Pathogenesis (development of disease) Basically, diaper dermatitis is a form of irritant toxic dermatitis due to the formation of a wet chamber by feces and urine in the diaper. In addition, fungal colonization can lead to candidosis genito-glutealis infantum (diaper thrush, erythema mycoticum infantile). The sprout fungus Candida albicans is frequently found in this case. … Diaper Dermatitis: Causes
General measures In addition to treating the skin with pastes (drying pastes for weeping skin areas or covering soft zinc pastes), care should be taken to change diapers frequently. Diaper change every two hours and later every three to four hours. Every now and then babies for a long time without diapers in the air … Diaper Dermatitis: Therapy
Skin and subcutaneous (L00-L99). Atopic eczema (neurodermatitis). Infantile psoriasis – psoriasis in children. Seborrheic eczema (seborrheic dermatitis) – chronic skin disease: eczema of unclear cause, which is characterized by blurred erythema (areal redness of the skin) Infectious and parasitic diseases (A00-B99). Impetigo (pustular lichen, moist grind). Primary Candida infection – shoot fungus infection. Other and … Diaper Dermatitis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by diaper dermatitis: Perinatal period (P00-P96). Severe systemic infections can occur in premature or deficient infants due to untreated thrush infection
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of the skin [leading symptoms: erythema (extensive redness of the skin), oozing of the affected region, appearance of satellite pustules]. Dermatological examination [due todifferential diagnoses: Atopic eczema (neurodermatitis). Infantile … Diaper Dermatitis: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. If necessary, skin swab – for the detection of candida infection. If necessary, skin tests – if food allergy is suspected (see below the disease of the same name).
Therapy target Improvement of symptomatology. Therapy recommendations The following principles should be followed: Drying pastes for weeping skin areas. Covering soft zinc paste to protect the skin For moderate to severe dermatitis (skin inflammation), cortisone ointments can be used for a short time (over 3 days). If fungal sprouts are detected, therapy with antifungals (antifungal … Diaper Dermatitis: Drug Therapy
To prevent diaper dermatitis, attention must be paid to reducing individual risk factors. Behavioral risk factors Too infrequent diaper changes and lack of baby care can increase diaper dermatitis Primary prevention Thorough cleansing after defecation with mildly acidic cleansing products. Newborns: diaper changes every two hours and later every three to four hoursNewborns: diaper changes … Diaper Dermatitis: Prevention
The following symptoms and complaints may indicate diaper dermatitis: Leading symptoms Erythema (areal redness of the skin). Oozing of the affected region Appearance of satellite pustules In the presence of infection with Candida albicans (diaper thrush), there may be an increase in symptoms with additional pain and pruritus (itching). Predilection sites (body regions where the … Diaper Dermatitis: Symptoms, Complaints, Signs
Medical history (history of illness) represents an important component in the diagnosis of diaper dermatitis. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). What changes have you noticed in the child’s skin? (Skin redness, oozing of the region, pustule formation). Where exactly are these changes located? Since when do they exist? How … Diaper Dermatitis: Medical History
