Pediatric Annals

Case Challenges 

A 4-month-old Boy with Diaper Dermatitis

Lara Wine Lee, MD, PhD; Rahat S. Azfar, MD; Albert C. Yan, MD

Abstract

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 4-month-old boy presented to pediatric dermatology with a 6-week history of severe diaper dermatitis. The eruption on his buttocks and groin was previously treated with topical clotrimazole with no improvement. The rash then spread to involve the trunk and scalp, which prompted a presumptive diagnosis of severe ID reaction to a fungal or candidal diaper dermatitis. Treatment with hydrocortisone acetonide 1% cream to his body along with topical ciclopirox to the diaper area was used without significant response.

Abstract

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 4-month-old boy presented to pediatric dermatology with a 6-week history of severe diaper dermatitis. The eruption on his buttocks and groin was previously treated with topical clotrimazole with no improvement. The rash then spread to involve the trunk and scalp, which prompted a presumptive diagnosis of severe ID reaction to a fungal or candidal diaper dermatitis. Treatment with hydrocortisone acetonide 1% cream to his body along with topical ciclopirox to the diaper area was used without significant response.

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 4-month-old boy presented to pediatric dermatology with a 6-week history of severe diaper dermatitis. The eruption on his buttocks and groin was previously treated with topical clotrimazole with no improvement. The rash then spread to involve the trunk and scalp, which prompted a presumptive diagnosis of severe ID reaction to a fungal or candidal diaper dermatitis. Treatment with hydrocortisone acetonide 1% cream to his body along with topical ciclopirox to the diaper area was used without significant response.

10.3928/00904481-20080401-04

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