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Dermatite da área das fraldas

Última revisão: 1 Dec 2025
Última atualização: 24 Jan 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • início agudo de erupção cutânea na área das fraldas
  • eritema de superfícies convexas na área das fraldas
  • pregas cutâneas poupadas
Detalhes completos

Outros fatores diagnósticos

  • características de candidíase
  • típicos de infecção por Staphylococcus aureus
  • típicos de infecção por estreptococo do grupo A.
  • agitação
Detalhes completos

Fatores de risco

  • idade <2 anos
  • diarreia
  • distúrbio dermatológico subjacente
  • antibióticos orais
  • trocas de fralda esporádicas
  • uso excessivo de produtos de cuidados do bebê
  • excesso de detergente
  • excesso de limpeza
  • calça plástica
  • ausência de períodos sem fraldas
  • infecções cutâneas subjacentes
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • teste de hidróxido de potássio de raspado de pele
  • cultura bacteriana da pele
  • cultura fúngica da pele
  • Hemograma completo
  • nível sérico de zinco
Detalhes completos

Treatment algorithm

ONGOING

todos os pacientes

Contributors

Authors

Linda S. Nield, MD, FAAP
Linda S. Nield

Associate Dean for Admission

Professor of Medical Education and Pediatrics

West Virginia University School of Medicine

Morgantown

WV

Disclosures

LSN is an author of references cited in this topic.

Deepak Kamat, MD, PhD, FAAP
Deepak Kamat

Professor of Pediatrics

Vice Chair for Academic Affairs

Department of Pediatrics

UT Health San Antonio

San Antonio

TX

Disclosures

DK is an author of references cited in this topic.

Peer reviewers

Jonette E. Keri, MD, PhD

Assistant Professor of Dermatology and Cutaneous Surgery

University of Miami

Miller School of Medicine

Miami

FL

Disclosures

JEK declares that she has no competing interests.

Martin E. Weisse, MD

Professor of Pediatric Infectious Disease

Walter Reed Army Medical Center

Washington

DC

Disclosures

MEW declares that he has no competing interests.

Kam Lun Ellis Hon, MBBS, DCH, FAAP, FCCM

Associate Professor

Department of Paediatrics

The Chinese University of Hong Kong

Hong Kong

China

Disclosures

KLEH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Lebsing S, Chaiyarit J, Techasatian L. Diaper rashes can indicate systemic conditions other than diaper dermatitis. BMC Dermatol. 2020 Sep 21;20(1):7.Full text  Abstract

Šikić Pogačar M, Maver U, Marčun Varda N, et al. Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. Int J Dermatol. 2018 Mar;57(3):265-75. Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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