Clinical Challenge: Painful erosions on the bilateral inguinal folds and intergluteal cleft

A 22-year-old black female with a past medical history significant for inflammatory bowel disease, presented to the emergency department with a two-week history of exquisitely tender erosions on her bilateral inguinal folds, perineum, and intergluteal cleft.

The patient presented for medical treatment because the erosions had become too painful to defecate. She was applying a topical anti-fungal powder to the area ...