Pediatric emergency medicine trisk 1338 1338
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FIGURE 69.13 Infant with irritant/contact diaper dermatitis.
Another consideration is the predisposition of certain individuals to react more
easily and negatively to varying irritants. There are instances of true allergic
contact dermatitis from baby wipes and dyes and fragrances found in diapers.
Allergies to dyes usually occur at the waist band, the area that fits tightly around
the leg, and in the center of the diaper, sparing the folds. If this is a concern, then
switching to dye-free and fragrance-free diapers and using water or soft cloths
with water instead of traditional disposable wipes may help. Generally, infants
with an atopic or seborrheic predisposition are at greater risk for the development
and persistence of diaper dermatitis. Differentiation of the various types of diaper
dermatitis is difficult. Clues from the history and physical examination are
necessary when characterizing the cause of this problem. The different types of
diaper rashes include occlusion dermatitis, atopic dermatitis, seborrheic
