Seborrheic dermatitis in Infant/Neonate
Infantile seborrheic dermatitis also may affect the diaper area where it may be confused with irritant diaper dermatitis and atopic dermatitis. Distinguishing features of seborrheic dermatitis include yellowish scale and the involvement, rather than sparing, of the folded areas themselves. In girls, linear fissures in the interlabial cleft of the vulva are sometimes suggestive of seborrheic dermatitis. Genital seborrheic dermatitis may be complicated by a secondary bacterial or candidal infection.
L21.9 – Seborrheic dermatitis, unspecified
50563003 – Seborrheic dermatitis
Psoriasis is extremely uncommon in neonates and infants.
When localized in the diaper area, dermatoses to consider include the following:
- Psoriasis – Consider in those with particularly difficult-to-remove scales; examine the patient in locations characteristic for psoriasis.
- Allergic contact dermatitis
- Irritant contact dermatitis
- Tinea cruris
- Langerhans cell histiocytosis
- Kawasaki disease
- Sexual abuse
- Acrodermatitis enteropathica
- Lichen sclerosus
- Perianal streptococcal infection
- Congenital syphilis