1: Dermatology - Nappy Rash Flashcards
What is a nappy rash
Skin rash affecting peri-anal region
What is the most common cause of nappy rash
Contact dermatitis
What causes contact (irritant) dermatitis
Ammonium produced by bacteria in faeces causes irritation
What are two clinical features of contact dermatitis
- Moist
- Spares folds (eg. inguinal)
Explain conservative management of contact dermatitis nappy rash
Keep nappy off temporarily
Use absorbable nappies
Explain medical management of contact dermatitis nappy rash
Zinc barrier cream
Topical corticosteroids
What is main cause of candida dermatitis
Candida albicans
How is candida dermatitis caused
Caused by compromised in cutaneous barrier, such as by contact dermatitis
What is a key-feature of candida dermatitis
Satellite lesions (well-demarcated circular lesions)., Erythema involving flexures
What is a feature of atopic dermatitis
- Other areas may be affected
- Itchy
- Erythematous lesions
How is atopic dermatitis managed
Emollients
Topical corticosteroid
What causes seborrheic dermatitis
Pityrosporum Ovale
When is seborrhoeic dermatitis more common
First 2-months of life
How does seborrheic dermatitis present
Erythematous rash with yellow-flakes
What does seborrhoea dermatitis also affect
Head (Cradle-cap)
Explain prognosis of seborrheic dermatitis
self-resolves in 8-months
How is seborrheic dermatitis managed
Emollient
Topical corticosteroid
How will psoriasis present
Erythematous scaly rash - usually in places aside nappy region
What is general advice to manage nappy rash
- Use correct fitting absorbable nappies
- Leave nappy off for as long as possible
- Cleanse skin every 3-4 hours, after soiling-wetting
- Bath child daily
What medical treatment may be indicated for nappy rash
Emollients
Zinc barrier cream (contact dermatitis)
Topical corticosteroid
If candida dermatitis is suspected, what should be prescribed
Topical imidazole
