Nappy rash

Nappy rash is an irritant contact dermatitis affecting the skin where the moist nappy is in contact. It spares intertriginous areas.

Change nappies 6-8 times a day, dry thoroughly, use barrier eg zinc oxide cream.

Differential diagnosis:

  • candidiasis,
  • atopic dermatitis, seborrhoeic dermatitis
  • psoriasis,
  • Langerhans cell histiocytosis,
  • Acrodermatitis enteropathica (autosomal recessive zinc disorder), else nutritional zinc deficiency – +/- acral dermatitis, alopecia, malabsorptive diarrhoea)

Intertrigo (inflammation in the creases) can similarly be infective (bacterial or candidal), eczematous/seborrhoeic or psoriatic.

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