Topical treatment

• Avoid local anaesthetics, antiseptics.

• Advise aqueous cream to wash anus (instead of soap).

• Most effective preparations (for short courses): hydrocortisone 1% cream or hydrocortisone 1% cream with clioquinol 3% or clotrimazole 1% (especially if dermatosis suspected)

If an isolated area and resistant, infiltrate 0.5 mL of triamcinolone intradermally. Fractionated X-ray therapy can be used if very severe.

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