FIGURE 69.13 Infant with irritant/contact diaper dermatitis Another consideration is the predisposition of certain individuals to react more easily and negatively to varying irritants There are instances of true allergic contact dermatitis from baby wipes and dyes and fragrances found in diapers Allergies to dyes usually occur at the waist band, the area that fits tightly around the leg, and in the center of the diaper, sparing the folds If this is a concern, then switching to dye-free and fragrance-free diapers and using water or soft cloths with water instead of traditional disposable wipes may help Generally, infants with an atopic or seborrheic predisposition are at greater risk for the development and persistence of diaper dermatitis Differentiation of the various types of diaper dermatitis is difficult Clues from the history and physical examination are necessary when characterizing the cause of this problem The different types of diaper rashes include occlusion dermatitis, atopic dermatitis, seborrheic