Granuloma gluteale infantumL92.8
HistoryThis section has been translated automatically.
Tappeiner and nurse, 1971
DefinitionThis section has been translated automatically.
Granulomatous disease in infants in the diaper area of unknown etiology; often following diaper dermatitis treated with fluorinated glucocorticoids.
EtiopathogenesisThis section has been translated automatically.
Unsolved. Discussed are reactions to halogenated external corticosteroids, candidiasis, foreign body reaction to baby powder.
LocalizationThis section has been translated automatically.
Buttocks, thigh bend.
Clinical featuresThis section has been translated automatically.
Round, also oval, calotte-like or pad-like, blue-red to brown-red, tightly elastic knots along the split lines of the skin. Yellow-brown, lupoid discoloration under glass spatula pressure.
HistologyThis section has been translated automatically.
Polymorphous cell infiltrations with abundant eosinophils and plasma cells, vascular proliferations, single microabscesses, gram-positive leukocyte inclusions.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
Stopping external glucocorticoid treatment, dry treatment with Lotio alba or cream containing zinc oxide (e.g. Zinc oxide ointment LAW, Zinc ointment Lichtenstein), cleaning with olive oil, frequent diaper changes.
Progression/forecastThis section has been translated automatically.
Favourable, spontaneous healing after a few months.
LiteratureThis section has been translated automatically.
- Altmeyer P (1976) Steroid granulomas of the infant. Their pathogenetic relationships to the so-called granuloma glutaeale infantum. Act Dermatol 3: 113-115
- Bruckner-Tuderman L (1986) Granuloma glutaeale infantum. dermatologist 37: 347-349
- Rowen JL et al (2003) Mucocutaneous candidiasis. Semin Perinatol 27: 406-413
- Tabata H et al (1997) Infantile gluteal granulomata mimicking mollusca contagiosa. Int J Dermatol 36: 157-158
- Tappeiner J, nurse L (1971) Granuloma gluteale infantum. dermatologist 22: 383-388