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Candida Diaper Dermatitis
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Candida Diaper Dermatitis
, Monilial Rash
See Also
Diaper Dermatitis
Course
Rash starts in perianal area and spreads contiguously
Signs
Erythematous confluent
Plaque
(beefy red lesions affect skin creases)
Papule
s
Vesiculopustules
Scalloped border with sharply demarcated edge
Satellite lesions at a distance from primary eruption
Differential Diagnosis
Irritant Diaper Dermatitis
Perianal Streptococcal Dermatitis
Impetigo
Contact Dermatitis
Found on convex surfaces (contrast with candida which is found in skin folds)
Apply thick layer of barrier cream (e.g.
Zinc Oxide
cream)
Pediatric Seborrheic Dermatitis
Typically associated with
Cradle Cap
Rare, refractory cases
Zinc Deficiency
Hand-Schuller-Christian Syndrome
(
Histiocytosis X
)
Management
Gene
ral
Keep diaper area dry
Keep diaper off as much as possible to aerate area
Zinc Oxide
paste
Soothing and protective after the acute phase
Baby powder
May help to dry area (Risk of aspiration)
Topical Antifungal
Superior cure rates
Miconazole
Clotrimazole
Other agents
Ketoconazole
Nystatin
Amphotericin
Oral
Antifungal
and
Thrush
agents
Consider to treat dermatitis and GI Infection
Consider
Burow's Solution
compresses before
Antifungal
For severe inflammatory reaction
Mix
Topical Corticosteroid
with
Antifungal
50:50 or
Alternate applications of
Antifungal
and steroid
Reference
Claudius and Behar in Herbert (2020) EM:Rap 20(8): 5-7
Hoppe (1997) Pediatr Infect Dis 16:885-94 [PubMed]
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