Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Proper skin care is one of the most important treatments for diaper rash. The following techniques may help alleviate or shorten the duration of diaper rash.
Diapers should be changed more often than normal.
Skin should be washed with a very mild soap and air dried or lightly patted dry.
The skin should be cleaned, but avoid any rough scrubbing, which could lead to further skin irritation. After cleaning, the skin should be exposed to air, leaving the diaper off for several hours if possible.
Avoid using plastic pants during this time.
Certain foods may seem to worsen the rash. If this is the case, avoid these foods until the rash has cleared.
If the rash is caused by a contact or allergic dermatitis, stop using any new soaps or detergents that may be causing the rash.
If the rash appears to be caused by a candidal infection, it may be treated with topical, over-the-counter antifungal creams.
Topical steroids can be used for diaper rash caused by allergic, atopic, or seborrheic causes but should not be used for fungal infections and should not be started unless recommended by a medical professional.
Zinc oxide or some other barrier creams or ointments may also be effective.
A prototypical example of irritant contact dermatitis, diaper dermatitis is caused by overhydration of the skin, maceration, prolonged contact with urine and feces, retained diaper soaps, and topical preparations.