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Dermatitis, Diaper

Dennis E. Hughes, DO, FAAFP, FACEP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Diaper dermatitis is a rash occurring under the covered area of a diaper. It is usually initially a contact dermatitis.

  • System(s) affected: skin/exocrine

  • Synonym(s): diaper rash; nappy...

DIAGNOSIS

HISTORY

  • Onset, duration, and change in the nature of the rash

  • Presence of rashes outside the diaper area

  • Associated scratching or crying

  • Contact with infants with a similar rash

  • Recent illness, d...

TREATMENT

Prevention is the key to treatment of this condition. 

GENERAL MEASURES

  • Expose the buttocks to air as much as possible.

  • Use mild, slightly acidic cleanser with water; no rubbing and pat dry.

  • Avo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Recheck weekly until clear and then at times of recurrence. 

PATIENT EDUCATION

Patient education is vital to the treatment and prevention of recur...

REFERENCES

1
Stamatas GN, Tierney NK. Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatr Dermatol.  2014;31(1):1–7. [View Abstract on OvidMedline]
2
Erasala GN, Romain ...

ADDITIONAL READING

Qiao XP, Ge YZ. Clinical effect of hydrocolloid dressings in prevention and treatment of infant diaper rash. Exp Ther Med.  2016;12(6):3665–3669. [View Abstract on OvidMedline]...

CODES

ICD10

  • L22 Diaper dermatitis

  • B37.2 Candidiasis of skin and nail

ICD9

  • 691.0 Diaper or napkin rash

  • 112.3 Candidiasis of skin and nails

SNOMED

  • 91487003 Diaper rash (disorder)

  • 240711004 Diaper candidiasis

CLINICAL PEARLS

  • Hygiene is the main preventative measure.

  • Look for secondary infection in persistent cases.

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