
Intertrigo or MASD (moisture-associated skin damage) is common among CPL and CPPD horses.
Intertrigo
“Intertrigo is where the skin folds rub against each other and is classified as MASD – moisture associated skin damage. Skin fold care needs to focus on minimising skin-on-skin friction (hence compression padding helps) and keeping the areas clean and dry. The advice in human medicine for this problem is to use a no-rinse, pH balanced cleanser and to avoid the use of alkaline soaps. Emollient-based soap products are recommended; we use ‘cream washes’ which are basically Diprobase, Doublebase or Cetraben used like a liquid soap would be used, massaged very gently in and then rinsed off and patted dry (microfibre cloths are good, but keep these clean). The skin between the folds would be dangerous to do anything but pat dry as rubbing is to be avoided. In humans, using a wicking material in between the folds to keep them from rubbing together and allowing air circulation is considered the best practice and silver impregnated ones are good. With mild cases, the cream wash and supporting with wicking material is probably enough. Once you have smell, you have a secondary bacterial infection so would need to use topical antibacterials. Sometimes topical antifungals will also be needed.”
– Rebecka Blenntoft, Equilymph Ltd
Photo credit Andrea Skelton Photo credit Gemma Anderson Photo credit Gemma Anderson