Dr. Atishay Bukharia
Dermatology
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Patient's Query
Hello doctor,
My daughter is almost 14 months old. She had a rash on her vulva for maybe one and a half months. We have tried everything Desitin maximum strength, A + D ointment, Triple paste, Aquaphor, Boudreaux's butt paste, and prescription Hydrocortisone. We change her every four hours and blow-dry her privates for about five minutes. Her diet has not changed much since turning one because she still only has two teeth, so we continue feeding her pureed jar foods, but introduced Ritz crackers and string cheese as snacks. We do switch out her powder formula for whole milk, but her stools are still the same. There is no blood or diarrhea. My mom rarely has cold sores and when she does, she is careful about washing her hands and generally avoid the baby. What can this be and what should I do? Do you think she has herpes?
Hello,
Welcome to icliniq.com. Is there any itching? Any other area affected? Is it increasing or persistent in nature?
Patient's Query
Thank you doctor,
She does seem to want to scratch it, but she cannot reach it through her diaper. She has bumps on her arms as well, but they are not red like that. Does her vulva look like it has herpes to you? It seems persistent rather than getting worse. She does not have a fever and seems happy despite everything, but she does not like being changed. It probably hurts for her.
Hello,
Welcome back to icliniq.com. It is going in favor of vulvar psoriasis, although a physical and dermoscopic examination is required to confirm the diagnosis. Nevertheless, you can go for Mometasone cream twice daily for ten days. In no way it is herpes as it always present with fluid-filled vesicle and never persist for so long, also it is not a case of diaper dermatitis as it would have relieved by treatment you already taken and again they are not persistent in nature. I hope this helps.
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Dermatology
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