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Basic dermatology in children and adolescents
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Kalyani Marathe, Kathleen Ellison
The absence of clear, fluid-filled vesicles as seen in ACD steers the clinician toward a diagnosis of ICD; however, blistering and erosions may be seen in severe cases. The presence of punched-out erosions is characteristic of Jacquet erosive diaper dermatitis (Figure 10.2). Granuloma gluteale infantum is another form of severe ICD that usually is triggered by topical steroid use and/or Candida infection. It typically presents in the first year of life as oval reddish-brown or reddish-purple nodules or plaques varying from 0.5 to 3 cm.8
A painful periumbilical rash
Published in Baylor University Medical Center Proceedings, 2019
Sima Amin, Sheevam Shah, J. Scott Thomas, Katherine Fiala
There is debate about whether Jacquet’s dermatitis, granuloma gluteale infantum, and perianal pseudoverrucous papules and nodules are separate entities or are a spectrum of a single condition.6 This spectrum of disease most commonly presents in a diaper distribution. It is also imperative to consider syphilis in the differential diagnosis.3–5 Grossly, the erosive papules, clinical picture of chronic drainage, and overlying skin irritation, combined with the histological findings of focal epidermal erosion and a superficial lymphocytic and plasma cell perivascular infiltrate, favored a diagnosis of Jacquet’s dermatitis in our case.
Perspectives on the pharmacological management of psoriasis in pediatric and adolescent patients
Published in Expert Review of Clinical Pharmacology, 2021
Emmanuel Mahé, Maud Amy De La Bretêque, Céline Phan
The use of topical steroids should be limited in the following cases: 1) in infants with napkin psoriasis because of a risk of granuloma gluteale infantum; 2) in adolescents with scalp or face psoriasis because of a risk of exacerbating acne; and 3) in adolescents with psoriasis affecting body areas where there is a risk of developing striae distensae (Table 1) [4,33].