Dermatology Book

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Irritant Diaper Dermatitis

Aka: Irritant Diaper Dermatitis, 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.
Concepts Disease or Syndrome (T047)
MSH D003963
ICD9 691.0
ICD10 L22
SnomedCT 238582000, 91487003, 402275006
English Diaper Rash, Diaper Rashes, Rashes, Diaper, DIAPER RASH, Rash, Diaper, Diaper [napkin] dermatitis, diaper rash, diaper rash (diagnosis), Jacquet's dermatitis (disorder), Dermatitis diaper, Nappy rash NOS, Diaper Rash [Disease/Finding], diaper rashes, Dermatitis;napkin, Rash;nappy, diaper dermatitis, Diaper dermatitis, Diaper rash, Ammonia dermatitis, Diaper erythema, Jacquet's dermatitis, Jacquet's erythema, Diaper rash (disorder), Irritant contact dermatitis due to contact with urine and/or faeces, Irritant contact dermatitis due to contact with urine and/or feces (disorder), Irritant contact dermatitis due to contact with urine and/or feces, Jacquet; dermatitis, Jacquet, dermatitis; Jacquet, diaper; erythema, eczema; napkin, eruption; napkin, erythema; diaper, napkin; dermatitis, napkin; eczema, napkin; eruption, napkin; rash, rash; napkin, Napkin rash, Ammoniacal napkin dermatitis, Irritant napkin dermatitis, Nappy rash, Nappy rash - irritant, Diaper or napkin rash, Diaper or napkin dermatitis, Diaper or napkin erythema, napkin dermatitis, nappy rash
Italian Dermatite da pannolino, Eritema da pannolino, Eritema causato da pannolino, Eritema da pannolino NAS, Esantema da pannolino, Rash da pannolino
Dutch luieruitslag, luierrash, luierrash NAO, Luier eczeem, Jacquet; dermatitis, dermatitis; Jacquet, eczeem; luier, eruptie; luier, erytheem; luier, luier; dermatitis, luier; eczeem, luier; eruptie, luier; erytheem, luier; uitslag, uitslag; luier, luierdermatitis, Dermatitis, luier-, Luierdermatitis, Luiereczeem, Luieruitslag
French Erythème fessier du nourrisson SAI, Erythème fessier du nourrisson, Erythème fessier du nouveau-né, Erytheme fessier du nourrisson, Dermatite en nid d'abeille, Érythème fessier, Érythème fessier du nourrisson, Dermatite par les couches, Érythème papulo-érosif
German Windel- oder Verbandausschlag, Windelausschlag NNB, Windelausschlag, Windeldermatitis
Portuguese Erupção cutânea das fraldas, Erupção cutânea na região das fraldas, Erupção cutânea na região das fraldas NE, Eritema das fraldas, Dermatite causada pela fralda, Assaduras Infantis, Dermatite das Fraldas
Spanish Exantema del pañal NEOM, Eritema del pañal, Exantema del pañal, Jacquet's dermatitis, Dermatitis del panal, dermatitis amoniacal, dermatitis de Jacquet, dermatitis del pañal (trastorno), dermatitis del pañal, dermatitis irritante de contacto por orina y/o materia fecal (trastorno), dermatitis irritante de contacto por orina y/o materia fecal, eritema de Jacquet, eritema del pañal, salpullido del pañal, sarpullido del pañal, Dermatitis del pañal, Dermatitis del Pañal, Panalitis, Dermatitis del Panal
Japanese おむつ皮膚炎ＮＯＳ, ｵﾑﾂﾋﾌｴﾝ, ｵﾑﾂﾋﾌｴﾝNOS, おむつかぶれ, おむつ皮膚炎, おむつ負け
Swedish Blöjutslag, BLOJUTSLAG/INTERTRIGO
Czech dermatitida plenková, Plenková dermatitida, Plenková vyrážka, Plenková vyrážka NOS, Vyrážka z plen nebo dámské vložky
Finnish Vaippaihottuma, VAIPPAIHOTTUMA
Russian "PELENOCHNYI" DERMATIT, OPRELOST' U MLADENTSA, ОПРЕЛОСТЬ У МЛАДЕНЦА, "ПЕЛЕНОЧНЫЙ" ДЕРМАТИТ
Hungarian "pelenka-pir", Pelenka dermatitis, Pelenkakiütés, Pelenka exanthema, Pelenka-kiütés, Pelenkakiütés k.m.n.
Norwegian BLEIEUTSLETT
Danish Bledermatit
Korean 기저귀 [냅킨] 피부염
Basque BULARREKO HAURRAREN GLUTEO DERMATITISA
Hebrew prixa mixitulim
Polish Zapalenie skóry pieluszkowe
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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