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Diaper rash & Diaper dermatitis

Diaper Rash & Diaper Dermatitis

Diaper rash

What is Diaper rash?
Diaper rash (irritant diaper dermatitis) is a common type of rash that appears as background redness (erythema) with red to bright-red sheets of skin (plaques) covering these areas.
The skin folds are not usually affected. Redness may be especially severe where the skin meets the edges of the diaper.

What are the causes of Diaper rash?
Diaper rash caused by friction, wetness and blockage (occlusion) of the diapered area.

What are the symptoms of Diaper rash?
Background redness (erythema) with red to bright-red sheets of skin (plaques) covering curving outward (convex) surfaces of the diaper area, such as the pubic mound of females and the buttocks. Redness may be severe where the skin meets the edges of the diaper.

How to treat Diaper rash?
Barrier creams or zinc oxide paste to protect the skin from rubbing against the diaper e.g. Rasha (Ointment)
Mild topical corticosteroids to treat active, inflamed sheets of skin (plaques). Be careful to prevent thinning of the skin (atrophy) from using steroids in skin folds and blocked (occluded) areas.
Keep the skin dry. Change wet diapers as quickly as possible. Allow the baby's skin to air dry as long as is practical. Launder cloth diapers in mild soap and rinse well. Avoid using plastic pants. Avoid irritating wipes.

Diaper dermatitis

What is Diaper dermatitis?
Diaper dermatitis is one of the most common skin conditions in infants and children. Candidal diaper dermatitis is the second most common type of diaper dermatitis, with no infected areas of redness and tenderness (irritant diaper dermatitis) being the most common type.

What are the symptoms of Diaper dermatitis?
Red elevated areas (papules) and flat, solid areas of skin (plaques) with sharp edges and skin flakes (scale) as well as surrounding "satellite" skin elevations containing pus (pustules).
Candidal diaper dermatitis most commonly appears in the the deep folds of genitals and diaper area
Redness (erythema) may appear to be joined into one area (confluent). Breakdown (erosions) or loss of the upper layer of skin may be present.
Alternatively, the lesions may be merging together (coalescing) small pink bumps with overlying scale, without any redness.

How to treat Diaper dermatitis?
Topical antifungal skin creams and ointments will clear up infections caused by yeast e.g. Ketoderm

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