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Irritant Diaper DermatitisAka: Diaper rash

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  1. Etiology
    1. Reaction to friction and maceration
    2. Prolonged contact with urine and feces
  2. Symptoms
    1. Infant very uncomfortable with increased inflammation
  3. Signs
    1. Erythematous, scaly dermatitis
    2. Papulovesicular or Bullous lesions
    3. Fissures and Erosions
    4. Patchy or confluent
    5. Sparing of genitocrural folds
  4. Differential Diagnosis
    1. Candida Diaper Dermatitis (satellite lesions present)
    2. Perianal Streptococcal Dermatitis
  5. Complications
    1. Bacteria or yeast superinfection
    2. Irritant dermatitis superinfected by yeast in 3-5 days
  6. Management
    1. Frequent diaper changes
    2. If possible, let child go without bottoms
    3. Thorough washing of genitalia with diaper change
      1. Mild Soap and warm water
      2. Apply occlusive topical agent after washing
        1. Zinc Oxide or petroleum jelly
    4. Hydrocortisone cream 0.5-1% with or without Zinc Oxide
      1. Use until healing completed
    5. Avoid systemic antibiotics (not indicated)
    6. Avoid occlusive plastic pants (promotes maceration)
    7. Use disposable diapers
  7. Prevention (especially during times of Diarrhea)
    1. Wash anal area after each stool
    2. Apply vaseline
      1. Apply after each diaper
      2. Apply especially at night and at naptime
    3. Change diaper immediately after each stool

Diaper Rash (C0011974)

Definition (MSH)A type of irritant dermatitis localized to the area in contact with a diaper and occurring most often as a reaction to prolonged contact with urine, feces, or retained soap or detergent.
ConceptsDisease or Syndrome (T047)
ICD9691.0
BasqueBULARREKO HAURRAREN GLUTEO DERMATITISA
DanishBledermatit
DutchLuier eczeem
EnglishAmmonia dermatitis, Ammoniacal napkin dermatitis, Diaper dermatitis, Diaper erythema, Diaper or napkin dermatitis, Diaper or napkin erythema, Diaper or napkin rash, Diaper Rash, Diaper Rashes, Irritant contact dermatitis due to contact with urine and/or faeces, Irritant contact dermatitis due to contact with urine and/or feces, Irritant napkin dermatitis, Jacquet's dermatitis, Jacquet's erythema, Napkin rash, Nappy rash
FinnishVAIPPAIHOTTUMA
FrenchErytheme fessier du nourrisson
GermanWindeldermatitis
Hebrewprixa mixitulim
ItalianEsantema da pannolino
NorwegianBLEIEUTSLETT
PortugueseEritema das fraldas
Spanishdermatitis amoniacal, dermatitis de Jacquet, dermatitis del pañal, Dermatitis del panal, dermatitis irritante de contacto por orina y/o materia fecal, eritema de Jacquet, eritema del pañal, eritema del panal, salpullido del pañal, salpullido del panal, sarpullido del pañal, sarpullido del panal
SwedishBLOJUTSLAG/INTERTRIGO
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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