Diaper rashes can indicate systemic conditions other than diaper dermatitis.

Q2 Medicine

BMC Dermatology Pub Date : 2020-09-21 DOI:10.1186/s12895-020-00104-z

Sirirus Lebsing, Jitjira Chaiyarit, Leelawadee Techasatian

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引用次数: 6

Abstract

Background: Although the majority of rashes in the diaper area are caused by irritation from urine and feces, irritant diaper dermatitis; IDD, there are some less common but potentially serious cutaneous eruptions associated with systemic diseases that should not be discounted.

Methods: This prospective descriptive study aimed to explore variation in cutaneous disease in the diaper area. It was conducted as a prospective descriptive study between October 2016 and November 2019 in the pediatric department of a tertiary-level hospital.

Results: Three hundred consecutive patients with rashes in the diaper area were enrolled. The most common diagnosed was IDD (125 cases; 41.7%), followed by rashes exacerbated by the diaper (101 cases; 33.67%) and non-diaper-related rashes (74 cases; 24.67%).

Conclusions: Our finding suggests that when diagnosing rashes that occur in the diaper area, general pediatricians should consider, in addition to IDD, the possibility of less-common conditions. The simultaneous presence of cutaneous lesions at other sites was linked to diagnoses of systemic diseases other than IDD, (P < 0.001).

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尿布疹可以表明除尿布皮炎以外的全身性疾病。

背景:虽然大多数尿布区皮疹是由尿液和粪便刺激引起的，但刺激性尿布皮炎;IDD，有一些不太常见但潜在严重的与全身性疾病相关的皮肤疹，不应忽视。方法:本前瞻性描述性研究旨在探讨尿布区皮肤疾病的变化。该研究是一项前瞻性描述性研究，于2016年10月至2019年11月在某三级医院儿科进行。结果:连续入组300例尿不湿区皮疹患者。最常见的诊断是IDD(125例;41.7%)，其次为纸尿裤加重皮疹(101例;33.67%)和非纸尿裤相关性皮疹(74例;24.67%)。结论:我们的发现提示，在诊断尿不湿部位的皮疹时，除了IDD外，一般儿科医生还应考虑不常见情况的可能性。在其他部位同时出现皮肤病变与除IDD以外的全身性疾病的诊断有关

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来源期刊

BMC Dermatology Medicine-Dermatology

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期刊介绍： BMC Dermatology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of skin disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Dermatology (ISSN 1471-5945) is indexed/tracked/covered by PubMed, MEDLINE, CAS, EMBASE, Scopus and Google Scholar.