eMedicine Specialties > Dermatology > Pediatric Diseases

Granuloma Gluteale Infantum: Follow-up

Author: Marlene T Dytoc, MD, PhD, FRCPC, Associate Clinical Professor, Division of Dermatology and Cutaneous Sciences, University of Alberta, Canada
Coauthor(s): Melody Cheung-Lee, MD, Staff Physician, Department of Dermatology, University of Alberta; Alfons Krol, MD, FRCPC, Associate Professor, Department of Medicine, Division of Dermatology and Cutaneous Sciences, University of Alberta at Edmonton
Contributor Information and Disclosures

Updated: Mar 27, 2009

Follow-up

Further Outpatient Care

  • Care must be taken to keep the diaper area clean and to exercise precautions against further irritation.

Deterrence/Prevention

  • Caregivers of patients with granuloma gluteale infantum should discontinue the use of diapers on them as much as possible.
  • Contact irritants should be avoided in granuloma gluteale infantum patients.
  • Protective barrier products should be instituted in granuloma gluteale infantum patients.

Complications

  • Complications may include secondary bacterial or candidal infections and acquired contact hypersensitivity to topical medications.

Prognosis

  • The lesions persist for 3-6 weeks, followed by spontaneous regression over 2-4 weeks.
  • Residual, brown hyperpigmented macules and lax, atrophic scars are observed in some patients.

Patient Education

  • Instruct the caregivers of patients to minimize potential contact irritants, which may include cloth or synthetic diapers, paper napkins, plastic pants, and halogenated corticosteroids.
  • Emphasize to the caregivers of patients the importance of maintaining an intact skin barrier, gently cleansing the diaper area, and protecting the skin from additional trauma.

Miscellaneous

Medicolegal Pitfalls

  • Failure to recognize other skin disorders that constitute the differential diagnoses for granuloma gluteale infantum is a pitfall.
 


More on Granuloma Gluteale Infantum

Overview: Granuloma Gluteale Infantum
Differential Diagnoses & Workup: Granuloma Gluteale Infantum
Treatment & Medication: Granuloma Gluteale Infantum
Follow-up: Granuloma Gluteale Infantum
Multimedia: Granuloma Gluteale Infantum
References
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References

  1. Tappeiner J, Pfleger L. [Granuloma gluteale infantum]. Hautarzt. Sep 1971;22(9):383-8. [Medline].

  2. Fujita M, Ohno S, Danno K, Miyachi Y. Two cases of diaper area granuloma of the adult. J Dermatol. Nov 1991;18(11):671-5. [Medline].

  3. Maekawa Y, Sakazaki Y, Hayashibara T. Diaper area granuloma of the aged. Arch Dermatol. Mar 1978;114(3):382-3. [Medline].

  4. De Zeeuw R, Van Praag MC, Oranje AP. Granuloma gluteale infantum: a case report. Pediatr Dermatol. Mar-Apr 2000;17(2):141-3. [Medline].

  5. Dytoc MT, Fiorillo L, Liao J, Krol AL. Granuloma gluteale adultorum associated with use of topical benzocaine preparations: case report and literature review. J Cutan Med Surg. May-Jun 2002;6(3):221-5. [Medline].

  6. Robson KJ, Maughan JA, Purcell SD, Petersen MJ, Haefner HK, Lowe L. Erosive papulonodular dermatosis associated with topical benzocaine: a report of two cases and evidence that granuloma gluteale, pseudoverrucous papules, and Jacquet's erosive dermatitis are a disease spectrum. J Am Acad Dermatol. Nov 2006;55(5 Suppl):S74-80. [Medline].

  7. Sweidan NA, Salman SM, Kibbi AG, Zaynoun ST. Skin nodules over the diaper area. Granuloma gluteale infantum. Arch Dermatol. Dec 1989;125(12):1703-4, 1706-7. [Medline].

  8. Konya J, Gow E. Granuloma gluteale infantum. Australas J Dermatol. Feb 1996;37(1):57-8. [Medline].

  9. Van L, Harting M, Rosen T. Jacquet erosive diaper dermatitis: a complication of adult urinary incontinence. Cutis. Jul 2008;82(1):72-4. [Medline].

