​Dermatology - Diaper Dermatitis

​Dermatology - Diaper Dermatitis 
Candidiasis, often known as diaper dermatitis, is a fungal infection that affects the skin.

An external infection of the skin caused by Candida albicans or other species of Candida.
Cutaneous candidiasis commonly develops in areas of the skin that are both wet and occluded, such as the diaper region of babies.
Pruritus, soreness, and pain manifest as irritability, discomfort during urination, feces, and diaper changes in babies.
Abnormalities
The initial pustules on a red base become degraded and merge together. Following that, distinct and well-defined, many, red, ulcerated patches with little pus-filled lesions emerge at the outside edges (known as satellite pustulosis). Lesions may exhibit collarette-like scaling along their edges.

The diagnosis is established through clinical examination and culture testing. The differential diagnosis includes atopic dermatitis, psoriasis, irritant dermatitis, and seborrheic dermatitis.

Most cases of diaper dermatitis can be effectively treated with antifungal creams such as nystatin, azole, or imidazole. If there is a recurrence, it is advisable to consider the use of oral nystatin, as it effectively eliminates the presence of bacteria in the intestines. Advise caretakers to maintain dryness in intertriginous areas, cleanse with benzoyl peroxide, and apply imidazole powder.