(nappy rash) a red skin rash within the napkin area, usually caused by chemical irritation (ammoniacal *dermatitis) or infection with *Candida. Ammoniacal dermatitis is caused by skin contact with wet soiled nappies, the stool bacteria reacting with urine to form irritant ammonia. Treatment involves exposure to air, application of barrier creams, and frequent nappy changes. Candidal nappy rash is treated with antifungal creams. Other causes of napkin rash include eczema and psoriasis.
A common form of irritant contact DERMATITIS in the nappy area in babies under one year old. Wetting of the skin by urine, abrasion, and chemical changes due to faecal contamination all play a part. Good hygiene and use of disposable absorbent nappies have much reduced its incidence. An ointment containing a barrier, such as titanium dioxide, may help; other medications such as mild CORTICOSTEROIDS or antibiotics should be used very cautiously and only under the guidance of a doctor, as harmful effects may result – especially from overuse.... nappy rash
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