Erosive diaper rash (jacquet's dermatitis) and ILex cream

Disclaimer: it’s not β€œjust a diaper rash”. It’s very serious acid burns from his pee and poo missing and burning his skin.

My new born is 7 weeks today. He has had sores from an erosive diaper rash he first got at 1 week old. We’ve tried EVERYTHING. Finally settled on ILex cream.

Have you used it? What was your routine with it? How did you do diaper changes? What other products did you use with it? I feel like it’s not lasting the full 24hrs until the next application. Help!

Update!!!: He is 98% healed!! 3 days of reapplied ILex at every diaper change (instead of the once every 24hrs it recommended in the instructions) 72hours later and the ulcer-like-sores are GONE!

Step 1: dry wipe off poo with cotton pad

Step 2: use Le Petite Creme for pee and booty cheeks

Step 3: apply ILex to sores (around anus) and let dry for 60 whole seconds

Step 4: slather petroleum jelly inbetween cheeks and all over diaper area

Step 5: diaper!

Bonus step: nightly warm bath to remove any stubborn ILex and start with a fresh booty

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πŸ‘€︎ u/tub0bubbles
πŸ“…︎ Apr 13 2021
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Help! Newborn with Jacquet’s Erosive Dermatitis Diaper Rash

I took my newborn to several doctors and pediatric dermatologists/specialists until he was finally diagnosed with Jacquet’s dermatitis (a severe form of IDD). The dermatologist knew all about this and we finally had hope this would be treated.

Things we’ve tried prior to diagnosis: Prescription Nystatin Prescription Mupirocin Frequent diaper changes No wipes - only water rinses Lots of Air dry time and blow dry area on cool setting Was still progressively getting worse Thick layers or aquaphor - kept getting worse Thick layers of Butt paste - kept getting worse Thick layers of A&D - kept getting worse

So finally after diagnosis we were told we were doing way too much and all the water and cleaning was actually not allowing the open lesions to heal. So according to doctor: Clean very gently with cotton pad and a little water Dry gently (doesn’t have to be super dry) And apply thick layer of Desitin extra strength every diaper change. If baby pees only not to clean at all. Just swap diapers.

Unfortunately, it is still looking worse and worse each day.

My baby needs help. It it hurting him and burning him every diaper change :( We are scared this is only going to spread and more and more sores and open legions will form and he will be in a completely bad place.

Any help / advice at all would be greatly appreciated.

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πŸ‘€︎ u/Sbasbasba
πŸ“…︎ May 02 2021
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[Article] Treatment of oropharyngeal candidiasis and candidal diaper dermatitis in neonates and infants: review and reappraisal
  • DOI/PMID/ISBN: https://doi.org/10.1097/00006454-199709000-00013
  • URL

Thanks in advance!

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