Journal of Cutaneous and Aesthetic Surgery
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   Table of Contents     
INNOVATIONS  
Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 114
Double helix bandage using toilet roll as toe separator to manage intertrigo


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

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Date of Web Publication27-Mar-2021
 

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;14:114

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 Oct 18];14:114. Available from: https://www.jcasonline.com/text.asp?2021/14/1/114/314406





   Challenge Top


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 Top


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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[Additional file 1]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

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.  Back to cited text no. 1
    
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.  Back to cited text no. 2
    

Top
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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCAS.JCAS_178_19

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