Diaper dermatitis

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  • 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