A Case of Granuloma Gluteale Infantum.
10.5021/ad.1998.10.4.251
- Author:
Sang Dong KIM
;
Dae Won KOO
- Publication Type:Case Report
- Keywords:
Granuloma gluteale infantum;
Diaper area;
Intertriginous area
- MeSH:
Adrenal Cortex Hormones;
Aged;
Anti-Bacterial Agents;
Child;
Child Care;
Dermis;
Eosinophils;
Epidermis;
Granuloma*;
Histiocytes;
Humans;
Infant;
Lymphocytes;
Male;
Neck;
Neutrophils;
Ointments;
Plasma Cells;
Plastics
- From:Annals of Dermatology
1998;10(4):251-255
- CountryRepublic of Korea
- Language:English
-
Abstract:
Granuloma gluteale infantum is a granulomatous lesion in the diaper area of infants. Athough usually seen in infants, it has been described in incontinent elderly patients. The causes of granuloma gluteale infantum are not clear, although child care equipment(ditergents1, diapers2, and starch3), corticosteroids2,4,5,6, candidial infection3 urine and feces7 have been postulated for its etiology. We report a case of granuloma gluteale infantum in a 5-month-old boy. He was healthy except for an asymtomatic 1.5×1.5cm sized, round, Rat-topped brownish and firm nodule on the perianal area, and two, 1×3cm and 1×6cm sized brownish plaques on the intertriginous area of the neck. The lesions were resistant to the treatment of systemic antibiotics. These nodules completely resolved in the three months after we tried to keep the diaper area clean without using any corticosteroids or other ointments and after changing from plastic diapers to cotton o A histological examination of the nodule on the perianal area showed mild hyperkeratosis, spongiosis, and focal infiltration of neutrophils in the epidermis. In the dermis, an inflammatory infiltrate composed of many lymphocytes, eosinophils, plasma cells, and histiocytes was
