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Acne Help (Home) > Rare Skin Disorders > Erythrasma

Erythrasma: Symptoms, Treatment and Prevention

Erythrasma is a superficial skin infection caused by corynebacteria that commonly occurs in intertriginous spaces. While moderate itching and discomfort may be noted, the patient generally presents with only 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. The lesions are largely confluent but 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.

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. The preferred treatment for erythrasma is a course of oral erythromycin, plus vigorous daily cleansing with soap and water.

Symptoms of Erythrasma

This condition mainly affects adults and persons with diabetes. The condition usually appears in areas on the body where skin touches skin, such as under the breast and in the groin area. Symptoms may include irregular pink patches that turn into brown scales.

Treatment for Erythrasma

• Antibiotics
• Antibacterial soap

Prevention for Erythrasma

These measures may reduce the risk of acquiring erythrasma:

• Maintaining good hygiene
• Keeping the skin dry
• Wearing clean absorbent clothing
• Avoiding excessive heat or moisture
• Maintaining healthy body weight

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