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A 69-year-old woman presented with a 2-month history of painful lesions, which had initially appeared on the axillae, and had spread rapidly to the infra-mammary folds and groin. On physical examination there were erythematous papules coalescing into plaques and erosions in the intertriginous areas, oozing purulent fluid, including in the inframammary folds and groin (Fig. 1 A, B). There was no lymphadenopathy, lymphangitis or mucous membrane involvement. The patient had no other systemic symptoms. Results of laboratory tests, including urea, electrolytes, liver function and blood cell counts were normal. A skin biopsy was obtained, which showed the presence of sparse inflammatory infiltrates with numerous plasma cells (Fig. 1 C).

Rashes, Erosions and Purulent Fluid in the Intertriginous Areas: A Quiz