Diaper rashes can indicate systemic conditions other than diaper dermatitis

Sirirus Lebsing,Leelawadee Techasatian,Jitjira Chaiyarit

doi:10.1186/s12895-020-00104-z

Abstract

BackgroundAlthough the majority of rashes in the diaper area are caused by irritation from urine and feces, irritant diaper dermatitis; IDD, there are some less common but potentially serious cutaneous eruptions associated with systemic diseases that should not be discounted.MethodsThis prospective descriptive study aimed to explore variation in cutaneous disease in the diaper area. It was conducted as a prospective descriptive study between October 2016 and November 2019 in the pediatric department of a tertiary-level hospital.ResultsThree hundred consecutive patients with rashes in the diaper area were enrolled. The most common diagnosed was IDD (125 cases; 41.7%), followed by rashes exacerbated by the diaper (101 cases; 33.67%) and non-diaper-related rashes (74 cases; 24.67%).ConclusionsOur finding suggests that when diagnosing rashes that occur in the diaper area, general pediatricians should consider, in addition to IDD, the possibility of less-common conditions. The simultaneous presence of cutaneous lesions at other sites was linked to diagnoses of systemic diseases other than IDD, (P < 0.001).

Highlights

The majority of rashes in the diaper area are caused by irritation from urine and feces, irritant diaper dermatitis; Irritant diaper dermatitis (IDD), there are some less common but potentially serious cutaneous eruptions associated with systemic diseases that should not be discounted
The majority of rashes in the diaper area turn out to be irritant diaper dermatitis (IDD), meaning that they are caused by irritation from urine and feces, which is aggravated by wearing diapers
A total of 300 patients who presented with rashes in the diaper area were recruited in-to the study

Summary

Introduction

The majority of rashes in the diaper area are caused by irritation from urine and feces, irritant diaper dermatitis; IDD, there are some less common but potentially serious cutaneous eruptions associated with systemic diseases that should not be discounted. The majority of rashes in the diaper area turn out to be irritant diaper dermatitis (IDD), meaning that they are caused by irritation from urine and feces, which is aggravated by wearing diapers. This type of skin inflammation is mostly found in diaper-dependent children under 24 months of age [3]. Coughlin el al [4]. classified skin conditions that present in the diaper area in to three groups: 1) skin

Objectives

Methods

Results

Discussion

Conclusion