Nappy Rash/diaper dermatitis

Question 1

4 types

Answer 1

Ammonia dermatitis
Candida/thrush
Seborrhoeic dermatitis
Isolated, psoriasis-like scaly plaques

Question 2

Ammonia dermatitis:

• describe rash
• causes
• Rx

Answer 2

red desquamating rash 
sparing skin folds - (Seborrhoeic dermatitis doesn't)
-------
moisture retention 
------
Frequent nappy changes 
nappy free periods 
careful drying 
emollient creams - Sudocrem - zinc oxide cream

Question 3

Candida/thrush:

• hallmark feature
• Rx
• what to avoid

Answer 3

(SAME AS AMMONIA)
Frequent nappy changes
nappy free periods
careful drying
emollient creams - Sudocrem - zinc oxide cream
PLUS:
- Clotrimazole/fluconazole (± topical hydrocortisone)
—-
Avoid oral antifungals as hepatotoxic

Question 4

Seborrhoeic dermatitis:

• describe rash
• where else can it occur
• Rx

Answer 4

Diffuse, red, shiny, rash - extends into skin folds

Can occur in seborrhoeic areas e.g. occiput

Rx same as ammonia

Question 5

Isolated, psoriasis-like scaly plaques - main thing with this one

Answer 5

Very hard to treat