Diaper Dermatitis and Prickly Heat Flashcards
What is the most common dermatologic disorder of infancy?
Diaper dermatitis
On the pathophysiology of diaper dermatitis, it shifts from normal skin pH to more (acidic/alkaline)
alkaline
What are the predisposing factors of diaper dermatitis?
- Thin skin
- Frequent urinating/stooling
- Transition between food
- Harsh chemicals
When should you avoid self-care in diaper dermatitis and prickly heat?
- When it presents with severe rash w/ papules, ulceration, oozing, infection
- Lesions for >7days
- Presence of diaper rash outside of diaper area
- Comorbid conditions
What is the non-pharmacological treatment for diaper dermatitis?
Air Barrier Cleanse Diaper Education
- Increase frequency of diaper change
- Gentle rubbing/patting dry
- Sensitive skin wipes - after stools only
- Use disposable diapers
- Use cloth diapers
What is one of the most commonly used agents for diaper dermatitis?
Zinc oxide
What do you have to look out for when using lanolin for diaper dermatitis?
Allergic contact dermatitis for some patients
What are the two powder forms in treating diaper dermatitis?
Cornstarch + Talc
Which powder provides lubrication for diaper dermatitis?
Talc
Which powder has absorbent properties for diaper dermatitis?
Cornstarch
Of the pharmacologic treatments of diaper dermatitis, which has both antiseptic and antipruritic properties?
Calamine
What are some major counseling points to make for diaper dermatitis?
- No max length of therapy
- Allow area to dry before application
- No side effects associated w/ skin protectants
- Use warm water for urine?
What are some treatments to avoid for diaper dermatitis?
- Nonprescription antibiotic/antifungal
- Topical anesthetics
- Hydrocortisone
Prickly heat is also known as heat rash or _______
miliaria
Prickly heat affects up to ____% of infants
40
On the pathophysiology of prickly heat, it has acute inflammation of the (epidermis/dermis/hypodermis)
dermis
Just know that the pathophysiology of prickly heat shows that sweat has the inability to escape the pores
okay
What are the predisposing factors of prickly heat?
- Hot, humid weather
- Profuse sweating
- Clothing
- Laundry soap
What is the hallmark symptom of prickly heat?
Pinpoint-size lesions, raised and red
When does prickly heat usually resolve?
3-10 days
What are some exclusions for hydrocortisone cream?
- <2yrs old
2. Adult with >10% of body affected
When treating prickly heat, use a product that relieves burning and itching, but doesn’t block what?
exposure to air
What products should you avoid for prickly heat?
Oily + thick creams
What are the antipruritic treatments for prickly heat?
Colloidal oatmeal + diphenhydramine (topical)