Infantile rash erythema

Infantile rash erythema

The erythema of the buttock in the baby implies a skin irritation, which affects the region covered by diapers. Wound erythema is extremely common in infants.

The erythema of the buttock is mainly manifested by a reddening of the skin on the buttocks, abdomen, upper part of the pulp and external genital organs, and skin folds are not usually affected.
The exact appearance of the lesions and their location depend on the cause of the irritation. In severe forms, erythema is complicated by ulcers, which often prove to be overinfected.

What could cause fetal erythema in babies?
The irritation of the baby's skin at the level of the area covered by diapers can be determined by:
• External cause - diaper rubbing and prolonged contact with urine and acidic stools.

• Dermatological diseases - seborrheic dermatitis of the baby, psoriasis etc.
• Bacterial, viral or fungal infection.
A child who is not changed properly will have the reddish smudge (the erythema of the spleen), because of which he will be annoying, agitated and often cry.

Notions of treatment and prevention
The treatment consists of local hygiene rules:
• frequent washing of the skin with mild, diluted antiseptics, and careful rinsing,
• applying after each wash the lotions or gels based on imidazolates,
• leaving the buttocks outdoors as long as possible each day,
• frequent change of diapers and not too tight wrapping of the child,
• avoiding the application of apples or fatty bodies, because it favors maceration.
Bacterial infections also require oral antibiotic treatment.
The observance of certain hygiene rules must allow to avoid the appearance of a rash erythema:
• washing the seat with toilet soap,
• abundant rinsing and drying by buffing, not by rubbing.
The use of zinc-based aqueous paste, which isolates the epidermis from fecal matter and moisture, seems to be more useful than using fat.

The opinions of the specialists
"As a result of the prolonged contact of the urine, feces, perspiration, synthetic materials with the skin of the child, skin irritation occurs in the anal region and sometimes it extends to the region of the genitals and to the thighs, leading to erythema, which is one of the skin lesions. characteristic of children in the first years of life.
Usually, its occurrence is associated with an episode of diarrhea, when the stools are frequent or have a pH-acid, easily irritating the skin.
Fetal erythema, being a skin lesion, is at the same time a gateway for various bacteria or fungi, thus there is a risk of skin, bacterial or fungal over-infection.
When antibiotics are also given concomitantly, the risk of developing fungal overgrowth (candida) is even higher, because antibiotics destroy the normal bacterial flora of the body, thus favoring the excessive development of fungi (of which the most common is candida).
This is the explanation for the occurrence of skin infections with the candida after oral antibiotics.
There are several measures that can prevent the occurrence of cleft erythema in children:
• Changing dirty diapers in time, especially after removing the chairs; special attention should be paid to sitting hygiene during diarrhea episodes, when the more frequent and sometimes acidic chairs more easily irritate the baby's skin.
• When possible, washing the seat with warm water and a little soap (especially soap for children) after removing the seats is ideal
• Avoid coating the skin with thick layers of cream; after each change of the diaper a thin layer of protective cream is sufficient in infants with sensitive skin that is easily irritated
• the use of good quality diapers (preferably disposable ones), avoiding the use of plastic panties
• avoiding excessive use of detergents or conditioners and a good cleaning of baby clothes.
Once the erythema is formed, the most beneficial remedy is to leave the baby's skin exposed, in contact with the air, for 15 minutes several times a day (attention to the temperature in the room).
Applying talcum powder or a zinc-based cream (both at once) can be useful; cream is applied in a thin and even layer on clean skin. It is necessary to maintain a rigorous hygiene (using warm water and little soap for children, without rubbing the skin).
However, if the over-infection (bacterial or candidiasis) occurs, you should consult the dermatologist, to indicate a treatment addressed directly to the etiology of the infection. "
Alina Pop-Began
Resident physician - Anesthesia and Intensive Care
"The erythema fesier appears very frequently (I would say in most cases) after the beginning of the consumption of vegetables and fruits.
Practically all vegetables and fruits are acidic or generate acids through digestion, as long as the milk used by the child until then is alkaline.
Methyl blue is very good at preventing infections, but it is not used to treat the cause. It would be good to:
• check if the diapers have sufficient absorbing power (sample with the glass of water and ink, as you saw on the TV).
• Use only homemade mash.
• add a teaspoon of baking soda to the boiling vegetables. This will buffer the acidity inside the vegetables (and will greatly speed up their boiling). After the puree is added add a pinch of baking soda.
• Add a little potassium permanganate to the child's daily bath. You need a few crystals, as much as the water gets a pink tint. It is becoming more and more difficult in pharmacies (the "competent" authorities have put permanganate on the drug list and pharmacies have no way to obtain special authorizations for this), but you can still find them in Bessarabians who sell without authorization. the kind of things through the markets. "
dr. Mihnea DRAGOMIR
Specialist in family medicine

What do moms say about baby's erythema in babies
A mother says her six-month-old daughter has been having problems since she began diversifying her diet of vegetables, without fruit. Although she has 3-4 normal chairs per day, there is a spinal erythema, and the mother confesses that she does not save on disposable diapers and washes it on every chair. A doctor recommended that she wipe it with methyl blue
Another mom says she is upset by a rash that does not pass her baby and says she tried many solutions, but only after two days of applying an oil spray from Klorane the baby seems to feel better.
Moms talk about Bephanten as being very good, especially in the first few months, preventing irritation of the buttocks, but that it would have an inconvenient quality-price ratio - too little quantity and a little high price. Instead, moms use Nivea cream for zinc and Johnson's Baby baby mousse.

Candida tags in babies