Diaper Candida Dermatitis
Candida is a fungal infection which is generally found in the oval cavity, genital region and inside the digestive tract. If an infant is wearing a diaper which is completely wet or soiled with fecal matter, then due to this there are chances of developing inflammatory skin rashes on the infant’s skin, which can further lead to dermatitis infections. Sometimes, due to excess diarrhea, infants may be exposed to the risk of Candida dermatitis and this may also lead to oral infection. Normally, the symptoms seen in infants and children are quite clear. Due to the infection, the skin starts to irritate and quickly develops rashes, which in turn leads to Candida dermatitis. When diaper dermatitis is present for more than three days, the risks of secondary infection increases as well. It can be noticed and identified by its beefy red colored plaques. Candida often finds its way with dermatitis by originating in the skin folds and creases and later extends out to the buttocks. Ointments like zinc oxide paste or petroleum products act as barrier which helps to protect the skin from such infections.
A study published in the ‘Pediatric Dermatology Journal’ in the year 2001 aimed to find the effects of breathable diapers in fighting diaper dermatitis. In a double blind clinical trial, there was a significant reduction of about 38%-50% in those wearing breathable diapers. In case of patch tests, the sites that had breathable patches showed a reduction of Candida in two third of them while the ones that were controlled showed none. It was hence concluded that the diaper dermatitis was inversely proportional to the breathability factor of the diaper. The results of this study highlight the benefits of using breathable diapers as a good way of preventing diaper Candida dermatitis, but it’s also important for the child to have on loose cotton clothing around the rest of the body, so that the skin can breathe.
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Atopic dermatitis is also a type of skin disease which results in inflammation and later gets attached to the fungus forming Candida dermatitis. It is said that atopic dermatitis is also caused due to genetic conditions, but studies are still in progress to find its true causes. Patients who have dry skin are more prone to Candida dermatitis. The atopic dermatitis is mostly seen at the very young age of 1 year and mostly it starts in the head and neck region, which then gets transmitted to various parts of the body. Sometimes fungus may also get involved with the atopic dermatitis, in which Malassezia yeasts play an important role of binding Candida dermatitis.
Candida with Dermatitis
Candida usually causes infection in mouth and genital region, but given adequate conditions and environment it can also lead to Candida eczema on the body. The later one is caused due to the overgrowth of Candida yeast, as the body fails to develop anti-bodies to this fungal infection, the immune system is weakened and the blood stream gets affected by this infection, and later the rest of the body. Studies show that processed and refined foods can boost up the mechanism of the bad bacteria and fungi, which can quickly trigger Candida dermatitis.
Recent studies have shown that Candida is linked with most types of skin condition causing infections like Candida dermatitis. In order to treat such conditions, the main key is to find the particular agent causing this infection, and only then can the treatment be fruitful. There are sufficient theories supporting the context of Candida dermatitis and all this happen because of the excess yeasts present on the skin. The reason behind this is that Candida releases antigens which stimulates and increases the production of pro inflammatory cytokines, which then manifests into skin disorders. In order to treat dermatitis, the overgrowth of Candida has to be stopped within the gut and this can only be done by restoring the healthy bacteria inside the gut flora, as they can prevent the overgrowth of Candida in the whole body. Probiotic bacteria can also be used to treat this infection and this healthy bacterium is found in fermented foods as well, such as: yogurt (unsweetened), soy products, etc.
A study published in the ‘The Journal of Dermatology’ in 1999, looked at the effects of antigens of Candida albicans on atopic dermatitis. ‘Atopic subjects’ and ‘non-atopic subjects’ underwent tests in this study. It showed that hypersensitive reactions were indeed observed in patients administered with Candida albicans. But the delayed hypersensitivity that was observed in non-atopics and atopic subjects without dermatitis was reduced. It goes to show that IgE mediated hypersensitivity caused by antigens of Candida albicans was indeed an intrinsic factor and did induce skin lesions. However, antifungal drugs can minimize this effect easily. These findings show that not only can Candida induce lesions but also play a major role in case of dermatitis. It also goes to show that this effect can be controlled. Once the Candida antigens giving rise to such rashes and lesions are controlled, the effects of dermatitis can also be brought under control with antifungal drugs.
Role of Candida albicans in Atopic Dermatitis – The Journal of Dermatology – 1999 – By Eishin Morita, Michihiro Hide &Yasuko Yoneya
Effects of Breathable Disposable Diapers: Reduced Prevalence of Candida and Common Diaper Dermatitis – Pediatric Dermatology Journal – 2001 – By Frank Akin, Mary Spraker, Raza Aly, & James Leyden