MediCases — Paediatrics

Nappy Rash

A worried couple brought in their 3-week old son to the GP. He had previously come in 7 days ago, with a nappy rash (which was diagnosed as possible Impetigo) and was prescribed a hydrocortisone (steroid) cream and miconazole (antifungal). The rash had started 3 days prior to the previous appointment. The parents described the rash as being fist size and surrounding his anus. There was no obvious cause of onset. The rash caused pain to the baby and the previously prescribed medications were having no effect. The baby was otherwise generally well, was feeding normally and was opening his...

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