- CONTACT DERMATITIS
• Due to friction and trapped moisture
• Usually seen on the rounded skin surfaces sparing the skin folds where the diaper doesn’t touch
• Appears red and shiny
• Occasionally may be an allergic reaction to diapers and wipes
• Commonly occurs after 3 months
- CANDIDAL INFECTIONS
• Intense “beefy” red rash with sharp borders and red “satellite” bumps beyond the borders
• Will be present within the skin folds
• Often baby will also have “thrush” – a whitish yeast infection in the mouth
- ATOPIC DERMATITIS
• Usually not seen before 2 months of age
• The eruptions will ooze and crust
• May be dry, itchy patches on other parts of the body
- SEBORRHEIC DERMATITIS
• May be seen as early as 3-4 weeks of age
• Rash begins in folds and extends towards rounded skin surfaces without sharp borders
• Appears as yellowish, greasy, scales and may also be seen on scalp (“cradle cap”), face and behind ears
MORE SERIOUS INFECTIONS – CONTACT DOCTOR IMMEDIATELY
- BACTERIAL INFECTION
• Most commonly Staph
• Appears as large fluid filled blisters that easily rupture showing a red base
- SCALED SKIN SYNDROME
• Blood born illness
• May see skin rupture and peeling beginning under diaper area
• Quickly spreads and exfoliation occurs on entire body
- Because moisture and friction cause or worsen all forms of diaper rash – keep area dry and free from occlusion.
- Change diapers more frequently and expose diapered area to air more often.
- Wash area with plain water, sterile saline, or chemical free wipes (calendula soap after bowel movement if necessary).
- Wash cloth diapers in mild/hypoallergenic soap.
- Avoid rubber pants.
- Avoid petroleum jelly, baby (talcum) powder, cornstarch, baking soda, and medicines containing “fluorinated corticosteroids” which have local side effects including skin atrophy.
- Increase water intake if not breast feeding.
- Avoid food allergens and sugar in baby’s and nursing mother’s diet.
- Several times a day use a topical treatment that includes zinc oxide, or calendula.
- See your baby’s doctor if rash does not respond to above guidelines within one week
1. Dyson N.D., Linda. Pediatric Topics. 2001.
2. Dershewitz M.D. Ambulatory Pediatric Care 3rd Edition.