Windeldermatitis

Abstract

Diaper dermatitis is one of the most common skin diseases during infancy and childhood. It is a type of irritant contact eczema resulting from a complex interaction between urine and feces under occlusive conditions in combination with the hyperhydration of the stratum corneum, pressure and friction under the diaper. These conditions pave the way for Candida albicans infection, which is often associated with diaper dermatitis. The anogenital region can be involved by a variety of dermatoses, so a precise skin examination, detailed history and sometimes histologic examination are needed for a precise diagnosis. Therapeutically, frequent diaper changes and adequate skin care are most important.

The Efficacy and Safety of Sertaconazole Cream (2 %) in Diaper Dermatitis Candidiasis

“…The literature indicates that DD occurs between 1 and 15 months [3, 4, 7], with a higher average between 2 and 9 months. It is important to note that the mean duration of disease was 14.5 days because the limit was 4 months in our inclusion criteria.…”

“…DD is directly influenced by a series of factors, such as excessive humidity and skin maceration, which regularly tends to show a change in pH, thereby making it more alkaline. This is due to urea transformation into ammonium hydroxide, which favors the loss of the skin barrier and subsequent colonization by various microorganisms [1–4]. …”

“…However, when the presence of Candida yeasts is confirmed, it is necessary to provide antimycotic treatment, which regularly tends to improve signs and symptoms, together with an explanation that diapers should be changed more frequently, desiccants should be used, and humidity and maceration should be avoided. [4, 7, 8]. …”

Infections and skin diseases mimicking diaper dermatitis

“…Select types of infection, and systemic and dermatologic disorders that may resemble diaper dermatitis are outlined in Tables and , respectively. Patients with these conditions require additional evaluation through a range of tests in order to ensure a correct diagnosis and the provision of appropriate treatment …”

Shampoo-Clay Heals Diaper Rash Faster Than Calendula Officinalis

“…Diaper rash is one of the most common skin disorders of infancy and childhood (1). It is characterized by an acute inflammatory reaction of the skin around diaper (2).…”