Unauthenticated |. It may sound funny, and of course, we can laugh about it. Liposarcoma in the arms or legs may cause pain, swelling, or weakness in the affected limb. Kimberly LeBlanc. Answer: Update to previous question regarding removal of banana roll / double gluteal crease. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. Although gluteal lift as part of the. The gluteal fold is described as a natural wrinkle or fold in the skin that can be found near the top of the buttocks. The gluteal cleft and the gluteal fold both occur normally in humans. Weeping, oozing, or crusting. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Answer: Butt crack too high after LBL (intergluteal crease) (Photo) Hi. Personally I prefer the look without the crease but regardless making one is some thing that should be left to the hands of God. It affects about 70,000 people in the US annually and is more common in men than women. Pilonidal cysts are common in young men. Pilonidal sinus disease is an inflammatory condition involving the hair follicles that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus. occasional discharge. And pictures of rashes in medical textbooks often feature white models. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. In infants, intertrigo often appears as a diaper rash. 5. Anus: Rashes at the anus can cause rectal bleeding and pain with passing stools. In the crease(s) of your neck. Superior: iliac crest. Whatsapp：0912584822. The thumbs are freely mobile but are held adducted and flexed across the palms with the fingers tightly clutched over them. They don't usually cause problems or need treatment unless they get infected. This cyst and the overlying skin in the area can become infected, forming a painful abscess. Gluteal royalty-free images. Browse Getty Images' premium collection of high-quality, authentic Gluteal stock photos, royalty-free images, and pictures. k. Discharge of pus from the affected site. Initiating factors include moisture and friction associated with an absence of air circulation in deep skin folds. The gluteal muscles are the gluteus maximus muscle and the gluteus medius muscle. A butt bruise, or gluteal contusion, is an injury to the gluteal muscles of the buttocks caused by damage to muscle fibers and blood vessels, resulting in bleeding under the skin. Rozzelle. The way to correct this is to directly cut out that area but you will have to be wiling to accept a scar inside the new crease. Peter Fisher M. Zywicke and Curtis J. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft. Armpits and groin. A 1-year-old female presented with a mass and a dimple on her right lower buttock (Fig. Most sacral dimples are harmless and don’t need treatment. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. It extends from the upper iliac crests to the lower gluteal fold of the skin. I don't go to the gym anymore so above stats are useless. Gluteal sets are easy exercises that help improve muscular contractions and strengthen the gluteal muscles of the hip. Sunday：Closed. A fungal rash on the buttocks, and areas of the groin, inner thighs, and skin folds. This is a main concern for this kind of surgery, because incision is always prone to get a little bit higher. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. These cysts are usually caused by a skin infection and they often. Intertrigo is an inflammatory process that affects the skin and it may be caused by moisture trapped between the skin folds, heat and humidity, improper air circulation, and friction between the skin fold. Overview. anatomy tutorial on the muscles of the gluteal region using the BioDigital Human browser (This. Although intertrigo can affect only one skin fold, intertrigo commonly involves multiple sites. Folliculitis. The vertical line starts from sacrum to the perineum. The gluteal cleft is just above the anus. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. Switch legs and repeat steps 1 through 4 on your other side. A simple dimple is one that is located within 2. Deviated gluteal creases varied in appearance from S-shaped to mostly straight with a superior angulation. If this is your case, you should mix ½ teaspoon of nutmeg powder in 1 cup of water or milk and. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). I have this too. Honey: Rubbing honey on. Intertrigo, or intertriginous dermatitis, is a common inflammatory condition of skin folds characterized by moist erythema, malodor, weeping, pruritus, and tenderness. Ischial bursitis causes pain in the lower part of the buttocks that can travel down the leg. Deviated gluteal creases varied in appearance from S-shaped to mostly straight with a superior angulation. Fissure: Straight breaks in the skin that go deeper than the top layer of skin into the second layer of skin. Symptoms include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. 815 gluteal stock photos, vectors, and illustrations are available royalty-free. The V crease is formed by two lines arising in the proximal portion of the gluteal crease. The gluteal folds and popliteal fossae were asymmetric, a Galeazzi test was positive, and the right leg measured approximately 2 cm shorter than the left leg. ulcers. