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