The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. INTRODUCTION. ICD-10-CM Diagnosis Code M76. In the sacral area, there are several common skin problems that require differential diagnosis, including skin tears, 3 moisture-associated skin damage (MASD), 8,9 gluteal cleft, 10 or friction injuries. 2. A pilonidal cyst is a cyst or abscess (boil) located near the intergluteal cleft, otherwise known as the groove between the buttocks. 323 - other international versions of ICD-10 L89. nursing fundamentals-wound care. There is a small drain that is left in place for a few days, and removed in the. Friction from the movement of adjacent skin results in chafing. with feculent discharge and flatulence from the wound. Exploration with a Q-Tip revealed that these two wounds communicated deep down. We have performed over 2 dozen cases using this technique, and all of our. gluteal cleft with associated midline pits. A butt rash can have several causes. This is not noticed when your child has on clothing. Approximate Synonyms. Gluteal implants are an effective and predictable way to remodel the buttocks. Pressure Ulcer of Gluteal Cleft. But if it's infected, the skin around the cyst may be swollen and painful. 82 became effective on October 1, 2023. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant. Hair and other debris from skin or clothing can lodge in the pores. INTRODUCTION. Erythema intertrigo. 829A became effective on October 1, 2023. 309 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 353 results found. Gluteal tendinitis; Gluteal tendonitis. The rotating of tissue causes the gluteal cleft to shift. moisture that stays on the wound can stimulate the growth of bacteria and fungus, causing the. And it may be necessary for two caregivers to assist with skin assessment in this patient population. Excludes1: traumatic amputation of part of abdomen, lower back and pelvis ( S38. Linear SevereCare was taken to place the first limb in the gluteal cleft and along the gluteal fold, mirrored by the opposing flap (Figs. Its. Click the card to flip 👆. This lady left me much improvedat the end of three ^months treatment. Sternberg performed a cleft lift procedure. The most common areas include: Intertrigo can also affect the skin between the buttocks. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. 31 - Cutaneous abscess of buttock. Puncture wound without foreign body of left upper arm, initial encounter: S41132S: Puncture wound without foreign body of left upper arm, sequela: S41139A: Puncture wound without foreign body of unspecified upper arm, initial encounter: S41139S: Puncture wound without foreign body of unspecified upper arm, sequela: S41141Sof gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. Applicable To. 1 Given the low incidence rate of OSD at 0. Gluteal cleft and coccyx stage 3 with DTPI in wound bed: Coccyx: Wound improved and was 1. However, the. Triad is easy to apply, and can be used on the wound or peri-wound skin. These DTI patterns have been seen in patients who have. This is the procedure we provide at the Evergreen Surgical Pilonidal Clinic, in Eau Claire, Wisconsin. 16 to 26/100,000 per year. An ulcer is a break in the skin that fails to heal in a. A. painstaking wound care is feasible. split; divided; a crack or crevice; an indentation. S78 Traumatic amputation of hip and thigh. Laceration of right buttock; Right buttock laceration; Stab wound of right buttock; ICD-10-CM S31. 829. After injecting with 0. It is commonly seen in the skin between. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. Messages 1,130 Location Hibbing, MN Best answers 0. 322 became effective on October 1, 2023. Read about recovery time, diagnostic tests, and prevention. Epigastric mass; Epigastric swelling, mass. A stage 2 pressure ulcer may appear as a shallow, crater-like wound or a blister containing a clear or yellow fluid. Extrapolating the reported improvement in perineal wound healing, a total number of 146 patients (73 per group) are needed to be able to detect a 20% increase in primary perineal wound healing by use of a gluteal turnover flap (from 65 to 85%), applying a Chi-Square test with a two-sided 0. Clinical case series: Using a hydrophilic wound dressing for autolytic debridement. It can become infected or inflamed, and usually requires surgical excision of the sinus. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. L02. 