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Reddening and burning sensation in the diaper area

Reddening and burning sensation in the diaper area are common symptoms of many dermatological condition such as diaper dermatitis.

Diaper dermatitis, also know as nappy rash, is an inflammation of the skin covered by nappy.(1)

Diaper dermatitis broadly refers to skin diseases that occur in the diaper area, such as skin eruptions and rashes triggered and exacerbated by diapers, and other signs that occur in the diaper area.
Irritant contact dermatitis is the most common skin eruption seen in the diaper area and is caused by skin rubbing against a wet, soiled diaper or another part of the skin.
This process can lead to rash, or well-defined red scaly patches that appear on the anterior thighs, scrotum, vulvae, suprapubic area, or buttocks with sparing of the skin creases
Although urine was initially thought to be a primary cause of irritant diaper dermatitis, recent studies have implicated feces as the principle cause along with contributing factors such as chemical irritants, increased pH, superhydrated skin and inherited defects in barrier function.

Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis.

Reddening and burning sensation in the diaper area

Reddening and burning sensation in the diaper area are common symptoms of many dermatological condition such as diaper dermatitis.

Diaper dermatitis, also know as nappy rash, is an inflammation of the skin covered by nappy.(1)

Diaper dermatitis broadly refers to skin diseases that occur in the diaper area, such as skin eruptions and rashes triggered and exacerbated by diapers, and other signs that occur in the diaper area.
Irritant contact dermatitis is the most common skin eruption seen in the diaper area and is caused by skin rubbing against a wet, soiled diaper or another part of the skin.
This process can lead to rash, or well-defined red scaly patches that appear on the anterior thighs, scrotum, vulvae, suprapubic area, or buttocks with sparing of the skin creases
Although urine was initially thought to be a primary cause of irritant diaper dermatitis, recent studies have implicated feces as the principle cause along with contributing factors such as chemical irritants, increased pH, superhydrated skin and inherited defects in barrier function.

Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis.

To effectively treat irritant contact diaper dermatitis, it is important to:

  • Check diapers at 2- to 3-hour intervals to minimize exposure to irritants
  • Gently cleanse the area with warm water, cotton balls, or baby wipes when the diaper is soiled to remove irritants, avoiding excessive washing and the use of potentially irritating soaps and cleansers
  • Use gentle diaper wipes that do not contain alcohol, fragrance, irritants, or sensitizers (only if the skin is intact)
  • Apply a proper emollient after cleansing following each diaper change to protect the diaper area.(2)

(1) Diaper dermatitis--an overview. Prasad HR, Srivastava P, Verma KK.

(2) Differential Diagnosis of Diaper Dermatitis, Bernard Cohen, MD

 

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