intertrigo buttocks depends on the severity and underlying cause of the condition. Affected areas may include: Skin folds below the breasts or under the abdomen. What is the treatment for intertrigo? Treatment depends on the underlying cause if identified, and on which micro- organisms are present in the rash. Wund-D. Between the buttocks, back of the knee etc. 2. Panchanimbadi Churna. Intertriginous dermatitis (ITD or intertrigo) due to sweat that’s trapped in skin folds with minimal air circulation, leading to skin-on-skin. Bhupinder Kaur, MD. Chafed skin is caused by the frequent and recurrent friction that occurs when there is skin-on-skin rubbing in any area of the body. The. Allergy. INTERTRIGO Intertrigo is a rash that develops in your skin folds (where skin rubs against other skin), such as your armpits, groin (tops of your legs) and under the breasts. Chafing or rubbing ( intertrigo) in their diaper area. Subscribe to Codify by AAPC and get the code details in a flash. Under the breasts. Avoid any kind of cosmetics. Caused by skin friction, exacerbated by irritants in sweat and probably bacteria in that area. Mild itching may be present. Intertriginous Dermatitis (ITD) Intertriginous dermatitis, also called intertrigo, is an inflammatory condition of opposing skin surfaces caused by moisture. Localization – folds of the skin, buttocks and the back of the body, sometimes the face (after sleep). Armpits and groin. CYST: The term “Pilonidal Cyst” is actually incorrect. Your healthcare provider will need to find out what kind of bacteria or fungi have caused your infection in order to give you proper treatment. To Contact Dr. Intertrigo is a skin inflammation that occurs in warm, moist folds of the body where two skin surfaces chafe against each other. Intertrigo is irritation and breakdown of skin (maceration) in areas where two skin surfaces rub together. What Is Intertrigo? Intertrigo Risk Factors Intertrigo Symptoms Intertrigo Treatment Intertrigo Prevention. Sometimes bacterial or yeast infections develop. Itchy skin abrasions are not genetic. Many women complain of chafing in the nipples owing to tight or ill-fitting bras and people of all ages come across chafed skin in their feet as well due to hard footwear, intense physical. Proper cleansing or shower after exercise, then thoroughly pat dry the skin folds. Intertrigo is irritation and breakdown of skin (maceration) in areas where two skin surfaces rub together. picture 3: Severe intertrigo rashes in the armpit. Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. There are many possible causes for itchy pubic hair. Coconut Oil. The areas most commonly affected are warm, moist areas such as under the breasts, between folds of belly fat, between the fingers or toes, the underarms, below the buttocks, and the groin. The common side effects are burning, skin irritation, and rash. Intertrigo. Request a Demo 14 Day Free Trial Buy Now. The diagnosis is based on the location and appearance of the rash and sometimes on an analysis of skin scrapings and culture to look for infection. Involvement of the buttocks, perine-um, lower abdomen, and proximal thighs with sparing of the creases is common. If the area is also infected, your doctor may prescribe. Adjunctive treatment can include a low-dose corticosteroid. Evidence for intertrigo treatment: No well-de-signed clinical trials are available to support ther-apies commonly used to treat or prevent intertrigo. Treatment is rapidly effective in the majority of patients. When pee or poop touch your baby’s skin for long periods of time. Line of treatment for Intertrigo(Paridagdha) Pitta-kaphahara remedies are recommended in this treatment. Brown patches. Prevention includes wearing appropriate clothing and using anti-chafing products or petroleum jelly. Firstly, it is important to keep the affected area clean and dry. This activity reviews the role of the healthcare team in improving care for patients with this condition. Diagnosis is typically by clinical appearance. Additionally, the affected area should. Where a Decubitus Ulcer Forms. Sweat and poor hygiene may also contribute to the problem. It also helps reduce hemorrhoids and anal swelling, surgical wound irritation, and postpartum. Examples of intertriginous areas include the armpit and the groin. Although intertrigo can affect only one skin fold, intertrigo commonly involves multiple sites. Psoriasis is a common scaly skin condition resulting in red scaly and thickened patches of skin. It treats different types of fungal infections including: athlete's foot. Intertrigo infection can also smell, especially in areas like your armpits and the skin between your buttocks. It is also known by other more complicated names, such as gluteal senile dermatosis or hyperkeratotic lichenified skin lesion of the gluteal region. Tinea cruris is another name for jock itch. This leaflet is designed to raise awareness of the condition. Intertrigo sometimes gets. Treatment. Intertriginous dermatitis or intertrigo (ITD) Skin breakdown from sweat trapped in skinfolds, leading to skin-on-skin friction. 