Question

A 20-day-old baby developed a rash resembling urticaria on the left buttock last Sunday, feeling itchy at night and constantly scratching. Although diapers were used at night, none were used during the day. Red, patchy rashes appeared on Sunday, and similar rashes were also on the head. No diapers were used since Saturday night. Previous treatment and effects: On Sunday, the rash improved with Mupirocin ointment, but symptoms worsened after scratching at night. Later, Gentamicin sulfate eye ointment was used, and the redness almost disappeared at night, but it reappeared the next morning. The baby saw a doctor on Friday, and a compounded ketoconazole cream was prescribed, but the condition seemed to worsen after use.

Answer

Diaper dermatitis is a form of contact dermatitis that commonly occurs in areas covered by diapers. Here are several treatment and prevention methods:

  1. Change diapers frequently to keep the area dry and prevent skin irritation.
  2. Use light therapy for 10-20 minutes to help the skin evaporate and dry out, which is effective.
  3. Apply 1% gentian violet topically in the affected area.
  4. Use 40% zinc oxide ointment or 5% tannic acid ointment regularly.
  5. Dissolve and apply boiled Sichuan pepper oil after cooling.