Granuloma Gluteale Infantum Clinical Presentation

Updated: May 27, 2021
  • Author: Marlene T Dytoc, MD, PhD, FRCPC; Chief Editor: Dirk M Elston, MD  more...
  • Print
Presentation

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]

Next:

Physical Examination

Lesions associated with granuloma gluteale infantum are characterized by the following [14] :

  • One to 30 lesions in affected area

  • Red-purple to red-brown in color

  • Nodules that are 5-40 mm in diameter

  • Oval, firm-to-hard, discrete dermal nodules with smooth or slightly lichenified surfaces

  • Aligned with the long axis parallel to the skin folds

  • Located on the gluteal surfaces, in the groin area, and on the upper thighs, lower abdomen, or, rarely, the neck and the face

  • No involvement of the inguinal folds and the gluteal cleft (presumably because diaper contact is absent)

Previous
Next:

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.

Previous