A clinico-aetiological study of diaper area dermatoses in children


  • Bindushree R. Department of Dermatology, The Oxford Medical College and Research Centre, Bangalore, Karnataka
  • Raghavendra B. N. Department of Dermatology, Sri Devaraj Urs Medical College, Kolar, Karnataka
  • Rajashekhar T. S. Department of Dermatology, Sri Devaraj Urs Medical College, Kolar, Karnataka
  • K. N. V. Prasad Department of Paediatrics, Sri Devaraj Urs Medical College, Kolar, Karnataka




Diaper area dermatoses, Irritant contact dermatitis, Scabies


Background: Diaper area dermatoses is a broad term used to describe various skin conditions that can occur in diaper area. Dermatoses in diaper area can occur as primary disease, as part of a generalised inflammatory skin disease, or as part of a systemic disease.

Methods: One hundred and thirty children below five years with eruptions involving the diaper area were enrolled in the study. A detailed history, general physical examination and dermatological examination was done and recorded in a proforma. Tests such as Tzanck smear, skin biopsy, KOH preparation, culture sensitivity, Gram staining and appropriate hematological investigations were done whenever necessary depending on the presenting condition.

Results: A total of twenty three (23) various dermatoses were encountered. Irritant contact dermatitis (22.3%) was the most common dermatoses, followed by scabies (14.6%), impetigo (13.8%) and papular urticaria (11.5%). Aetiological analysis revealed that majority (28.5%) of dermatoses belonged to infection group followed by inflammatory (26.15%) and arthropod bite (26.15%) groups. Amongst the infective dermatoses, bacterial infection (14.61%) was most common entity followed by viral (10.76%) and fungal infection (3.1%).

Conclusions: Our study emphasizes various dermatoses in diaper area in paediatric population and proves that aetiology is multifactorial and is not because of diaper alone.


Daniel BW, Alan BF, Steven RF, Daniel PK. Characterization of diaper dermatitis in the United states. Arch Pediatr Adolesc Med. 2000;154:943-6.

Alfrons K, Bernice K. Diaper area eruptions. In: Lawrence FE, Ilona JF, Nancy BE, eds. Neonatal dermatology. 2nd edition. Philadelphia: Saunders; 2008: 245-263.

Scheinfeld N. A review and brief survey of eruptions of diaper area. Am J Clin Dermatol. 2005;6:273-81.

Srisupalak S, Ilona JF. Diaper dermatitis. Pediatr Rev. 1995;16:142-7.

Balai M, Khare AK, Gupta LK, Mittal A, Kuldeep CM. Pattern of pediatric dermatoses in a tertiary care centre of South west rajasthan. Indian J Dermatol. 2012;57:275-8

Banerjee S, Gangopadhyay DN, Jana S, Mitra C. Seasonal variations in pediatric dermatoses. Indian J Dermatol. 2010;55:44-6.

Sayal SK, Bal AS, Gupta CM. Pattern of skin diseases in paediatric age group and adolescents. Indian J Dermatol Venereol Leprol. 1998;64:117-9.

Gul U, Cakmak SK, Gonul M, Kilic A, Bilgili S. Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey. Pediatr Dermatol. 2008;25:277-8.

Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41:373 7.

Sharma RC, Mendiratta V. Clinical profile of cutaneous infections and infestations in the paediatric age group. Indian J Dermatol. 1999;44:174-8.

Hayden GF. Skin diseases encountered in a pediatric clinic. Am J Dis Child. 1985;139:36-8.

Sardana K, Mahajan S, Sarkar R, Mendiratta V, Bhushan P, Koranne RV. The spectrum of skin disease among Indian children. Pediatr Dermatol. 2009;26:6-13.

Naeem R, Muhammad Saqib L. A Clinical Study of Papular urticaria. J Coll Physicians Surgeons Pakistan. 2008;1:147-50.






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