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Nappy rash - Management
How should I diagnose nappy rash?
- Diagnose nappy rash from the characteristic appearance of the rash and by excluding other diagnoses of rash in the nappy area (especially in neonates, as nappy rash is uncommon in this age group).
- Typically there is redness over convex surfaces closest to the nappy (buttocks, genitals, pubic area, and upper thighs) with sparing (no redness) in the deeper flexures.
- The rash has a glazed appearance if acute, or fine scaling if more long-standing.
- Usually, there are no symptoms (scratching or systemic upset). However, if the nappy rash is severe or painful, the child may be distressed or uncomfortable.
- A skin swab is not necessary to make a diagnosis.
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