In detail

Erythema of the buttock in the small child

Erythema of the buttock in the small child


Question:

- My little girl, aged 1 year and 5 weeks, was very irritated between her legs. He once did something like that but I was in Italy, and the pediatrician from there said that he was a "candidate" who, because of the antibiotics taken by mouth, could not show up inside and went out. Give me a helping hand because I don't know what to do.

Answer:



As a result of prolonged contact of the urine, feces, perspiration, synthetic materials with the baby's skin, skin irritation occurs in the anal region and sometimes spreads to the region of the genitals and thighs, resulting in the so-called "erythema fesier", which is one among the skin lesions characteristic of children in the first years of life.
Usually, it is associated with an episode of diarrhea, when the stools are frequent or have a ph-acid, easily irritating the skin.
Fetal erythema, being a skin lesion, is at the same time a gateway for various bacteria or fungi, thus the risk of skin, bacterial or fungal over-infection.


When antibiotics are also given concomitantly, the risk of developing fungal overgrowth (candida) is even higher, because antibiotics destroy the normal bacterial flora of the body, thus favoring the excessive development of fungi (of which the most common is candida).
This is the explanation for the occurrence of skin infections with the candida after oral antibiotics.
There are several measures that can prevent the occurrence of cleft rash in children:
  • timely change of dirty diapers, especially after removing the chairs; special attention should be paid to seat hygiene during episodes of diarrhea, when the more frequent and sometimes acidic chairs more easily irritate the baby's skin.
  • when possible, washing the seat with warm water and a little soap (especially soap for children) after removing the chairs is ideal
  • avoid covering the skin with thick layers of cream; after each change of the diaper a thin layer of protective cream is sufficient in infants with sensitive skin that is easily irritated
  • the use of good quality diapers (preferably disposable ones), avoiding the use of plastic panties
  • avoiding the excessive use of detergents or conditioners and a good cleaning of baby clothes.
    Once the erythema is formed, the most beneficial remedy is to leave the baby's skin exposed, in contact with the air, for 15 minutes several times a day (attention to the temperature in the room).
    Applying talcum powder or a zinc-based cream (both at once) can be useful; cream is applied in a thin and even layer on clean skin. It is necessary to maintain a rigorous hygiene (using warm water and little soap for children, without rubbing the skin).
    However, if the over-infection (bacterial or candidiasis) occurs, you should consult the dermatologist, to indicate a treatment addressed directly to the etiology of the infection.