Which statement about candidal diaper dermatitis is true?

• A. It commonly involves skin folds and has satellite lesions
• B. It typically spares skin folds
• C. It is best managed with talc only
• D. It is not contagious

Answer: (A)

This item tests recognizing how candidal diaper dermatitis typically presents. Candida loves warm, moist areas, especially in the diaper region, so the rash often involves skin folds and frequently develops satellite lesions—small areas of redness or pustules around the main eruption. That combination—rash in the folds with surrounding satellite lesions—is a classic clue for candidal involvement.

Because of this pattern, the statement describing involvement of skin folds and the presence of satellite lesions is the best choice. It reflects the typical clinical picture and guides appropriate treatment, which relies on antifungal therapy used in the diaper area, along with keeping the area dry and protected. Talc alone isn’t sufficient, and the infection isn’t accurately described as not contagious, since candida overgrowth can spread with contact and moisture exposure.