Napkin Rash

Question 1

The most common cause, due to irritant effect of urinary ammonia and faeces
Creases are characteristically spared

Answer 1

Irritant dermatitis

Question 2

Typically an erythematous rash which involve the flexures and has characteristic satellite lesions

Answer 2

Candida dermatitis

Question 3

Erythematous rash with flakes. May be coexistent scalp rash

Answer 3

Seborrheic dermatitis

Question 4

A less common cause characterised by an erythematous scaly rash also present elsewhere on the skin

Answer 4

Psoriasis

Question 5

Other areas of the skin will also be affected

Answer 5

Atopic eczema

Question 6

How should napkin rash be managed?

Answer 6

• Disposable nappies are preferable to towel nappies
• Expose napkin area to air when possible
• Apply barrier cream (e.g. Zinc and castor oil)
• Mild steroid cream (e.g. 1% hydrocortisone) in severe cases