Diaper dermatitis for disposable diapers, solution or problem? A case presentation
Abstract
Introduction: within the irritative and inflammatory dermatoses, irritative dermatitis of the diaper area is one of the most frequently seen in pediatric and dermatological consultations, related primarily to the extended use of disposable diapers; it affects children under two years of age, mainly infants between nine and 12 months of age, and among the factors favoring its appearance are the conditions of humidity, maceration, friction and contact with urine, feces, detergents, plastics, perfumes and other substances in the area covered by the diaper.
Case presentation: a male patient, white skin and one year old, who was taken to the clinic for presenting skin lesions in the inguinal region and the genitals from about 10 days before, with appearance initially reddened and later of a burn with yellow scabs. From the physical examination and the history that the lesions appeared after the use of disposable diapers for several hours daily and for about a week, the patient was diagnosed of diaper dermatitis. Treatment consisted of a combination of hydrocortisone at 1 %, applied twice a day, and creams with zinc oxide base.
Conclusions: the inadequate use of disposable diapers, the characteristics of their tissue, and the temperature and humidity conditions of the tropical climate favor the appearance of dermatitis; the use of diapers made of soft tissues (gauze or cotton) is recommended to allow ventilation of the affected area and recovery of the epidermis.Downloads
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