Diaper rash

Diaper rash (intertrigo - inflammatory lesions of skin folds, developing under the influence of moisturizing products skin secretions and friction of the contacting surfaces of the skin. Rash occurs in the folds between toes of the feet, rarely hands, in the inguinal femoral and miyagawacho folds, in the armpits, under the Breasts in women, the folds of the abdomen and neck in obese subjects, in infants suffering from exudative diathesis, or poor maintenance. Causes of diaper rash: reinforced flow and excretion of fat, Beli, incontinence of urine discharge from fistula, hemorrhoids, insufficient obsushivayut folds of skin after bathing, especially in infants.
Diaper rash is manifested in the form of erythemawhich no sharp borders enters healthy skin. Deep creases formed surface nekroliticescoe cracks. In advanced cases the stratum corneum materials and rejected - detected abrasion with indistinct contours. Eliminate irritating factors and treatment indifferent anti-inflammatory drugs (powders, lotions) quickly lead to a cure.
However, the rash may be chronic, sometimes hard tightened for years, which is connected with the accession of infection (infectious rash); Streptococcus (often) cause intertriginoznoy streptoderma drojjepodobnykh fungi (rarely) - intertriginoznoy candidiasis (see), sometimes infectious agents are combined. The clinical picture of infectious diaper rash is characterized by the formation erythematous, sometimes infiltrated lesions, surrounded by a narrow collar flaking of the corneal layer of the skin with a clear krupnoplastinchatam contours. Lesions can grow on the periphery, the surface moist or plate covered with crusts and scales; in the depth of the wrinkles are superficial, nekroliticescoe cracks. Subjectively, itching, rarely pain, burning.
Treatment of diaper rash: gadgets and humid-drying bandages with 0,1% solution of copper sulphate or sulfate zinc; lubrication water and alcohol solutions, pastes and creams containing 2% gentian violet, lomakartano, aksigorta, geocorona. Finished treatment 2-5% tar pastes and ointments. In persistent cases radiotherapy. After the liquidation of lesions should wipe the skin folds 2% salicylic alcohol and powdered talccontaining 1% copper sulfate (copper sulphate).
Prophylaxis: addressing the causes increased sweating - treatment of vegetative neurosis, obesity, recommend to wear rational (breathable) clothes and shoes, take frequent hygienic bath. It is necessary to pay attention to proper infant feeding and care of their skin: more often change the diaper, daily make baths with a weak solution of potassium permanganate, after which the skin folds and affected areas to grease boiled sunflower or almond oil, fish oil.

Diaper rash (intertrigo, dermatitis intertriginosa) - an inflammatory skin folds, developing due to friction of the contacting surfaces of the skin in the conditions of the irritant effects of the products of skin secretions.
Rash occurs in the folds between toes of the feet, rarely hands, in the inguinal femoral and miyagawacho folds, in the armpits, under the Breasts, in the folds of the abdomen and neck in obese subjects, in infants suffering from exudative diathesis, or poor maintenance. The reasons are Acting reinforced flow and excretion of fat, Beli, incontinence of urine discharge from fistula, hemorrhoids, insufficient obsushivayut folds of skin after bathing, etc., O. appears first in the form of erythema (erythema intertrigo), which is no sharp boundary passes in healthy skin. Deep creases formed surface nekroliticescoe cracks. In advanced cases the stratum corneum materials, rejected, resulting in open - abrasion with indistinct contours. Eliminate irritating factor and treatment anti-inflammatory drugs (powders, lotions) quickly lead to a cure.
However, the rash may differ resistant chronic course, puffing on even years, that is connected with the development of infection (infectious O.), often caused by streptococci (intertriginoznoy streptoderma), less drojjepodobnykh fungi (intertriginoznoy the candidiasis) or the Association of Streptococcus and fungi of the genus Candida.
Clinically infectious O. characterized by the formation erythematous, sometimes infiltrated lesions, surrounded by a narrow collar loose horns. The contours of their clear, krupnoplastinchatam. The surface of a moist or plate covered with crusts and scales; may, however, dry and smooth. In the depth of a longitudinal folds are superficial nekroliticescoe cracks and around the hearth - spotted, nodular, vezikuleznaya or pustular elements. Often detect materialmany the epidermis. Lesions with peripheral growth as a result of detachment of the stratum corneum, increase in size, and sometimes extend beyond folds (for example, BTE) or move to other folds (for example, from miyagawacho in the inguinal femoral and Vice versa). Patients complain of itching, rarely pain, burning.
The rash should be differentiated from eczema (see), eritrazma (see), plicarum (see), and sometimes for psoriasis (see), localized in isolation in skin folds.
The treatment of infectious rash aimed at eliminating as Streptococcus, and yeast-like fungi. With this purpose appoint sulfate copper sulfate and zinc in the form of 0.1% solution for lotions and drying wet bandages, gentian violet in the form of 2% aqueous and alcoholic solutions, pastes, or ointments, corticosteroids with antibiotics (oksikort). Finished treatment tar pastes and ointments. In persistent cases have to resort to therapy. On the elimination of lesions skin folds wipe 2% salicylic alcohol and pripudrivayut talc containing 1% copper sulphate. In infants obligatory daily baths with the addition of solution of potassium permanganate (1:5000).
Preventing diaper rash - hygiene of the skin and eliminating the causes of excessive sweating (vegetative neurosis, obesity, poor airtight clothes and shoes, and so on).