Skin maceration

Tinea - Skin maceration Factor

The RMA defines skin maceration as “the softening of the skin by moisture”.  A typical example of skin maceration is the classic wrinkling that occurs when hands or feet have been immersed in water for longer than normal periods.  This softening of the skin creates an ideal environment for the development and/or worsening of tinea of the skin at the site of the maceration.  Maceration often occurs in the feet and groin areas – the most common sites of tinea of the skin – due to sweating.  The sweating may be due to living/working conditions in a hot or humid climate, physical exertion, military training, exercises or other duties, wearing waterlogged boots or clothes, or rubber gloves.  Skin maceration is not a disease process, however, medical conditions such as obesity or hyperhidrosis (excessive perspiration associated with overactive sweat glands) may contribute to its development or worsening.  Given the physical demands of military personnel, it would be expected that all veterans or members of the ADF would have experienced skin maceration at some time.

Last reviewed for CCPS 26 August 2004.

Investigative Documents

Preliminary questions [231]

246        the veteran has established the causal connection between the skin maceration and VEA service for tinea of the skin.

33858 the veteran suffered skin maceration at the affected site within the 14 days before the clinical onset of tinea of the skin.

1322     the veteran has established the causal connection between the skin maceration and VEA service for the clinical onset of tinea of the skin.

230        the veteran has established the causal connection between the skin maceration and operational service for the clinical onset of tinea of the skin.

or

6732     the veteran has established the causal connection between the skin maceration and eligible service for the clinical onset of tinea of the skin.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

33859   the veteran suffered skin maceration at the affected site within the 14 days before the clinical worsening of tinea of the skin.

33855   the veteran has established the causal connection between the skin maceration and VEA service for the clinical worsening of tinea of the skin.

33856  the veteran has established the causal connection between the skin maceration and operational service for the clinical worsening of tinea of the skin.

or

33857  the veteran has established the causal connection between the skin maceration and eligible service for the clinical worsening of tinea of the skin.

Clinical onset and operational service [230]

33860  on operational service, the veteran suffered skin maceration at the affected site within the 14 days before the clinical onset of tinea of the skin.

6736     the skin maceration at the affected site on operational service within the 14 days before the clinical onset of tinea of the skin was due to the veteran's serious default, wilful act or serious breach of discipline.

or

33863   the veteran suffered skin maceration at the affected site as a result of an illness or injury which is identifiable.

33864   as a consequence of the identified illness or injury, the veteran suffered skin maceration at the affected site within the 14 days before the clinical onset of tinea of the skin.

247       the identified illness or injury which caused the skin maceration is causally related to operational service.

Clinical onset and eligible service [6732]

33865   in the course of eligible service duties, the veteran suffered skin maceration at the affected site within the 14 days before the clinical onset of tinea of the skin.

6737     the skin maceration at the affected site on eligible service within the 14 days before the clinical onset of tinea of the skin was due to the veteran's serious default, wilful act or serious breach of discipline.

or

33863   the veteran suffered skin maceration at the affected site as a result of an illness or injury which is identifiable.

33864   as a consequence of the identified illness or injury, the veteran suffered skin maceration at the affected site within the 14 days before the clinical onset of tinea of the skin.

6739     the identified illness or injury which caused the skin maceration is causally related to eligible service.

Clinical worsening and operational service [33856]

33938   in the course of operational service duties, the veteran suffered skin maceration at the affected site within the 14 days before the clinical worsening of tinea of the skin.

33870   the skin maceration at the affected site on operational service within the 14 days before the clinical worsening of tinea of the skin was due to the veteran's serious default, wilful act or serious breach of discipline.

or

33863   the veteran suffered skin maceration at the affected site as a result of an illness or injury which is identifiable.

33867   as a consequence of the identified illness or injury, the veteran suffered skin maceration at the affected site within the 14 days before the clinical worsening of tinea of the skin.

247        the identified illness or injury which caused the skin maceration is causally related to operational service.

Clinical worsening and eligible service [33857]

33871   in the course of eligible service duties, the veteran suffered skin maceration at the affected site within the 14 days before the clinical worsening of tinea of the skin.

33872   the skin maceration at the affected site on eligible service within the 14 days before the clinical worsening of tinea of the skin was due to the veteran's serious default, wilful act or serious breach of discipline.

or

33863   the veteran suffered skin maceration at the affected site as a result of an illness or injury which is identifiable.

33867   as a consequence of the identified illness or injury, the veteran suffered skin maceration at the affected site within the 14 days before the clinical worsening of tinea of the skin.

6739     the identified illness or injury which caused the skin maceration is causally related to eligible service.