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Contact dermatitis is another possible explanation for your rash. This rash occurs when certain substances come into contact with your skin. Contact dermatitis causes a localized rash on the skin which may be red, sore, itchy, and have bumps or blisters. There are two kinds of contact dermatitis: irritant or allergic. Irritant contact dermatitis is more often painful than itchy, and is caused by a substance damaging the part of your skin where it comes into contact.
Diaper Rash Causes. 1  Friction: Most diaper rash is caused by friction that develops when sensitive baby skin is rubbed by wet diapers. 2  This results in a red, shiny rash on exposed areas. 3  Irritation: The skin under the diaper gets red from irritants such as feces, urine, or cleaning agents.he rash is located on skin underneath the diaper area. The skin is red and irritated. It may appear all over your baby's bottom or genital area, or only in certain places. It may or may not involve the folds of the skin.