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Diaper Rash, Pediatric

Jocelyn Huang Schiller, MD and Jessica L. Fealy, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Diaper dermatitis is a general term used to describe any inflammatory skin rash that develops in the perineal region. Also known as diaper or napkin rash, there are several causes of...

DIAGNOSIS

HISTORY

  • Associated symptoms: Acute or chronic diarrhea suggests a primary irritant dermatitis.

  • The presence of oral thrush or recent antibiotic use increases the risk of secondary C. albicans ...

TREATMENT

GENERAL MEASURES

  • Similar to primary prevention, frequent diaper changes and proper skin care are the primary treatments for diaper dermatitis.

  • Skin should be gently washed with a mild cleanser...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

With proper care, the rash should improve within 4 to 7 days. If it does not resolve with appropriate treatment, other causes must be sought. 

PROGNOSIS

ADDITIONAL READING

  • Adam R. Skin care of the diaper area. Pediatr Dermatol.  2008;25(4):427–433. [View Abstract on OvidInsights]

  • Coughlin C, Eichenfield L, Frieden I. Diaper dermatitis: clinical ch...

CODES

ICD9

  • 691 Diaper or napkin rash

  • 112.3 Candidiasis of skin and nails

ICD10

  • L22 Diaper dermatitis

  • B37.2 Candidiasis of skin and nail

SNOMED

  • 91487003 Diaper rash (disorder)

  • 49883006 candidiasis of skin (dis...

FAQ

  • Q: Should I switch from cloth to disposable diapers?

  • A: There is no definitive answer; however, some studies indicate that the superabsorbent disposable diapers may be better for preventing diaper ...

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