Child health · UKMLA & AKT
Nappy candidiasis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Satellite lesions - small erythematous papules/pustules beyond the edge of the main rash; most characteristic feature
- Skin fold involvement - extends into inguinal creases and perianal folds (contrast with irritant dermatitis which spares folds)
- Bright erythema - vivid 'beefy' red with glazed appearance
- Failure to improve with barrier cream alone - key clue
Satellite lesions + skin fold involvement = candidal nappy rash. Irritant nappy rash has NO satellite lesions and SPARES the skin folds.
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