Tacrolimus ointment is effective for facial and
intertriginous psoriasis.
1) Because lesions are also found in
intertriginous areas, such as the axillae or abdominal folds, sunlight cannot be implicated in every instance.
It can present as beefy red erythematous plaques on the buttocks, lower abdomen, thighs, or in
intertriginous areas or oral commissures.
HHD is clinically characterized by recurrent episodes of vesicles, erosions and erythematous plaques in the
intertriginous areas.
13) It may also occur in other
intertriginous areas, especially the groin.
On exam, there are several nontender hyperpigmented patches between 1 cm and 3 cm on the dorsum of the hands, and
intertriginous areas with overlying erosions.
The regions typically affected are the
intertriginous areas--the axillae, groin (genital, perigenital, anal, and perianal areas), infra-and intermammary skin, buttocks, and upper thighs, although other areas--such as the nape of the neck and scalp--can be involved.
Indeed, our patient that received adalimumab for treatment of PsA concomitantly experienced almost a complete regression of
intertriginous psoriasis, which had been resistant to conventional topical anti-psoriatic agents.
Intertriginous xanthomas are rare, but pathognomonic of this disorder.
16) TCIs are not associated with skin atrophy and are therefore useful for the face and
intertriginous areas.
Other complications, such as a persistent skin condition (for example,
intertriginous dermatitis, panniculitis, cellulitis, skin ulcerations), that are refractory to standard medical treatment or a panniculus that interferes with activities of daily living also may qualify the patient for coverage.
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