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Diaper Rash, Emergency Medicine

Francesco Mannelli Reviewed 06/2017
 


Basics

Description

  • Very common dermatologic disorder of infancy

  • Most common in 1st month of life and again at 12–24 mo

  • Incidence in adult incontinent patients is reported from 5.7% to more than 42% and a...

Diagnosis

Diagnosis often empiric based on appearance of rash 

Signs and Symptoms

History

Child may cry with diaper changes or wiping diaper area or may be irritable. 

Physical Exam

  • Irritant:

    • Beefy-red conf...

Treatment

Ed Treatment/Procedures

The management of diaper dermatitis should include reducing moisture in the diaper area, minimizing contact with urine and feces and eradicating infectious microorgani...

Follow-Up

Disposition

Admission Criteria

  • Evidence of child abuse or neglect

  • Evidence of sepsis

Additional Reading

  • Adalat  S, Wall  D, Goodyear  H. Diaper dermatitis-frequency and contributory factors in hospital attending children. Pediatr Dermatol.  2007;24(5):483–488.

  • Adam  R. Skin care o...

Codes

ICD9

691.0 Diaper or napkin rash 

ICD10

L22 Diaper dermatitis 

SNOMED

  • 91487003 Diaper rash (disorder)

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