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. In your armpits. Intertrigo is an inflammatory rash that occurs between skin folds as a result of friction, moisture, and lack of airflow. Hello and thank you for your question. HSV infection usually appears as a group of small vesicles (fluid-filled blisters), erosions (sore areas of missing skin. Wechat：huangsm30. Post-op massage and even negative pressure devices may be needed over the following weeks to ensure proper balance of the new tissue structures. Moisture-related skin breakdown is usually characterized by superficial skin loss and irregular edges, classified as MASD (moisture associated skin damage). The medical term for intertrigo is intertriginous dermatitis . If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. 4. Ems0. Intertrigo can be worsened by any conditions causing increased heat, wetness, and friction. The distinctive anatomic and radiologic features are discussed. Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. and Etiology of Buttock Ulcers Example of wording for Early IAD: “After assisted to a semi-prone position for exam, dry, intact erythematous skin is observed surrounding the anus and along both sides of the gluteal cleft from bilateral gluteal creases to the top of the gluteal cleft. Bruising. Answer: Double gluteal fold. In the best case scenario, it makes your folds more symmetric, but comes at the expense of an. The functions of the muscles include extension, abduction, external rotation, and. Gluteal Cleft stock photos are available in a. Anomalies of the gluteal crease had the lowest proportion of agreement. An anal abscess is an acute infection of a cavity near the anus or rectum. Deep gluteal syndrome used to be called piriformis syndrome, because healthcare providers thought the pain always came from the piriformis, a muscle in your buttock, pressing on your sciatic nerve. Standing or sitting for a long time or climbing stairs can make the pain worse. a dimple larger or deeper than 5 millimeters (mm) discoloration. Thanks for the pictures and provided information as well. The right gluteal crease is lower than the left. Based purely upon your photos and not an in person physical exam, you may be better off playing it safe and avoiding any surgical treatment for your particular lower buttock double crease. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. Abstract. Gluteal tendinitis; Gluteal tendonitis. 5 and 1. swelling in the area. Urinary and bowel dysfunction are nearly universal. Some people have a higher or a lower one. Intertrigo is a skin condition that causes a rash in skin folds, such as under the breasts, in the groin, or in stomach folds. Your options are to carefully suction the fold and to either do a surgical buttock crease lift or fat injections to to butt just above the crease, or a combination thereof. Certain techniques when painting the patient before surgery allow us to place the incision trying to avoid this issue. Ensure your chest does not lift during. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. But it actually stems from an. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Mrs. The scientific name for the single gluteal fold is the infra gluteal fold. Boils often resolve without treatment. 2 /19. In the armpits. Report a problem. A rash whose center tends to clear as the rash spreads. 7 A). 3 is between the ideal range for a safe and successful BBL surgery. 0b013e31828f1a2e. They typically measure a few millimeters or less and are skin-colored or slightly darker. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. A gluteal fold in and of itself is the area where the buttocks are separated from the upper thigh. 1/7. Skin infection with bacteria is the common causes of furuncles on the buttocks. They can be the same color as your skin, lighter, or darker. Answer: Double gluteal fold. The length of the infragluteal fold significantly impacts the appearance of the buttock, and a longer crease is a sign of buttock ptosis due to skin laxity . Pain. If I have a nice booty in a few months. The gluteal thigh flap may be raised to include the inferior portion of the gluteus maximus. Medications. Using verbal descriptors from Gray’s Anatomy,6 I drew markings to indicate the different areas of the but- Accurate description of wound location is an important tocks based on the location of bony prominences, and I. Duplicated gluteal creases were classified based on crease appearance above the buttocks. Gluteal Crease Shape. A good moisturizer for areas of dry and cracked skin may include a number of active ingredients, such. Gluteal cleft Pictures, Fissure, Shield, Abscess, Asymmetric cleft. The skin around the ulcer can be discolored, raised, or thickened. photo by Janelle Aby, MD. Included in these groups were several. · No relation to gluteal cleft · Distance from anus >2. Learn more about how to deal with. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). You can treat a fungal infection by using antifungal powders, creams, or sprays. It is the longest of the three gluteal lines, begins at the iliac crest, about 4 cm. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Red, slightly scaly skin in the groin, usually with a definite edge or border. Steven Wallach, MD. Herein, we describe the case of a patient with a gluteus maximus muscle tear confirmed by ultrasonography (US) and magnetic resonance imaging (MRI). To prevent this, as much as possible, liposuction can be limited to only the superficial layer of fat, just under the skin, in the area at and. A banana fold may form for different reasons, among which an. Epidermoid cyst signs and symptoms include: A small, round bump under the skin, usually on the face, neck or trunk. The crooked gluteal fold seems to be caused by more fat on one side than the other. Contour deformities are marked. 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. 3% and duplicated creases were found in 16. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. Intertrigo is a rash that results from irritation of the skin in body folds (eg, armpits, under the breasts, belly, buttocks, groin, and sometimes between fingers or toes). Six patients had an abnormal gluteal fold. It is also known as the “butt crack” and “intergluteal cleft. The red rash might be seen in the groin, armpits, under the belly or breasts, buttocks, neck creases, or between the toes. Heat. Skin Ulcer Symptoms. Some people have a higher or a lower one. In an upright standing position some people create a fold at the intersection between the buttocks and the back of the thigh. A boil, or skin abscess, is a collection of pus that forms in the skin. But it actually stems from an. The picture. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. stretching. The swan neck deformity of the gluteal crease is characteristic (Fig. In the authors’ opinion, the flap design and incision lines do not violate these characteristics. The lumps heal slowly, recur, and can lead to tunnels under. Folliculitis can be caused by an infection from bacteria, yeast. Cuenca-Guerra and Quezada published the first systematic approach to gluteal aesthetic classification in 2004 . Ultrasound is valuable for imaging of infants and young children and for. Synonyms: Anal cleft, Crena ani. See real patient photos. The bump may increase in size. You may. B, Sagittal T1-weighted (A) and STIR (B) MR images obtained above superficial gluteal crease show high-signal-intensity skin marker ( ) above nevus. Bowel and bladder dysfunction are universal. Do loaded squats to work the glutes, hamstrings and quads and to release anabolic hormones – testosterone and growth hormone -- which build muscle mass for a rounded look and more of a butt crease. 3%. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. 120/150/70/100/180 =KG. Symptoms include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. Intertrigo can also affect the skin between the buttocks. A form of genital psoriasis, it occurs when the autoimmune disease affects the skin on the buttocks or in the skin folds around the anus. It can form in the crease between the buttocks and the skin around the anus and may appear inflamed, smooth, or scaly. Unfortunatley the only way to correct this is excision of the skin laxity and elevation of the upper posterior thigh skin with the incision placed in the lower buttock crease. What are my other options to shorten the fold? Is fat transfer to the crease an option to restore the lost structural volume?The superior gluteal nerve is found in the lower pelvis and arises from the dorsal divisions of the L4, L5, and S1 nerve roots of the sacral plexus. It is proposed that for MASD to occur, another complicating factor is required in addition to mere moisture. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. Sagittal T1-weighted (A) and STIR (B) MR images obtained above superficial gluteal crease show high-signal-intensity skin marker (•) above nevus. Having said that, I cannot say that I would recommend the procedure. There could be additional systemic symptoms if the rash is a part of an autoimmune or allergic disorder. Gluteal muscles, located on the back of the hip (buttocks) The adductor muscles on the inner thigh bring the leg back to the center when out to the side; The iliopsoas muscle, which extends from the lower back to upper thigh bone (femur) Quadriceps, a group of four muscles that comprise the front of the thighBackground. They are not harmful to one’s health and do not necessitate. 1. Gluteal augmentation with fat grafting is a procedure that has seen a dramatic increase in popularity in recent years, ranking 10th of all surgical procedures performed by members of the International Society of Aesthetic Plastic Surgery in 2016. When promptly identified, prognosis is good. Witch hazel: Witch hazel is effective in treating rashes on the buttocks and genital area, according to research published in the Journal of Cutaneous Medicine and Surgery. The superficial group includes the gluteus. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. tearing. Browse Getty Images' premium collection of high-quality, authentic Gluteal Cleft stock photos, royalty-free images, and pictures. 2 /19. These cysts can contain hair, skin fragments, and other tissue. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). Under the breasts. Steven Wallach, MD. Bruising is a common cause of buttock pain. redness. Preoperative markings are performed the evening before the operation and photos are taken. Pus-filled head on the bump, which may spontaneously drain, weep, or ooze. It usually looks like a reddish rash. The blisters distinctly appear in a single stripe on one side of the. Our team of board-certified plastic surgeons and medical specialists guides our patients through every step of the buttock. Background. Picture of Pilonidal Cyst. This is the softening of the skin that has deep creases around the angles of your mouth. 7 The locations of the perforators from the internal pudendal artery. The buttocks are formed by the masses of the gluteal muscles or "glutes" (the gluteus maximus muscle and the gluteus medius muscle) superimposed by a layer of fat. Liposuction is a safe, popular, and effective way to contour the body. It is usually seen as white patches in the mouth or in the. Hope this helps!Subscribe Now:More:exercise to define the gluteal f. It’s usually located near the tailbone at the top of the buttocks crease. Here are some of the conditions that can cause pain in your buttocks, as well as tips to help you figure out which one you might have. Deviated single creases were found in 8. Typically, pilonidal cysts occur after puberty. Standing or sitting for a long time or climbing stairs can make the pain worse. Answer: Gluteal cleft. Back dimples. 7% had lumbosacral and/or coccygeal hairiness. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. Psoriasis is a common scaly skin condition resulting in red scaly and thickened patches of skin. com The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. Advertisement. Intertrigo is an inflammatory skin condition that can be caused and worsened by many factors. Sacral Dimples Holly A. Pus or blood leaking from an opening in the skin. In person evaluation is needed. It is a visible border separating ass into two parts. The most common areas include: Between toes. Having said that, I cannot say that I would recommend the procedure. APR with en bloc resection of the posterior wall of the vagina. This type of rash is focused on the genitals, buttocks, thighs, and stomach, but it’s not usually found in the creases or folds of the skin. The remaining 24. The disorder causes the tendon tissue to break down or deteriorate. This pain will be found along an imaginary line that runs from the very tip-top of the gluteal fold (butt crack) to the greater. Sacral Dimple. 5 cm above the anus) and solitary. Chafing is a skin condition that occurs when you have repeated skin-on-skin contact or when your skin rubs against clothing or another material. Browse 93 gluteal muscles photos and images available, or start a new search to explore more photos and images. Healthy newborns often have smaller dimples within the gluteal crease. Sign in to MyChart. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. Hip dysplasia is often referred to as Developmental Dysplasia of the Hip (DDH). Typically, pilonidal cysts occur after puberty. The area of skin laxity can be improved with fat grafting in much the same way that a buttock can be contoured in the Brazilian buttlift. nervous system sacral dimples Pediatrics in Review Vol. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. The lower gluteal suspension loop aids in curving the lower gluteal fold upwards, leading to a oblique. 1097/WON. Rudderman’s plastic surgery patients. Your feet should be 12–16 inches (30–40 cm) from your butt. A V-shaped crease (sacral triangle), which arises from the proximal end of the gluteal crease and extends toward the sacral fossettes. Gluteus maximus. The three muscles originate from the ilium and sacrum and insert on the femur. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. On the underside of the belly or breasts. 5–0. 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. 0 are deemed ideal, especially if one-third to one-quarter of the buttock extends above the intergluteal crease and if one-third to one. Slide show: Types of psoriasis. The flap width is judged by a pinch test, and a flap width up to 7 cm is harvested. Symptoms can include: Swelling, redness, and pain. behind its anterior extremity, and, taking a curved direction downward and backward, ends at. One method of approaching this problem is to consider subcision of the dermal fascial attachments combined with fat transfer to smooth your contours. The patient re-attended A&E three weeks later with increased buttock swelling and discomfort. CONCLUSION. 8% had a deviated or duplicated crease. , The vertical line starts from sacrum to the perineum. It is accentuated with the added volume not because your doctor put fat in the area but rather because the overall volume pushed the two gluteal cheeks together. Inverse psoriasis, also known as flexural psoriasis, is a skin condition that may develop in the armpits, under breasts, on the groin, or in other skin folds. 1 Similarly in 2016, the United States saw a 26% increase, more than 18,000 operations,. a birthmark in the area. 1/7. 