829A became effective on October 1, 2023. I do not believe surgical intervention is warranted at this time. S31. The right buttock PI was treated with. The gluteal fat is allowed to appose and excess skin is excised to re-contour the natal cleft and allow a shallower closure away from the midline. such as poor wound healing. Unfortunately, pilonidal wounds often will not heal until the gluteal cleft is flattened – and although a wound vac may initially speed up healing, it will not do anything to prevent recurrence of. The first is the frictional motion of the deep cleft, which creates continuous irritation to the healing wound; the second is the midline nature of the wound, which is a product of constant lateral traction during sitting. In split gluteal flap, only the superficial 1-1. The authors present results of surgical treatment of 98 patients with gluteal wounds. Packing: if an abscess or open wound has gauze dressings inserted into it and changed daily, this is referred to as “packing”. Q82. The symptoms from pilonidal disease can vary greatly from patient to patient. 8%. Intertriginous dermatitis (ITD), also referred to as intertrigo, is an inflammatory condition that affects opposing skin surfaces and can occur anywhere on the body where two surfaces are in contact. 18 became effective on October 1, 2023. May be ‘copy’, ‘mirror’ or ’kissing’ lesion on adjacent buttock or anal-cleft. 0):. S31. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. 3) Excludes2: open wound of hip ( S71. 6). The superior tip of the intergluteal cleft. These lesions are also often mistakenly labeled stage 1 or stage 2 pressure ulcers/injuries. The term “pilonidal” means “nest of hair”. 82 - other international versions of ICD-10 S31. I have recommended local wound care and careful. On day 6, gluteal erythema was noted, and the wound care team recommended topical medication, attributing erythema to occlusion and moisture. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. the gluteal cleft area. 2 × 1. We then found two undamaged 350-mL gluteal implants (Polytech) with rough surfaces. 809A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 132A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. DTIs as very linear wounds with a mirror image distribution, along the edge of the medial buttocks, right along the gluteal cleft. The intergluteal cleft (a. Deep tissue was left essentially intact. Sometimes, there is only a cutaneous dimple in the midline above the gluteal cleft. In our study, the mean operative time was 55. This means that the butt crack will appear off-center. Approximate Synonyms. Healing pressure ulcer of right buttock, stage 2. INTRODUCTION. 8 - other international versions of ICD-10 Q82. Typically, pilonidal cysts occur after puberty. Left untreated, the periwound will eventually break down and the. Triad is easy to apply, and can be used on the wound or peri-wound skin. 000S - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [sequela] A pilonidal cyst is a cyst or abscess (boil) located near the intergluteal cleft, otherwise known as the groove between the buttocks. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. 5. 810A may differ. Keep the area clean, wash it gently with mild soap, and pat it dry. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. This is the American ICD-10-CM version of L89. I also agree with KeKe 74. Affected individuals – typically obese, sedentary men with excessive body hair and a deep gluteal cleft – may be asymptomatic or present with mild local. The patient. 9 cm peripherally enhancing, partially septated cystic lesion at the superior aspect of the right gluteal cleft without signs of spinal canal dysraphism or tract to. Wound, ostomy, and continence (WOC) nursing was recognized as a nursing specialty by the American Nurses Association in February 2010, and the Society published the original scope and standards of WOC nursing practice in May 2010. A clean wound without surrounding cellulitis is an. (A) The patient in the prone position. People will have a general anesthetic, and a. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. 02) open fracture of pelvis ( S32. A culture swab of the sinus demonstrated mixed growth including Escherichia coli and Staphylococcus Aureus. In response to an initiative spearheaded by the Wound, Ostomy and Continence Nurses Society (WOCN), new diagnosis codes for moisture-associated skin damage (MASD) were added to the current version of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). Excision and reconstruction using a flap - Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. She is a past President of the Wound, Ostomy, and Continence Nurses SocietyTM (WOCN®) and the National Pressure Injury Advisory Panel (NPIAP®). 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. On examination, she was also found to have intergluteal cleft fissuring (Fig 1, A and B) with previous biopsies showing cutaneous CD (Fig 2, A and B). Intergluteal cleft rashes, also known as intertrigo, are a common inflammatory skin condition caused by skin-to-skin friction and intensified by heat and moisture. In general, these unhealed wounds make surgeons unhappy, and they are. The intergluteal cleft is located superior to the anus . . Introduction. 