Diaper Rash

Diaper Dermatitis in a Male Infant:

• Red rash in the area under the diaper. Skin has become shiny.
• Any diaper rash that lasts longer than a couple days can become secondarily infected with Candida (yeast). Note the red spots ("satellite lesions") outside the main area of redness.
• If a yeast infection is suspected, Lotrimin cream (over-the-counter) should be applied 4 times daily.

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Diaper Rash

Diaper Dermatitis in a Female Infant

• Rash starts off with small pink and red spots; these spots gradually merge and the entire area under the diaper can become red appearing.
• Trapped moisture under the diaper is the main cause of redness. Prolonged contact with urine or stool further irritates the skin.
• Prevention and treatment of this rash are the same: change diapers frequently, keep the skin clean and dry.

Copyright 2000-2006. LMS, Inc. Used by Permission.

Erythema Migrans Rash

• It is thought that Lyme Disease can be prevented if the tick is removed within 24 hours of attachement.
• The majority of cases of Lyme disease start with a bull's eye rash ("erythema chronicum migrans") at the site of the tick bite. The rash can occur days to weeks (typically 7-10 days) after a tick bite.
• Treatment with antibiotics is indicated if this rash appears.

Photo used by permission and courtesy of Lyme Disease Foundation, www.lyme.org.

Fifth Disease

This otherwise healthy appearing child presented with bright red cheeks on both sides for 2 days ("slapped cheek" appearance).

Copyright 2000-2006. LMS, Inc. Used by Permission.

There is redness and puffiness of both cheeks; this is the first sign of Fifth's Disease.

From the CDC's Public Health Image Library (http://phil.cdc.gov), ID#4510, in the public domain.

Hand, Foot, And Mouth Disease

• The photo demonstrates small red spots and a few small flat blisters on the bottom of the foot.
• Hand, Foot and Mouth Disease is a harmless illness caused by Coxsackie virus.

Used by Permission. Copyright 2004 NZ DermNet.

Hand, Foot, And Mouth Disease

• The photo demonstrates small flat blisters on the the palm of the hand.
• Hand, Foot and Mouth Disease is a harmless illness caused by Coxsackie virus.

Used by Permission. Copyright 2004 NZ DermNet.

Hand, Foot, And Mouth Disease

• The photo demonstrates small flat blisters on the palms of both hands.
• Hand, Foot and Mouth Disease is a harmless illness caused by Coxsackie virus.

Used by Permission. Copyright 2004 NZ DermNet.

Menigococcemia Rash

This photo shows a petechial rash on the foot from meningoccemia.

• Meningococcemia is a life-threatening illness, that progresses rapidly.
• The photo shows a dark-reddish-purple spots on the top of the foot. These are referred to as petechiae.
• Petechiae are small red or purple spots that do not disappear when pressure is applied to the skin. For example, if you press a glass down on the spots, they do not disappear. You can still see them through the glass.

Used by Permission. Copyright 2004 NZ DermNet.

Ringworm

• This patient presented with ringworm on the arm, or tinea corporis due to Trichophyton mentagrophytes.
• The genus Trichophyton inhabits the soil, humans or animals, and is one of the leading causes of hair, skin and nail infections in humans.

From the CDC's Public Health Image Library (http://phil.cdc.gov), ID#2938, in the public domain.

Content provider: Dr. Lucille K. Georg.

Ringworm Rash on Arm

Notice that the area is round and pink. It has a raised rough scaly border. The ring slowly increases in size. It is usually slightly itchy.

Copyright 2000-2006. LMS, Inc. Used by Permission.