Diaper dermatitis
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