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 | |||
===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== | ==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
- If present: Oral nystatin 2mL QID infants, 4-6mL QID children
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