9 became effective on October 1, 2023. $32 at Amazon $8 at Walmart. Slide show: Common skin rashes. Phototherapy, especially photochemotherapy ( PUVA ). Inverse psoriasis is a painful and difficult type of psoriasis that forms in the body’s skin folds, such as the armpits, genitals, and under the breasts or buttocks. Corynebacterium infections are treated with oral erythromycin. Prevention and Treatment of Intertrigo. Erysipelas: superficial, sharply demarcated--nearly always group A Streptococcus. When there is no obvious cause for the itch it is called pruritus ani. The pressure causing decubitus ulcer formation doesn't have to be very intense. These conditions can often be precipitated by use of oral antibiotic agents, steroid use, and pregnancy. Rosacea (roe-ZAY-she-uh) is a long-term (chronic) skin condition of adults that causes facial flushing. Optimal prevention includes minimising skin-on-skin friction, reducing heat and. It may itch, ooze or be a little sore. . Evidence for intertrigo treatment: No well-de-signed clinical trials are available to support ther-apies commonly used to treat or prevent intertrigo. This will also help to prevent sweat acne, another skin problem from sweating. Read More. Intertrigo is a common cause of buttock rash and can be treated effectively. Intertrigo may present as an erythematous mirror image patch along a skin fold. 8. Topical treatments are. Sometimes antibacterial lotions or antifungal creams. Treatment of tinea at other sites such as. Diagnosis is typically by clinical appearance. Tinea cruris, also known as jock itch, is an infection involving the genital, pubic, perineal, and perianal skin caused by pathogenic fungi known as dermatophytes. For mild cases, your doctor will tell you to keep the affected area of your skin dry and exposed to air. Intertriginous zones are areas of skin that touch each other. Moisture-associated skin damage (MASD), inflammation and erosion of the skin, results from prolonged exposure to different sources of moisture such as feces, urine, sweat, saliva, wound exudate, mucus, perspiration, digestive secretions, and other bodily fluids. Intertrigo. It has a foul smell and the intensity of the smell increases if the area is not dried properly or cleaned frequently. 4 ICD-10 code L30. To treat intertrigo on the buttocks, several measures can be taken. Treatment is rapidly effective in the majority of patients. Candidiasis of skin and nail. Intertrigo is similar to inverse psoriasis, and also appears in the folds of skin around the: breasts. What is it intertrigo?. Treatments. Talk to a doctor now . Diabetes mellitus is a common and debilitating disease that affects a variety of organs including the skin. . 9. All products: Do not take Calazime Skin Protectant (zinc oxide) by mouth. Intertrigo appears as softened red skin in body fold areas. Commonly affected areas include the elbows, knees, armpits, groin, and breasts, along with. Sore or. Intertrigo is a rash caused by fungus, bacteria, or yeast. Treatment – High-quality data on the efficacy of treatments for intertrigo are lacking. Treatment is aimed at drying the skin and. What is Intertrigo? Intertrigo is a common rash that typically occurs in skin folds, such as the armpits, between the toes, between the buttocks, the groin area (especially in men), neck creases and the underside of the breasts and stomach. The main causes of sweat rash include moisture, heat, lack of air circulation and friction between skin folds. Coconut oil has anti-inflammatory and skin protective properties. the clinical features, response to treatment and prognosis. Softened or macerated skin. is the umbrella organization of German-speaking wound treatment societies. Initiating factors include moisture and friction associated with an absence of air circulation in deep skin folds. Coconut Oil. Anti-Fungal Powder.