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Diaper Dermatitis

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Diaper Dermatitis

Please click on the Diaper DermatitisDiscussion tab on the top left to read practical advice and information from other parents.

Diaper rash is an acute inflammatory skin problem caused by prolonged and repetive contact with an irritant like urine, feces, soaps, detergents, ointments or friction.

Symptoms

Mild cases appear as lightly-reddened areas with little inflamation. More serious cases may be red extremely inflammed with a beefy-looking appearance. Diaper rash caused by urine, feces or chemical irritants usually appears around the perianal orifices and doesn’t cover the skin folds.

Candida (yeast) rashes have: bright red patches (made up of small papules and vesicles with pus) that enlarge, satellite lesions, smaller red patches which grow and blends with the other patches and in boys, the scrotum may become fiery red and scaly

Diagnosis

Diagnosis may be concluded after appearance evaluation. The KOH test (Fungal wet prep) may be used in the doctor’s office to detect the presence of Candida.

Treatment

For typical diaper rashes:

  • Zinc Oxide cream, like Desitin
  • Petroleum preparations like Vaseline or Aquaphor
  • Talc or cornstarch powder


Topical antifungal skin preparations will clear candidal (yeast) infections. Some preparations are available as over-the-counter (OTC) creams and ointments.

  • Nystatin (prescription)
  • Clotrimazole (OTC) (Lotrimin)
  • Miconazole (OTC) (Micatin; Monistat-Derm; Zeasorb-AF)
  • Ketoconazole (prescription) (Nizoral)

For stubborn rashes that do not respond to regular treatment, steroid creams like Hydrocortisone may be ordered. 

Prevention
  • Keep skin dry
  • Use super absorbent diapers
  • Change diapers frequently
  • Expose area to open air frequently
  • Avoid washing with perfumed soaps or irritating dyes
  • Use a moisturizer or nonsoap cleanser such as Cetaphil
  • Use hypoallergenic baby wipes 
Sources:

Brochure: An information guide for Parents about Diaper Rash

http://www.nlm.nih.gov/medlineplus/ency/article/000964.htm


If you have any concerns, please don't hesitate to discuss your concerns with your child's doctor(s).

For information about dealing with other potential health problems, treatments and medications, please visit our Miscellaneous Health Information category.

Click here to read what specialists have to say about caring for children with Holoprosencephaly: Doctor Q&A

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