prolonged exposure to irritants in the diaper area (urine, feces, soaps, baby wipes)
inadequately rinsed cloth diapers, chemical in disposable wipes, diarrheal stools, monitor/change diaper as soon as it becomes wet.
s/s: flat, red rash in the convex skin creases, red and shiny, may or may not have papules.
tx: prevention is best management, topical cream/ointments with vit. a,d,e, zinc oxide, petrolatum helpful to provide barrier to the skin.
change diapers frequently, avoid rubber pants, gently wash diaper area with soft cloth, avoid harsh soap, avoid wipes that contain fragrance or preservatives