  10. Bluestein J, Furner BB, Phillips D. Granuloma gluteale infantum: case report and review of the literature. Pediatr Dermatol. Sep 1990;7(3):196-8. [Medline].

  11. Maekawa Y, Kiyoi K, Kunitake Y. Hemilateral distribution of papular lesions on the buttock histologically resembling granuloma gluteale infantum. J Dermatol. Apr 2001;28(4):231-3. [Medline].

  12. Kikuchi I, Jono M. Letter: Flurandrenolide-impregnated tape for granuloma gluteale infantum. Arch Dermatol. Apr 1976;112(4):564. [Medline].

  13. Bonifazi E, Garofalo L, Lospalluti M, Scardigno A, Coviello C, Meneghini CL. Granuloma gluteale infantum with atrophic scars: clinical and histological observations in eleven cases. Clin Exp Dermatol. Jan 1981;6(1):23-9. [Medline].

  14. Pierini AM. Granuloma gluteale infantum. Cutis. May 1983;31(5):489, 493. [Medline].

  15. Simmons IJ. Granuloma gluteale infantum. Australas J Dermatol. Apr 1977;18(1):20-4. [Medline].

  16. Thomsen K. Seborrhoeic dermatitis and napkin dermatitis. Acta Derm Venereol Suppl (Stockh). 1981;95:40-2. [Medline].

  17. Walsh SS, Robson WJ. Granuloma gluteale infantum: an unusual complication of napkin dermatitis. Arch Emerg Med. Jun 1988;5(2):113-5. [Medline].

  18. Wilkinson S, Goldman L. Granuloma gluteale infantum. Cutis. Dec 1981;28(6):644, 648. [Medline].

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Further Reading

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Keywords

granuloma gluteale infantum, GGI, Kaposi sarcoma-like granuloma, Kaposi sarcoma–like granuloma, granuloma intertriginosum infantum, infantile vegetating halogenosis, vegetating potassium bromide toxic dermatitis, vegetating bromidism

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Contributor Information and Disclosures

Author

Marlene T Dytoc, MD, PhD, FRCPC, Associate Clinical Professor, Division of Dermatology and Cutaneous Sciences, University of Alberta, Canada
Marlene T Dytoc, MD, PhD, FRCPC is a member of the following medical societies: Alberta Medical Association, American Academy of Dermatology, and College of Physicians and Surgeons of Alberta
Disclosure: Nothing to disclose.

Coauthor(s)

Melody Cheung-Lee, MD, Staff Physician, Department of Dermatology, University of Alberta
Melody Cheung-Lee, MD is a member of the following medical societies: Alberta Medical Association, American Academy of Dermatology, Canadian Dermatology Association, and Canadian Medical Association
Disclosure: Nothing to disclose.

Alfons Krol, MD, FRCPC, Associate Professor, Department of Medicine, Division of Dermatology and Cutaneous Sciences, University of Alberta at Edmonton
Disclosure: Nothing to disclose.

Medical Editor

Evan R Farmer, MD, Professor of Dermatology, Johns Hopkins University School of Medicine, Clinical Professor of Pathology, Virginia Commonwealth University School of Medicine; Consulting Staff, Department of Dermatology, Johns Hopkins Hospital, VCU Health Services
Evan R Farmer, MD is a member of the following medical societies: American Academy of Dermatology, American Dermatological Association, American Medical Association, American Society of Dermatopathology, and International Society of Dermatology
Disclosure: Nothing to disclose.

Pharmacy Editor

Michael J Wells, MD, Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center
Michael J Wells, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Managing Editor

Van Perry, MD, Assistant Professor, Department of Medicine, Division of Dermatology, University of Texas Health Science Center
Van Perry, MD is a member of the following medical societies: American Academy of Dermatology and American Society for Laser Medicine and Surgery
Disclosure: Nothing to disclose.

CME Editor

Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University
Catherine Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology
Disclosure: Nothing to disclose.

Chief Editor

William D James, MD, Paul R Gross Professor of Dermatology, University of Pennsylvania School of Medicine; Vice-Chair, Program Director, Department of Dermatology, University of Pennsylvania Health System
William D James, MD is a member of the following medical societies: American Academy of Dermatology and Society for Investigative Dermatology
Disclosure: elsevier Royalty Other; american college of physicians Honoraria Other

 
 
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