Dermatology

Question 1

What is the most common cause of napkin rash?

Answer 1

Irritant dermatitis:
The most common cause, due to irritant effect of urinary ammonia and faeces
Creases are characteristically spared

Question 2

How does candida dermatitis present?

Answer 2

An erythematous rash which involve the flexures and has characteristic satellite lesions

Question 3

How does seborrhoeic dermatitis present?

Answer 3

Erythematous rash with flakes.

Might have coexistent scalp rash

Question 4

Give 4 mx of napkin rash.

Answer 4

1. disposable nappies are preferable to towel nappies
2. expose napkin area to air when possible
3. apply barrier cream (e.g. Zinc and castor oil)
4. mild steroid cream (e.g. 1% hydrocortisone) in severe cases
5. Suspected candidal nappy rash- topical imidazole. Cease the use of a barrier cream until the candida has settled