Factors such as the deep intergluteal
fold and curved anatomic shape of the sacrococcygeal region may predispose pathogenesis of PSD.
Under spinal anesthesia, the patients were placed in the prone jackknife position and their gluteus muscles were separated from each other, with a plaster revealing the intergluteal
The evaluation of the patient at her admission to our clinic 3 years after the appearance of the wound in her perinea (Figure 1) revealed diffuse cellulitis in skin comprising vagina, which extended up to both the gluteus muscles, leading to the posterior intergluteal
sulcus deterioration plus serious subcutaneous tissue loss that destructed the internal and external sphincter muscles.
Erythrasma typically appears as delineated, dry, red-brown patches in intertriginous areas, such as the axilla, groin, interdigital spaces, intergluteal
cleft, perianal skin, and inframammary area.
 The management of the patient with recurrent disease may require a more complex surgical approach as the excision may be wider or the initial surgery may have led to the loss of the intergluteal
Vertical axis of intergluteal
line test: placing the lead wire at the level of the intergluteal
line, check if it falls to the left or to the right of it or in a central position.
In this phenotype, the lesions are dry, sharply demarcated, oval/circular plaques and can be localized all over the body, but eventually affecting mostly the knees, elbows, lumbosacral area, intergluteal
cleft, and scalp [20,21].
Flap methods, which are have increased in popularity in recent years, aim to correct the intergluteal
line and reduce scar tissue that may form on the midline.
The main clinical feature of psoriasis is sharply demarcated, erythematous, scaling plaques that typically affect the elbows, knees, scalp, and intergluteal
Aim was to create an asymmetrical thick flap across intergluteal
cleft to make cleft shallow and away from midline.
Afterwards, the intergluteal
region should be prepped and draped in a sterile manner.
The other less common sites are lumbosacral and intergluteal