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Dermatitis, Diaper

Dennis E. Hughes, DO, FAAFP, FACEP Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Diaper dermatitis is a rash occurring under the covered area of a diaper (named for typical location, not etiology). It is usually initially a contact dermatitis but can be attribute...

DIAGNOSIS

Correct diagnosis is key. Ensure that no stigmata of systemic conditions exist (3). 

HISTORY

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

  • Presence of rashes outside the diaper area

  • Asso...

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, then at times of recurrence. 

PATIENT EDUCATION

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

REFERENCES

1
Blume-Peytavi U, Kanti V. Prevention and treatment of diaper dermatitis. Pediatr Dermatol.  2018;35 Suppl 1:s19–s23. [View Abstract on OvidMedline]
2
Burdall O, Willgress L, Goad N. Dev...

ADDITIONAL READING

SEE ALSO

Algorithm: Rash 

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 (candida, staph spp).

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