Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What condition is characterized by linear breaks in skin at the base of skin folds due to trapped moisture?

1. Periwound MASD

2. Intertriginous dermatitis

3. Dermatitis herpetiformis

4. Fungal infection

The correct answer is: Intertriginous dermatitis

The condition characterized by linear breaks in the skin at the base of skin folds due to trapped moisture is intertriginous dermatitis. This skin condition occurs in areas where skin surfaces rub against each other, often in warm and moist environments, leading to irritation and inflammation. The continued friction and moisture create a perfect environment for skin breakdown, resulting in the characteristic fissures and inflammation seen in intertriginous dermatitis. In contrast, periwound moisture-associated skin damage (MASD) typically occurs around wounds and does not specifically involve skin folds or the linear breaks described. Dermatitis herpetiformis is an autoimmune blistering condition associated with gluten sensitivity and does not primarily manifest as linear breaks in skin folds. Fungal infections can occur in skin folds but typically present with a more broad rash and are caused by specific pathogens, rather than being solely due to trapped moisture and friction. Thus, intertriginous dermatitis is the most accurate choice based on the provided description.