An Infrequent Complication of Diaper Dermatitis in a Toddler with Sacral Agenesis: Granuloma Infantum
9th World Congress of The World Society of Pediatric Infectious Diseases (WSPID), Rio De Janeiro, Brezilya, 18 - 21 Kasım 2015, ss.264, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Rio De Janeiro
- Basıldığı Ülke: Brezilya
- Sayfa Sayıları: ss.264
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Abstract: Background and aims: Granuloma gluteale infantum (GGI) is a rarely seen complication of diaper dermatitis of infancy. It consists of cherry-colored nodules in gluteal region and groins. Most of the cases have a history of treatment with a fluorinated topical corticosteroid agent. Urine and feces irritates the contacting skin parts and make children susceptible to the condition. Methods: A 2 years old Turkish female presented to our pediatrics clinic with a red-purple rash and cherry colored nodules in the diaper area of 1 month duration(fig-1). She was in a follow-up programme for her sacral agenesis anomaly and recurrent urinary tract infections (UTI) and constipation(fig-2). At the beginning she was treated with several topical agents such as pro vitamin B5 ointment (dexpanthenol), some topical corticosteroids and several moisturizing agents and baby powders with a diagnosis of diaper dermatitis. Results: Diaper dermatitis and nodules were resolved with a residual hyperpigmentation and atrophic scarring after 14 day therapy of 30mg/kg/day p/o of cefuroxime for UTI and of topical agents as hamamelis virginiana distilat+ zinc-oxyde cream and difluorocortolone valerat+isoconasol nitrat cream. Conclusions: We presented a case of GGI in a sacral agenesis patient which is a rare complication of diaper dermatitis. She was having recurrent UTI and chronic constipation of which irritating factors may have explain the cause of GGI in our case. This rare complication of diaper dermatitis can easily be treated with removal of contributing factors and supportive mositurizing therapy. Differently from the literature fluorinated corticosteroids may have some benefit.