Patient's question:
20-day-old baby developed red dots on the left buttock again last Sunday. They were connected in patches, resembling hives, while the right buttock showed no signs. The baby experienced pain at night and kept scratching.A visit to the dermatology department revealed that 20 days ago, there were isolated small red dots, which sometimes subsided. Disposable diapers were used, with two applied overnight and none during the day. Since last Sunday, patchy formations had already appeared, and there were also some red dots on the scalp.
The baby had been without diapers since Saturday evening.
Previous Treatment and Outcome:
- Last Sunday, mupirocin ointment was applied, which significantly improved the condition. However, scratching at night worsened it.
- Later, erythromycin eye drops were used, which reduced the patches at night, but scratching again made the condition return to its previous state the next morning.
- On Friday, a doctor prescribed a compound clotrimazole cream, which appeared to worsen the condition after application.
Hello, how can I...
Doctor's answer:
Diaper rash is a type of contact dermatitis, a localized dermatitis that occurs again in areas covered by diapers.(1) Feed the baby frequently, and dry the diaper thoroughly to prevent irritation to the skin.
(2) Expose the affected area to light for 10-20 minutes to evaporate the moisture, which is highly effective.
(3) Apply a 1% gentian violet solution locally.
(4) Use a 40% zinc oxide ointment or a 5% tannic acid ointment regularly.
(5) Apply a solution made by dissolving boiled prickly ash oil for topical treatment.