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SKIN DISEASES: erythrasma Location: commonly occurs in intertriginous spaces. Symptoms: causes moderate itching and discomfort, skin-color changes in the infected area. The infected skin is often reddish-brown, may be slightly raised from the surrounding skin and may show the appearance of central clearing. Largely confluent lesions may have poorly defined borders. Because of the production of porphyrins by the infecting Corynebacterium, Wood's light demonstrates the lesions as a coral-pink color. Treatments: a course of oral erythromycin, plus vigorous daily cleansing with soap and water. Note: Erythrasma is often confused with a fungal infection, such as tinea cruris, but this confusion is of little consequence since corynebacteria are often eradicated with an imidazole cream (such as Miconazole and others), the agent used to treat tinea infections. |
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