History
Most infants with granuloma gluteale infantum have a history of a preceding inflammatory skin condition in an area of seborrheic or candidal dermatitis or contact with a known irritant. [10, 11] These conditions have been treated with a variety of topical agents, including fluorinated corticosteroids. [12, 13]
Physical Examination
Lesions associated with granuloma gluteale infantum are characterized by the following [14] :
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One to 30 lesions in affected area
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Red-purple to red-brown in color
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Nodules that are 5-40 mm in diameter
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Oval, firm-to-hard, discrete dermal nodules with smooth or slightly lichenified surfaces
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Aligned with the long axis parallel to the skin folds
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Located on the gluteal surfaces, in the groin area, and on the upper thighs, lower abdomen, or, rarely, the neck and the face
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No involvement of the inguinal folds and the gluteal cleft (presumably because diaper contact is absent)
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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Photograph of a case of granuloma gluteale infantum.
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Photograph of a case of granuloma gluteale adultorum.
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Photomicrograph showing the histologic features of a case of granuloma gluteale adultorum. Granuloma gluteale infantum shares identical histologic features (original magnification X100).
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Photomicrograph showing the histologic features of a case of granuloma gluteale adultorum. Granuloma gluteale infantum shares identical histologic features (original magnification X450).
