Nappy rash
A nappy rash Most common type of nappy eruption.
Usually seen in young infants
It is basically irritant dermatitis due to skin contact with urine or faeces.
Clinical features
Erythema in the napkin area, sparing skinfolds.
Secondary bacterial or fungal infection is common.
Differential diagnosis
Seborrheic eczema
Candidiasis
Management
- Advise parents to keep the nappy area dry
- Give baby as much time as possible with the nappy off
- Apply moisturizer as a soap substitute
- Apply a barrier cream between nappy changes
- Topical treatment with an antifungal combined with hydrocortisone is effective if the nappy rash is not clearing