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Granuloma Gluteale Infantum Follow-up

  • Author: Marlene T Dytoc, MD, PhD, FRCPC; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Oct 05, 2015
 

Further Outpatient Care

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

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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.

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Complications

Discomfort, secondary infections, and scars may occur in the area of the lesions. Complications may include secondary bacterial or candidal infections and acquired contact hypersensitivity to topical medications.

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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.

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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.

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Contributor Information and Disclosures
Author

Marlene T Dytoc, MD, PhD, FRCPC Clinical Professor of Medicine, Division of Dermatology and Cutaneous Sciences, University of Alberta Faculty of Medicine and Dentistry, Canada

Marlene T Dytoc, MD, PhD, FRCPC is a member of the following medical societies: Alberta Medical Association, American Academy of Dermatology, College of Physicians and Surgeons of Alberta

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Van Perry, MD Assistant Professor, Department of Medicine, Division of Dermatology, University of Texas School of Medicine at San Antonio

Van Perry, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Alfons Krol, MD, FRCPC Associate Professor, Department of Medicine, Division of Dermatology and Cutaneous Sciences, University of Alberta at Edmonton

Disclosure: Nothing to disclose.

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 Medical Association, Canadian Dermatology Association

Disclosure: Nothing to disclose.

References
  1. Tappeiner J, Pfleger L. [Granuloma gluteale infantum]. Hautarzt. 1971 Sep. 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. 1991 Nov. 18(11):671-5. [Medline].

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

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

  5. Al-Faraidy NA, Al-Natour SH. A forgotten complication of diaper dermatitis: Granuloma gluteale infantum. J Family Community Med. 2010 May. 17(2):107-9. [Medline].

  6. 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. 2002 May-Jun. 6(3):221-5. [Medline].

  7. 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. 2006 Nov. 55(5 Suppl):S74-80. [Medline].

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

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

  10. Maruani A, Lorette G, Barbarot S, Potier A, Bessis D, Hasselmann C, et al. Re-emergence of papulonodular napkin dermatitis with use of reusable diapers: report of 5 cases. Eur J Dermatol. 2013 Apr 1. 23 (2):246-9. [Medline].

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

  12. Isogai R, Yamada H. Factors involved in the development of diaper-area granuloma of the aged. J Dermatol. 2013 Dec. 40 (12):1038-41. [Medline].

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

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

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

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Photograph of a case of granuloma gluteale infantum.
Photograph of a case of granuloma gluteale adultorum.
Photomicrograph showing the histologic features of a case of granuloma gluteale adultorum. Granuloma gluteale infantum shares identical histologic features (original magnification X100).
Photomicrograph showing the histologic features of a case of granuloma gluteale adultorum. Granuloma gluteale infantum shares identical histologic features (original magnification X450).
 
 
 
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