Differential Diagnosis of Diaper Dermatitis

Abstract

Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis. Diaper dermatitis may account for up to 25% of dermatology visits to health care providers during the first year of life. Fortunately, since the introduction of hypoallergenic, superabsorbent modern disposable diapers, the incidence and severity of irritant and allergic contact dermatitis has decreased dramatically. Diaper dermatitis broadly refers to skin disorders that occur in the diaper area, such as skin eruptions triggered by diapers, rashes exacerbated by the diaper, and other events that occur in the diaper area. A number of skin conditions that can occur anywhere on the skin may present with distinctive findings in the diaper area. The following discussion will review the most common triggers of diaper dermatitis and contact irritant dermatitis, while focusing on the skin conditions that may be associated or overlap clinically with contact dermatitis. Keywords dermatitis, diaper dermatitis, diaper rash, erythema, skin disease, contact dermatitis, irritant contact dermatitis, allergic contact dermatitis, seborrheic dermatitis, infected contact dermatitis, bullous dermatoses, diaper candidiasis, newborn skin care, diapers, methylisothiazolinone, pediatrics

Perianal Dermatitis, Its Incidence, and Patterns of Topical Therapies in a Level IV Neonatal Intensive Care Unit

“…15 This preservative induces an allergic contact dermatitis, exacerbating any underlying irritation that may already be present in the perianal area. 32 This suggests that removal of baby wipes from infants' bedside and use of alternate techniques can help in the reduction of incidence and severity of PD and further reduce the cost of care.…”

Differential diagnoses of diaper dermatitis

“…The identifying irritation appears on the face and the scalp, as well as in the diaper area and other skin folds (Figure ). While Malassezia yeasts are associated with adult seborrheic eczema, their role in the etiology of infantile seborrheic dermatitis is conflicting …”

“…The source of this infection has been identified to frequently originate from streptococcal tonsillitis of the patient or other family members. Morphologically, there is persistent localized erythema perianal accompanied by itching and burning, which may be very severe following defecation (Figures and ).…”

“…Therapy of choice is oral penicillin, which should be given over 3 weeks . Other authors recommend cephalosporins (eg, cefuroxime), based on their studies .…”

Effects and Mechanisms of Medicinal Plants on Diaper Dermatitis : A Systematic Review

“…Itching, infection, and pain are the symptoms of DD (1,5). If this disorder is caused by allergic reactions and leads to an increase in IgE, it requires a more complex treatment process (6).…”