82 may differ. , July 27th, 1888. This patient subsequently had a cleft-lift to prevent recurrence. Applicable To. Recipient vessels are commonly the gluteal vessels dissected through a muscle-splitting technique. 819S. 809A - Unspecified open wound of unspecified buttock [initial encounter] ⑩ [Billable] There's more to see -- the rest of this entry is available only to subscribers. Symptoms of intertrigo include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. S71. y Upper end of gluteal cleft*. 312 - other international versions of ICD-10 L89. Not usually over a bony prominence. Treatment usually requires having a pilonidal cyst removed surgically. This is the American ICD-10-CM version of S30. 000A - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [initial encounter] answers are found in the ICD-10-CM powered by Unbound Medicine. Triad is easy to apply, and. 309 became effective on October 1, 2023. If the wound. 9% [51, 52, 54]. Histology showed a benign intradermal naevus. 2. Deep tissue was left essentially. 313 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The inferior two wounds located on the upper inner thigh adjacent to, but not including the scrotum are now open. The coccyx, often referred to as the ‘tailbone,’ sits at the very tip (or inferior end) of the spinal column. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis. Patients had undergone a total of 141 operations with wounds still open for a combined total of 252 years. 8 × 2. Complications were recorded and are described. It is also called butt crack or ass crack. of gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. Problems with the gluteal cleft are very common. Prep solution usually pools along the side of the patient, not in the gluteal cleft. The location of the dermal pit is typically described by dividing the gluteal area into 4 equal parts, and is based on the association between the dermal pit and the intergluteal cleft, as summarized in Table 1 and Fig. 3. Deep natal cleft is an important factor in the pathogenesis of pilonidal sinus disease [ 14 ]. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus. L89. The “intergluteal cleft” is the medical term for your butt crack, which is a common area for rashes. Deep tissue was left essentially intact. The diffuse surrounding enhancement (arrowhead) indicates superimposed infection. Wound appears to be relatively clean, with only trace erythema around the periphery of the wound. ”. Pilonidal cysts typically manifest as a sinus. functions of the skin. ICD-10-CM Diagnosis Code M76. In men, the infection can destroy their scrotum. Gluteal Cleft stock photos are available in a. Her skin examination revealed multiple bullous lesions in the perirectal area involving the gluteal cleft and both. 5 oz. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. S71. A 35-year-old patient is pictured in 2B 6 months after combined bilateral pudendal and gluteal flap pelvic reconstruction. 1 Therefore, each of the new ICD-10-CM diagnosis codes were added under the category. Treatment may include cleaning and reclosing the wound and a course. Remove side release films and gently smooth each side into place. To that end, various flap-Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. . red bumps or lesions sensitive to the touch that may look like a. Bilateral gluteal and bilateral upper medial thigh flaps were raised and inset to decrease surface area. The Wound, Ostomy, and Continence Nursing: Scope and Standards of Practice, 2nd Edition is the definitive. 2). Erythematous plaques in axillae - a. In contrast to reconstruction of a large sacral soft tissue defect, options for reconstruction of a large gluteal soft tissue defect have seldom been discussed in the literature. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma with mcc; 964 Other multiple. After skin is prepared, remove the centre release film by gently pulling on pink-lined edge. 5. 9 - other international versions of ICD-10 L98. S31. 9. Lack of oxygen creates an environment where anaerobic bacteria flourish and those bacteria can bring healing to a full stop. This volume in the new Core Curriculum series from WOCN® covers Wound Management, and is the crucial text for nurses practicing or studying wound care. currenty the open sore is gone but the skin inside my cleft is still a tiny bit pink. the side of a hand along the gluteal cleft to secure placement. 8 is a billable diagnosis code used to specify oth disrd of the skin and subcutaneous tissue. 4. Gather the Facts – Perform a Complete Wound Assessment 1. Cluster of abscesses under the surface of the skin; transient with random distribution; usually triggered by an infection. S31. Triad Hydrophilic Wound Dressing offers a unique approach to wound management and wound treatment. 0):. Results Wounds in all 31 patients healed, 28 after a single procedure. 313 - other international versions of ICD-10 L89. Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous. To the Editor: Verrucous porokeratosis of the gluteal cleft is a rare skin condition that has distinct clinical and histologic features. A review of 5 cases described a characteristic clinical presentation of a butterfly-shaped bilateral gluteal cleft lesion on most patients. If the area of recurrence is relatively small with a shallow intergluteal cleft, open the tracts. What is the diagnosis code for a stage 3 gluteal cleft pressure ulcer? Are two codes required in order to capture the correct location since the gluteal cleft appears to be between both sides of the buttocks?. Gluteal tendinitis; Gluteal tendonitis. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. If the wound has opened substantially, your doctor will likely ask you to come in for evaluation and treatment. Keep in mind not to use soap. Moisture-associated skin damage and incontinence-associated dermatitis frequently occur in these two areas (Doughty & McNichol, 2016). Affected individuals. This is the American ICD-10-CM version of S31. The lower the surgical wound is in the natal cleft, the less oxygen it will receive. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). (71 g) 12 1967 6 oz. 0):. 22 Yamamoto and colleagues 23 reported a 23% rate of persistent. Abstract. These wounds come apart because they are down in the gluteal cleft, and because of the location, they do not heal. Code. PDF | The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. 1 The classic findings, found in 50% of cases, include perianal and peristomal skin tags, fistulae, perineal ulcers, linear ulcers (resembling knife cuts), abscesses, and fissures. (B) Sever all knee ligaments. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. 10 for a 60/gm tube. A 63-year-old male with a 20-year history of a chronic, recurrent sacrococcygeal pilonidal cyst was referred to our outpatient clinic. The gluteal fold is the crease formed by the inferior aspect of the buttocks and the posterior upper thigh. Computed tomography (CT) with oral and rectal. 317 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. k. The gluteal cleft is an anatomical characteristic found in both males and females. 91 - other international versions of ICD-10 L05. The area is prepped with an antiseptic solution and draped in a typical fashion. On the dressing, print “P” for Preventative dressing and add the date that the dressing was applied. 11,12 In many of the sacral-area reconstruction cases, the patients are looking for improvement in quality of life, or simply a closed wound situation. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the. 4. Treatment of the infection necessitated multiple debridements in the main operating room. Shape Diffuse often multiple lesions. If there is no abscess, gluteal cleft shaving may be used as a primary or adjunct treatment measure. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. M25. The goal is to achieve healing in the simplest and least complicated way possible. Located in peri-anal, gluteal, cleft, groin or buttock area. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. At her 2 week follow-up appointment, the left natal cleft wound had not healed and a sinus developed over the surgical site with recurrent discharge and tenderness. The affected skin will often be very raw and may itch or ooze. 3). 801A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Triad facilitates autolytic debridement to help manage necrotic tissue such as slough and eschar. When seated and standing, the buttocks clamp shut and create an air seal that traps debris and bacteria in the area, leading to slower healing. Actually, that is not the case. 7. Flex dressing to open edges of the four paper frame splits. Familiarity with complex perineal anatomy, appropriate use of imaging modalities, and the spectrum of imaging findings seen in acute perineal conditions is. The team of certified wound care nurses at this large integrated health system recognized that there was a 2-fold problem associated with their current protocol used to treat intergluteal cleft lesions. The WOCNCB wound care certification examination is a 120-item multiple-choice test administered electronically at specified testing sites around the country. Usually asymptomatic; affects the head, neck, back, or. The 2024 edition of ICD-10-CM L89. 000 - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum; S31. 5 Infrequently a patient can be asymptomatic with the lesion discovered on routine examination. Synonyms: absent navel syndrome, acquired disorder of. And it may be necessary for two caregivers to assist with skin assessment in this patient population. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. Pilonidal disease is a reaction to hair in the gluteal cleft, in which unattached hairs injure or pierce the skin, resulting in a foreign body reaction. