Diaper dermatitis; Candida-associated

Alternative names:

Candida - associated diaper dermatitis; dermatitis - diaper and Candida; monilial diaper rash

Symptoms:

• rash, bright red patch which enlarges (patch is made up of small papules and vesicopustules)
• satellite lesions, smaller red patches which grow and Colace with the other patches
• scratching by the infant when the diaper is removed
• scrotum may become fiery red and scaly (boys)

Other

• the infant may also have oral thrush

Signs and tests:

The classic appearance of the rash makes diagnosis of candidal diaper dermatitis possible by examination alone. The presence of yeast in a KOH preparation of skin scrapings is diagnostic.

• KOH test (microscopic examination of skin scrapings in KOH) demonstrates the presence of Candida