Anogenital region
Robin Lewallen, Adele Clark, Steven R. Feldman in Clinical Handbook of Contact Dermatitis, 2014
Diaper dermatitis affects the area covered by the diaper and is most often irritant in nature. A secondary infection with candida should also be considered. A clue to ACD secondary to diaper components is an eczematous dermatitis that spares the skinfolds and is refractory to conventional therapies for diaper dermatitis. Allergens to consider in this setting include fragrances utilized to provide a pleasant odor to the diaper, coloring dyes, glues, and rubber-related allergens; it is also important to consider wet wipes, which are often used during the diaper-changing process.5,6,7 If the pattern of dermatitis favors the hips and lateral buttock, rubber accelerators such as mercaptobenzothiazole should be considered. This pattern has been referred to as the “Lucky Luke” dermatitis and is a subset of allergic contact diaper dermatitis in which the child is reacting to the elastic bands found in disposable diapers.8,9
Genital hygiene
Miranda A. Farage, Howard I. Maibach in The Vulva, 2017
The etiology of irritant diaper dermatitis provides a scientific basis for recommending the use of barrier preparations and superabsorbent diapers to maintain drier skin and limit the effects of urine and feces (1,2,10–13). These recommendations are supported by clinical evidence of efficacy in reducing rash (1,14–18). Figure 36.2 illustrates representative results for diapers. However, such products are not always available or affordable in many regions of the world. To limit skin contact with urine and feces, frequent diaper changes and good perineal hygiene are recommended as a general practice, regardless of the mode of diapering.
Diaper Rash/Diaper Dermatitis/Contact Dermatitis
Charles Theisler in Adjuvant Medical Care, 2023
Diaper rash is marked by red, irritated, or tender-looking skin in the diaper region (i.e., buttocks, thighs, and genitals). It results from contact with urine and feces that inflames the skin and breaks down outer skin layers. Another contributing factor to diaper dermatitis is Candida albicans. Diaper dermatitis can cause diffuse reddening of the skin with papules, vesicles, edema, and scaling of the involved areas as well as psoriasiform lesions, secondary erosions, and ulcerations.1
Assessment of antifungal efficacy of itraconazole loaded aspasomal cream: comparative clinical study
Published in Drug Delivery, 2022
Caroline Lamie, Enas Elmowafy, Maha H. Ragaie, Dalia A. Attia, Nahed D. Mortada
Candidiasis is caused by Candida spp, especially Candida albicans (CA) which is able to conquer the stratum corneum and reach the deeper dermal strata causing cutaneous candidiasis (Permana et al., 2020). Diaper dermatitis (DD) triggered by candidiasis is a frequent issue in diaper-wearing newborns (Spraker et al., 2006). Another example is superficial tinea infections that are caused by dermatophytes that affect many regions of the body such as tinea versicolor (TVC) and tinea corporis (TC). TVC is depicted by the appearance of macules, either hypopigmented or hyperpigmented, on the face, arms, trunk, and shoulders (Mendez-Tovar, 2010; Ngatu et al., 2011), while TC is a common skin infection affecting the trunk, neck, arms and legs of predisposed individuals (especially children and immunocompromised populations) (Aly & Berger, 1996).
Complementary and alternative treatment methods practiced by parents in pediatric cases diagnosed with atopic dermatitis
Published in Journal of Dermatological Treatment, 2022
Ayşe Akbaş, Zeynep Şengül Emeksiz, Ahu Yorulmaz, Yıldız Hayran, Fadime Kılınç, Halil Ibrahim Yakut, Müge Toyran, Kezban İpek Demir
The patients’ AD diagnosis time was 5.5 months (IQR: 4–12 months) and median follow-up time was 2 months (IQR: 2–10.5). While the number of admissions to the hospital due to AD ranged from 1 to 4 in 68.8% of the patients, it was five or more in 31.2% of the patients. AD was mild in 25.4%, moderate in 50.8%, and severe in 23.8% of the patients. The median SCORAD was calculated as 25 (IQR: 15–38.8). While AD was accompanied by seborrheic dermatitis in 19.5% of the patients, diaper dermatitis was present in 6.1%. 93.5% of the patients were using a moisturizer. 49.4% of the patients were using one type of moisturizer, 19.5% of them were using two types of moisturizers, and 24.7% were using three or more different types of moisturizers. The localization of the lesions was in the head and neck region in 66.3%, in the extremities in 14.5%, in the head-neck and extremities in 10.8%, in the trunk in 3.6% and in the whole body in 3.6%.
Related Knowledge Centers
- Bacteria
- Dermatitis
- Diaper
- Rash
- Erythema
- Skin Fold
- Skin Condition
- Irritant Contact Dermatitis
- Feces
- Allergic Contact Dermatitis