Diaper dermatitis: Difference between revisions
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==Background== | ==Background== | ||
*Contact dermatitis VS candidal dermatitis | *Contact dermatitis VS candidal dermatitis | ||
[[File:Contact diaper dermatitis.jpg|thumb|Contact [[diaper dermatitis]]]] | |||
==Clinical Features== | |||
*Erythematous, macular or papular, w/ well demarcated borders | |||
*Candidal rash will include scaling around margins | |||
**Classic finding is "satellite lesions" | |||
**Also examine for oral thrush | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Neonatal rashes DDX}} | {{Neonatal rashes DDX}} | ||
==Diagnosis== | |||
*Clinical diagnosis, based on history and physical examination | |||
* | ==Management== | ||
== | |||
*Good hygiene, air drying, use of barrier creams (zinc oxide) | *Good hygiene, air drying, use of barrier creams (zinc oxide) | ||
*Candidal dermatitis | |||
**Nystatin cream 100,000 U/gram TID x10-14d | |||
**If using zinc oxide cream, apply after nystatin | |||
**May also add hydrocortisone 1-2% cream | |||
== | ==Disposition== | ||
*Discharge | |||
* | |||
==See Also== | ==See Also== | ||
*[[Neonatal rashes]] | *[[Neonatal rashes]] | ||
==References== | |||
<References/> | |||
[[Category:Derm]] | [[Category:Derm]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 09:38, 17 August 2015
Background
- Contact dermatitis VS candidal dermatitis
Contact diaper dermatitis
Clinical Features
- Erythematous, macular or papular, w/ well demarcated borders
- Candidal rash will include scaling around margins
- Classic finding is "satellite lesions"
- Also examine for oral thrush
Differential Diagnosis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Diagnosis
- Clinical diagnosis, based on history and physical examination
Management
- Good hygiene, air drying, use of barrier creams (zinc oxide)
- Candidal dermatitis
- Nystatin cream 100,000 U/gram TID x10-14d
- If using zinc oxide cream, apply after nystatin
- May also add hydrocortisone 1-2% cream
Disposition
- Discharge