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| Year : 2021 | Volume
: 14
| Issue : 1 | Page : 108 |
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| Double helix bandage using toilet roll as toe separator to manage intertrigo |
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Karalikkattil T Ashique1, Chakravarthi R Srinivas2, Vamshi Krishna2, Satyajit Sahu2
1 Department of Dermatology, Amanza Health Care (Nahas Skin Clinic), Perinthalmanna, Kerala, India
2 Department of Dermatology, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India
Click here for correspondence address and email
| Date of Web Publication | 27-Mar-2021 |
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Keywords: Candidiasis, intertrigo, tinea pedis, toe separator, toe space
How to cite this article:
Ashique KT, Srinivas CR, Krishna V, Sahu S. Double helix bandage using toilet roll as toe separator to manage intertrigo. J Cutan Aesthet Surg 2021;14:108 |
How to cite this URL:
Ashique KT, Srinivas CR, Krishna V, Sahu S. Double helix bandage using toilet roll as toe separator to manage intertrigo. J Cutan Aesthet Surg [serial online] 2021 [cited 2021 Apr 11];14:108. Available from: https://www.jcasonline.com/text.asp?2021/14/1/108/311828 |
 Challenge | |  |
Recurrence is very common in interdigital dermatoses such as candidiasis especially among diabetic patients and in people with less interdigital space between the toes, possibly because of tight and ill-fitting shoes. Managing them is very difficult because inability to keep the area dry all the time is the first hurdle and retention of medication being the next. A few techniques have been described earlier; however, they had their practical difficulty of bulk and utility when wearing closed footwear.[1],[2]
| Solution | | |
We find that the use of soft napkin in wound around the toes such as a ribbon can do the trick with utmost user friendliness [[Figure 1] and Video 1]. It is possible to limit to affected interdigital space only. This is cheap, easy to administer, absorbent, and will not affect wearing of the shoes, etc., even with the tissue in place. In addition, medications can be applied on to the tissue that helps drug delivery all the time and aids management of chronic candidiasis. | Figure 1: Right foot with the bandaged paper in place which makes it easy for the patient to wear a sock and shoe over it
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Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | | |
| 1. | Sundaram SV, Srinivas CR, Thirumurthy M Candidal intertrigo: treatment with filter paper soaked in Castellani’s paint. Indian J Dermatol Venereol Leprol 2006;72:386-7.  |
| 2. | Vedamurthy M, Ashique KT, Moorthy A, Samuel S An innovative approach for separating the toes to manage interdigital dermatoses. J Am Acad Dermatol 2016;75:e189-90. |
Correspondence Address:
Karalikkattil T Ashique
Department of Dermatology, Amanza Health Care (Nahas Skin Clinic), 4/220, Queen Complex, Above Axis Bank, Ooty Road, Valiyangadi, Perinthalmanna 679322, Kerala.
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/JCAS.JCAS_178_19
[Figure 1] |
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