Granuloma gluteale infantum L92.8

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

History
This section has been translated automatically.

Tappeiner and nurse, 1971

Definition
This section has been translated automatically.

Granulomatous disease in infants in the diaper area of unknown etiology; often following diaper dermatitis treated with fluorinated glucocorticoids.

Etiopathogenesis
This section has been translated automatically.

Unsolved. Discussed are reactions to halogenated external corticosteroids, candidiasis, foreign body reaction to baby powder.

Localization
This section has been translated automatically.

Buttocks, thigh bend.

Clinical features
This 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.

Histology
This section has been translated automatically.

Polymorphous cell infiltrations with abundant eosinophils and plasma cells, vascular proliferations, single microabscesses, gram-positive leukocyte inclusions.

Differential diagnosis
This section has been translated automatically.

Therapy
This 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/forecast
This section has been translated automatically.

Favourable, spontaneous healing after a few months.

Literature
This section has been translated automatically.

  1. Altmeyer P (1976) Steroid granulomas of the infant. Their pathogenetic relationships to the so-called granuloma glutaeale infantum. Act Dermatol 3: 113-115
  2. Bruckner-Tuderman L (1986) Granuloma glutaeale infantum. dermatologist 37: 347-349
  3. Rowen JL et al (2003) Mucocutaneous candidiasis. Semin Perinatol 27: 406-413
  4. Tabata H et al (1997) Infantile gluteal granulomata mimicking mollusca contagiosa. Int J Dermatol 36: 157-158
  5. Tappeiner J, nurse L (1971) Granuloma gluteale infantum. dermatologist 22: 383-388

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020