Diaper Rash

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1. Treatment

    1. oint zinc oxide 2% #1 PRN

        1. or Powder sucralfate #1 PRN

    2. Oint hydrocortisone 1% bid #1

    3. For bacterial infection:

        1. Oint mupirocin 2% bid #1

    4. For candida infection with satellite lesions

        1. cream clotrimazole 1% bid #1

            1. or oint nystatin bid #1

            2. or cream ketoconazole 2% bid #1

2. do not use steroids with anti fungal

3. if after 3 days of treatment with anti biotics, the pt is still symptomatic with new satellite lesions, treat candida

4. DDx: millia

    1. keratin pearl

    2. no need for treatment