Childhood Obstructions - Causes, Symptoms and Treatment. MF.

Interfusions are noninfectious skin lesions( mainly up to the horny layer) in the area of ​​natural skin folds( in children most often - inguinal and interannual) that result from the action of endogenous( internal) or exogenous( external) factors. These lesions are subsequently re-infected with the conditionally pathogenic microflora of the skin and, as a consequence, lead to inflammation( a protective response of the body).Medical terms for diaper rash are intertriginous dermatitis or intreatrio. Most diaper rash occurs in infants and inactive children, most often in infants with excessive body weight.

Causes of diaper rash in children

The classification for the causes of diaper rash presents the clinical forms from the most common, to the rarer:

1. Intrigue( in skin friction areas)
2. Contact dermatitis( in contact with the diaper)

Contact dermatitis

3Allergic ring( occurs as a result of irritation of food allergens, formed around the anus)

Predisposing factors: they should be attributed to the characteristics of the structure of baby skin. Imperfection of cell differentiation in layers, thin collagen fibers and insufficient number of intercellular connections( desmos) - all these 3 factors make the layers of skin most vulnerable to mechanical and chemical damage. And the cause of secondary infection is a neutral pH medium( acid-base balance index).In contrast to a weakly acidic environment in the norm, this neutral environment creates favorable conditions for the reproduction of bacteria that live on the skin and not only.

The causes of diaper rash in children are:

• a greater number of glands( per 1 cm² it is 4-8 times more glands than in adults) and as a result - the irritating effect of skin secret products;
• features of the skin structure, which were given above;
• adverse allergic anamnesis( with suspected diathesis).

Provision of diaper rash may result in imperfect care or frequent rubbing of contiguous skin surfaces.

Symptoms of diaper rash

There are 3 degrees of severity that correspond to certain symptoms that predetermine the tactics of treatment at each stage:

I degree - in the form of erythema, that is, limited skin reddening without clear boundaries

Erythema

II degree - formation of surface cracks and shallow surface erosions. At this stage, a feeling of heat, souring and itching can already be felt.
III degree - severe maceration( softening and wetting), the formation of extensive wetting erosive surfaces without clear boundaries.

Fatigue, neglected form of

The aggravation of subjective sensations is described in the second degree.

Infection occurs more often than cocci( staphylococcus, streptococcus, etc.) or fungal flora, as indicated by the following morphological criteria:

- clear scalloped edges
- susceptibility to peripheral growth
- lesion surrounds with different morphological elements( spotted, vesicular or pustular eruptions)
- at untimely beginning of treatment there is a risk of development of microbial eczema( defeat of the gliding layers of skin)

But even with such seemingly seemingly trifling problems, Every parent faces, you should not lose your vigilance, you need to turn to a pediatrician for primary differential diagnosis, so as not to miss skin manifestations of a more serious disease( erythrasms, epidermophytosis, eczema, psoriasis).

Treatment of diaper rash in children

Treatment is carried out in accordance with the degree.

At I st - it is possible to be limited only by observance of hygienic principles and exception of damaging factors( tight diapering, frequent wearing of diapers).A solution of potassium permanganate( sold in a pharmacy) can be added to the bath before the acquisition of pale pink water.

At II st - after indigestion bath use indispensable powders( drying powders): baby, talcum with zinc. After 3 days, anti-inflammatory ointments containing corticosteroids( for example, Dexamethasone) and / or antibiotics( for example, Synthomycin) begin to be used. When attaching fungal infection, a complex ointment containing both antimicrobial, antifungal and anti-inflammatory components( for example, Triderm) can be used. It is better for parents to not take this responsibility and not prescribe the treatment themselves, because sometimes it is better to use corticosteroids( before the onset of the inflammatory process, ie, before the beginning of contamination with conventionally pathogenic / pathogenic microorganisms), and sometimes it is better antibacterial. The choice of a group of drugs will depend on the prevalence of one or another process.

At III st - apply lotions, and then use ointments. At this stage, consultation about the choice of drugs should be addressed only with the doctor, because possibly combined and step-by-step administration of drugs with individual tolerability and seeding microflora.

may also be prescribed. Prevention of diaper rash in children.

. Prevention consists in scrupulous compliance with the rules of child care and strict nutrition monitoring, with a reduction or total elimination of food allergens( in case of unfavorable allergic anamnesis).

Doctor therapist Inna Shabanova