Skin maceration is a condition that occurs when the skin is exposed to moisture for a prolonged period of time. This can happen due to various reasons such as incontinence, sweating, or leakage from a stoma. Macerated skin looks lighter in color, wrinkly, and feels soft, wet, or soggy to the touch. It can also be associated with improper wound care. Skin maceration can cause damage to the skin on a cellular level, making it more vulnerable to other types of problems and complications. Moisture-associated skin damage (MASD) is an umbrella term for four types of skin problems caused by prolonged exposure to moisture: incontinence-associated dermatitis (IAD), intertriginous dermatitis (ITD), periwound skin damage, and peristomal MASD. People who suffer from skin maceration are prone to developing bacterial or fungal infections because these microbes flourish in a dark, damp environment.

The symptoms of skin maceration include pain, tenderness in the area, a burning sensation, and extremely itchy skin, also known as pruritus. Rubbing macerated skin against clothing or footwear can create a new wound or even expose tissues beneath the skin. Macerated skin is a weak barrier, making it more susceptible to bacterial and fungal infections than healthy skin.

Treatment for macerated skin depends on the cause and severity of the condition. In mild cases, exposing the affected area to air is usually enough to reverse it. However, treatment is usually necessary for more severe cases. Treatments for macerated skin caused by wounds include specific types of bandages and dressings. When dealing with skin maceration, the first step is to clean the skin thoroughly to remove bacteria. In incontinence-related cases, consider using a no-rinse, pH-balanced cleanser.

Preventing skin maceration involves keeping the skin dry and clean. The periwound skin should be regularly assessed for skin damage after every dressing change. The location of a wound on the body and the type of skin characteristics present can also play a role in the development of maceration, as can age, sex, and underlying physical conditions. People with chronic wounds are particularly at risk for developing maceration around t...