Genitocrural area contact dermatitis
Contact dermatitis can complicate other skin conditions in the genitocrural area (eg lichenified endogenous dermatitis, seborrhoeic dermatitis, candidiasis, tinea, psoriasis)—several of these (eg candidiasis, tinea, psoriasis) can also complicate contact dermatitis.
Advise patients with contact dermatitis in the genitocrural area to avoid possible allergens or irritants (eg soaps, cleansers, hygiene sprays), particularly in the perianal, vulval and penile area. Reduce sweating and friction caused by clothing.
Treat bacterial or candidal infection (eg balanoposthitis, cutaneous candidiasis, candidal vulvovaginitis), if needed.
To reduce inflammation, use:
methylprednisolone aceponate (adult, or child 4 months or older) 0.1% cream, ointment or fatty ointment topically, once daily until skin is clear (usually about 7 days). methylprednisolone aceponate methylprednisolone aceponate methylprednisolone aceponate
For severe inflammatory reactions, particularly with acute vulval, penile or scrotal rashes, a course of oral corticosteroids is needed—refer these patients to a specialist for diagnosis and patch testing. While waiting for specialist advice, use:
prednisolone (or prednisone) 25 to 50 mg orally, once daily for 5 to 7 days, then taper over 2 weeks to minimise rebound flare. prednisolone prednisolone prednisolone