3 March 2011 111A double buttock crease can occur with liposuction or naturally. Patients may seek to enhance buttock shape with buttock implants, autologous fat transfer, autologous tissue flaps, excisional procedures, or liposuction. In one series of 187 children referred with asymmetric thigh creases alone (in the absence of any other signs) only one child required intervention. Intertrigo can be worsened by any conditions causing increased heat, wetness, and friction. They may be due to the abrasion and irritation of the skin from wearing tight clothes or bicycle riding. Dimples that may require further investigation are those that are large. Access records and results, view and pay bills, request prescription renewals, and request appointments. Chafing. Hold for 15 to 30 seconds. You may. An odor from draining pus. tenderness. The damaging effects of moisture, pressure, friction, and shear on human tissue are well. –Skin damage is shallow or superficial and edges are irregular or diffuse. . 38. An estimated 1 in every 100 babies is treated for hip dysplasia in some form. Staphylococcus aureus is a known type of bacterium that is responsible for the formation of boils on the skin surface. Moist, sensitive skin areas are more likely to develop inverse psoriasis, so you may be more likely to experience: Bacterial, fungal or yeast; Itching. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. Back to the backside with a look at the three gluteal muscles and what they're there for. Nutmeg: this home remedy is used to decrease the growth of bacteria and improve blood circulation and reduce inflammation in the buttock. Answer: Surgery for left buttock ptosis. Symptoms can include: Swelling, redness, and pain. The remainder of the exam was essentially normal. An anal. The Gluteus medius and minimus work together as hip abductors and are vital to normal. Answer: It is possible to correct and asymmetric gluteal crease. For many women today, a full, well-rounded buttock is considered attractive and has connotations of health, youthfulness, as well as sexual allure. Augmentation of the fold with fat would help you achieve a smoother transition between. In the crease of the neck. Yeast Infection on Skin: Pictures, Causes, Symptoms, Remedy. 0553, Fisher’s exact test). An abscess occurs when an anal gland becomes clogged with bacteria, fecal matter, and foreign. Many of my patients who desire a fuller, beautifully rounded backside, with great projection, opt for BBL. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. In the groin area. Day 1: Push Day (chest, shoulders, triceps) Day 2: Leg Day (glutes, quads, hamstrings, calves) – Work underbutt here. Inflamed, swollen skin. Distal leg and foot weakness are common, although sensation is curiously spared. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. ICD-10-CM Diagnosis Code M76. The main artery in the gluteal region is the internal iliac artery, which gives off branches, namely the superior gluteal artery, inferior gluteal artery, and internal pudendal artery. Intertrigo is a common inflammatory skin condition that is caused by skin-to-skin friction (rubbing) that is intensified by heat and moisture. Yeast infection: This is a common cause of: Vaginal itchStep 1: Begin by standing with your feet a little wider than your hips. The infragluteal crease 1 appears in literature as several terms such as “gluteal crease,” “infragluteal fold,” “infragluteal sulcus,” 19 “horizontal gluteal fold,” “gluteal fold,” “inferior buttock crease,” “lower gluteal crease,” and “inferior gluteal crease. 5–4 cm in size, with the long axis lying. Liposuction allows your plastic surgeon to transform your entire shape. The gluteal cleft refers to the separation of the buttocks. 8 cases per 1000 live births. irritated skin. Email: info@woundcaresurgeons. Areas affected by intertrigo may also become infected with yeast or bacteria. By palpation there is no The gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. 8 became effective on October 1, 2023. Gluteal cleft is the vertical partition which separates buttocks. 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. and . Pitanguy's 33 early attempts to camouflage incisions within the gluteal crease at the time of direct excision resulted in a distorted transition between gluteal mound and upper posterior thigh. Around your penis, scrotum or vulva. Symptoms of pilonidal cysts include pain, redness, swelling, fever, and discharge of blood or pus. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. These lesions are also often mistakenly labeled stage 1 or stage 2 pressure ulcers/injuries. Sometimes people have extra folds in the buttock region. Its limits are (Fig. Q82. Intertrigo is an inflammatory rash in a skin fold, often due to sweat and friction, an inflammatory dermatosis, or infection. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. The upper portion of the ischium forms a major part of the concave portion of the pelvis that forms the hip. area, on and between the buttocks, into the skin folds, and down the inner thighs • Scaling of the skin with papule and vesicle formation: –These may open, with “weeping” of the skin, which exacerbates skin damage.