Diaper dermatitis: Difference between revisions

No edit summary
Line 1: Line 1:
==Background==
*Contact dermatitis VS candidal dermatitis
*Contact dermatitis VS candidal dermatitis
*Contact dermatitis
 
**Erythematous, macular or papular, w/ well demarcated borders
==Contact Dermatitis==
**Treatment
*Erythematous, macular or papular, w/ well demarcated borders
***Good hygiene, air drying, use of barrier creams (zinc oxide)
===Treatment===
*Candidal dermatitis
*Good hygiene, air drying, use of barrier creams (zinc oxide)
**Erythematous w/ papular and pustular lesions and scaling around margins
 
**Classic finding is "satellite lesions"
==Candidal Dermatitis==
**Must examine for oral thrush
*Erythematous w/ papular and pustular lesions and scaling around margins
***If present: Oral nystatin 2mL QID infants, 4-6mL QID children
*Classic finding is "satellite lesions"
****Administer for up to 2d after resolution of oral lesions
*Must examine for oral thrush
**Treatment
**If present: Oral nystatin 2mL QID infants, 4-6mL QID children
***Nystatin cream 100K U/gram TID x10-14d
***Administer for up to 2d after resolution of oral lesions
***If use zinc oxide must apply after nystatin
===Treatment===
***Hydrocortisone 1-2% after nystatin, before zinc oxide, may be used for severe lesions
*Nystatin cream 100K U/gram TID x10-14d
*If use zinc oxide must apply after nystatin
*Hydrocortisone 1-2% after nystatin, before zinc oxide, may be used for severe lesions


==See Also==
==See Also==

Revision as of 22:59, 11 June 2012

Background

  • Contact dermatitis VS candidal dermatitis

Contact Dermatitis

  • Erythematous, macular or papular, w/ well demarcated borders

Treatment

  • Good hygiene, air drying, use of barrier creams (zinc oxide)

Candidal Dermatitis

  • Erythematous w/ papular and pustular lesions and scaling around margins
  • Classic finding is "satellite lesions"
  • Must examine for oral thrush
    • If present: Oral nystatin 2mL QID infants, 4-6mL QID children
      • Administer for up to 2d after resolution of oral lesions

Treatment

  • Nystatin cream 100K U/gram TID x10-14d
  • If use zinc oxide must apply after nystatin
  • Hydrocortisone 1-2% after nystatin, before zinc oxide, may be used for severe lesions

See Also

Neonatal Rashes