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      A forgotten complication of diaper dermatitis: Granuloma gluteale infantum

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          Abstract

          Granuloma Gluteale Infantum (GGI) is a rare condition of unclear etiology,[ 1] presenting as asymptomatic cherry red nodules in the diaper area appearing in the setting of primary irritant contact dermatitis.[ 2] A 50 day old infant with GGI is presented to emphasize that the condition may be easily missed, and that it may result from the misuse of fluorinated topical steroids used to treat a rash in the diaper area. This is the first case reported from Saudi Arabia.

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          Most cited references11

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          Perianal pseudoverrucous papules and nodules after surgery for Hirschsprung disease.

          We report two patients with Hirschsprung disease in whom severe diarrhea and a distinctive diaper dermatitis developed after delayed ileoanal anastomosis. The perianal papulonodular lesions cleared in months or years without specific treatment after resolution of the diarrhea. These perianal pseudoverrucous papules and nodules represent a peculiar form of primary irritant diaper dermatitis, distinct from Jacquet erosive diaper dermatitis and granuloma gluteale infantum.
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            Granuloma gluteale infantum: a case report.

            Granuloma gluteale infantum is a benign disorder with the clinical appearance of "granulomatous" nodules involving the diaper area. It is an uncommon disorder considered a complication of primary irritant diaper dermatitis. A 6-month-old boy with reddish-purple oval nodules located on the right inguinal fold and right buttock diagnosed as granuloma gluteale infantum is presented. A contributing factor in our patient could be a primary irritant dermatitis or a preexisting candidial infection. The name granuloma gluteale infantum is a misnomer since no granulomas are found in these lesions.
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              Granuloma gluteale infantum.

              J Kónya, E Gow (1996)
              Granuloma gluteale infantum is an uncommon disorder, the pathogenesis of which remains unclear. Occlusion is a common factor and irritant napkin dermatitis is a frequent association. A six month old female infant with mild napkin dermatitis treated only with a dusting powder is presented.
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                Author and article information

                Journal
                J Family Community Med
                JFCM
                Journal of Family and Community Medicine
                Medknow Publications (India )
                2230-8229
                2229-340X
                May-Aug 2010
                : 17
                : 2
                : 107-109
                Affiliations
                Department of Dermatology, College of Medicine, University of Dammam, Dammam, Kingdom of Saudi Arabia
                Author notes
                Address for correspondence: Dr. Sahar Al-Natour, Department of Dermatology, King Fahd Hospital of the University, P.O. Box 2208, Al-Khobar 31952, Kingdom of Saudi Arabia. E-mail: saharnatour@ 123456yahoo.com
                Article
                JFCM-17-107
                10.4103/1319-1683.71994
                3045094
                21359035
                55246365-3461-4c74-9217-6caefaa0b8db
                © Journal of Family and Community Medicine

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Health & Social care
                fluorinated steroids,diaper dermatitis,granuloma gluteale infantum
                Health & Social care
                fluorinated steroids, diaper dermatitis, granuloma gluteale infantum

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