Diaper dermatitis: Difference between revisions
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==See Also== | ==See Also== | ||
*[[Neonatal | *[[Neonatal rashes]] | ||
[[Category:Derm]] | [[Category:Derm]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 17:33, 4 December 2014
Background
- Contact dermatitis VS candidal dermatitis
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
Contact Dermatitis
Diagnosis
- Erythematous, macular or papular, w/ well demarcated borders
Treatment
- Good hygiene, air drying, use of barrier creams (zinc oxide)
Candidal Dermatitis
Diagnosis
- 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