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. BACKGROUND. This rash may burn or itch. wound without the need for a secondary dressing. It can vary significantly from one person to another. These. Jun 27, 2010. This means that the butt crack will appear off-center. 829A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Hyperglycemia on last blood sugar check; patient with poorly controlled type 2 DM. Nurses should have knowledge of the types of dressings that are appropriate for pilonidal wounds. This is the American ICD-10-CM version of L02. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. The resulting wound is off to the side of the midline so it is exposed to air and can heal well. The patient is placed in a prone position, and the safety zone is defined by the tissues that are able to touch. A full thickness skin flap is mobilized across the gluteal cleft to create an off-midline closure (Fig. The gluteal cleft is just above the anus. A wound VAC (negative pressure wound therapy) is an excellent way to speed up the healing of wounds that normally would heal if given enough time. The condition, which. EPIDEMIOLOGY. 3 Figure 2 shows a linear ulcer in the gluteal cleft, with sharply. The flaps require good preoperative planning and design. Pressure ulcer of left buttock, stage 3. S31. Triad is a sterile coating that can be applied directly onto the wound or peri-wound skin. A pilonidal cyst (intergluteal pilonidal disease) is a skin condition caused by local inflammation of the superior midline gluteal cleft, which may progress to a local abscess or fistula. IAD can erode this barrier, causing severe and uncomfortable symptoms. View all the articles associated with any code, right from the code page! The gluteal cleft is the groove running between each buttock, from the base of the spine to the perineum, which is the area between the anus and genitals. 3. Stage 1- A non blanching red area, that does not go away. , V–Y transposition, SGAP, IGAP), which leave both large and visible. 4 became effective on October 1, 2023. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. NO SLOUGH. This is the American ICD-10-CM version of L98. Approximate Synonyms. This is a result of too much exudate that hasn’t been properly managed. Damage may be focused on the dependent area of the wound in extremities, due to pooling of wound exudate. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. 312 may differ. Intertrigo is due to genetic and environmental factors. 05 significance level and with 80% power. Gluteal cleft (also called natal cleft) is the space between the buttocks, while the gluteal fold is the area where the buttock joins the upper posterior thigh. L89. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. This prolonged exposure leads to irritant contact dermatitis. Keep the dressing clean and dry. Case. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and. Severe. Another advantage of the GT-flap over other options is the symmetrical midline scarring, thereby preserving the gluteal cleft and restoring normal perineal aesthetics (Fig. Share this: “Wound” and “ulcer” are 2 major categories of wounds from the ICD-10 coding perspective – the acute form is categorized as wound and the chronic form is categorized as ulcer. Moisture-associated skin damage (MASD), inflammation and erosion of the skin, results from prolonged exposure to different sources of moisture such as feces, urine, sweat, saliva, wound exudate, mucus, perspiration, digestive secretions, and other bodily fluids. Shaving along the intergluteal fold and surrounding region can be used as a first-choice treatment in cases without abscess or as a standard component of the post-operative treatment in order to prevent. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. We use Molnlycke's silicone foam dressings for all coccyx/sacral surface wounds. Design: Before-and-after trial. S31. 317 may differ. 825S. . The depth of gluteal cleft varies and depend upon the developed gluteal muscles. The incidence of ITD was higher in patients classified as obese based on body mass index in patients 60 years and older. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. 573 Skin graft for skin ulcer or cellulitis with mcc; 574 Skin graft for skin ulcer or cellulitis with cc; 575 Skin graft for skin ulcer or cellulitis without cc/mcc;. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. The procedure consisted of excision of the sinus tracts, cysts, and open wounds; raising a skin and subcutaneous tissue flap; and flattening the gluteal cleft. Closure of the wound should be done in such a way that the gluteal cleft is flattened. Intertriginous dermatitis (ITD), also referred to as intertrigo, is an inflammatory condition that affects opposing skin surfaces and can occur anywhere on the body where.