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Erythrasma
Aka: Erythrasma, Cutaneous Erythrasma, Corynebacterium minutissimum
- See Also
- Intertrigo
- Risk Factors
- Similar to risks associated with Intertrigo
- Symptoms
- Usually asymptomatic
- May be pruritic in some cases
- Signs
- Small red-brown Macules (may form larger patches)
- Distribution in intertriginous areas
- Interdigital web spaces
- Gluteal crease
- Inguinal area
- Axilla
- Inframammary
- Diagnosis
- Wood's Lamp: Fluoresces coral red
- Gram Stain: Gram Positive rod with long filaments
- Differential Diagnosis
- See Intertrigo
- Cutaneous Candidiasis
- Dermatophytes
- Tinea Pedis
- Tinea Cruris
- Psoriasis
- Managment
- Antibiotics
- Erythromycin 250 mg orally qid for 5 days
- Clarithromycin 1 gram orally for 1 dose
- Topical Antifungal agents with activity in Erythrasma
- Miconazole
- Clotrimazole
- Econazole
- Treat coexisting fungal infection (see Intertrigo)
- Adjunctive topical agents
- Cleocin-T or Erythromycin gel
- Whitfield's Ointment
- Sodium fusidate ointment
- Antibacterial soap
- Chlorhexidine (Hibiclens)
- Prevention
- See Intertrigo
- References
- Habif (2004) Clinical Dermatology, p. 419
- Holdiness (2003) Am Fam Physician 67(2):254 [PubMed]
- Janniger (2005) Am Fam Physician 72:833-40 [PubMed]