| • | acrodermatitis enteropathica |
| • | granuloma gluteale infantum |
Treatment pearl - use bag balm available at Target and CVS, originally used for cow udders, vaseline consistency, contains lanolin every diaper change (clears most irritant contact dermatitis i.e. common diaper rash)
Treatment pearl - send mom to www.CaliforniaBaby.com
Diaper dermatitis
| • | flexures usually spared (vs. seborrheic dermatitis) |
| • | ~ irritant contact dermatitis (to stool and urine) |
treatment:
| • | barrier cream after each diaper change |
| • | mix antifungal and hydrocortisone 1% cream BID |
Seborrheic dermatitis, infantile
| • | groin is red and scaly with prominent involvement of the flexures |
| • | scalp is frequently involved |
| • | nizoral cream (or treat like “diaper dermatitis” above) |
Candidiasis
| • | clue – satellite pustules |
| • | treat with topical antifungal (and treat like “diaper dermatitis” above) |
Granuloma Gluteale Infantum
| • | multiple red-brown nodules |
| • | d/c topical fluorinated steroids (which are often the cause) for slow resolution |
Jacquet’s Dermatitis
| • | represents a primary irritant diaper dermatitis |
| • | well-defined, punched out ulcers or erosions with elevated borders |
| • | occur on the penis, labia or peri-anal area |
Acrodermatitis Enteropathica
| • | a vesicobullous or erosive dermatitis (peri-orificial or peri-ungual (acral)) |
| • | diarrhea or hair loss or failure to thrive may accompany |
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