Diaper area granuloma of the aged

Abstract

Nine women, aged 77 to 89 years, suffered from diaper dermatitis, and many granulomas were seen in the genital or gluteal region restricted to the lesion of dermatitis. Because these granulomas resembled granuloma gluteale infantum of Tappeiner and Pfleger, we propose to call this condition diaper area granuloma of the aged.

Non‐Infective Cutaneous Conditions of the Vulva

“…Histology shows dermal oedema, a dense granulomatous infiltrate of plasma cells and lymphocytes, together with fibrinoid necrosis and deposition of haemosiderin. Similar cases have been reported in incontinent elderly women, in whom corticosteroids were not a factor (Maekawa et al 1978). Treatment is withdrawal of topical steroids if relevant and any occlusive factors must be minimized.…”

A Case of Pyoderma Vegetans Associated with Acne Conglobata

“…But Maekawa et al (9) reported that it also appears in aged women wearing diapers. The clinical picture of our case was completely different from that of granuloma gluteale infantum, but the histological findings, marked acanthosis and dense inflammatory infiltrates in the dermis, were similar.…”

Erosive papulonodular dermatosis associated with topical benzocaine: A report of two cases and evidence that granuloma gluteale, pseudoverrucous papules, and Jacquet's erosive dermatitis are a disease spectrum

“…In these cases the condition has been referred to as diaper area granuloma of the aged or granuloma gluteale adultorum. 8,9 Lesions are similar to those seen in infants, typically being firm, reddishpurple, oval, or elongated nodules and plaques in the pubic area, scrotum, buttocks, and medial aspects of the thighs. 3,5,20 Granuloma gluteale has a somewhat nonspecific histology.…”

“…Similar lesions may also be seen in adults. 8,9 Although it has persisted in the literature, the term ''granuloma gluteale'' is a misnomer, as the condition is not granulomatous on histologic examination. Pseudoverrucous papules and nodules (PPPN) is a rare condition that was first reported in association with urostomy sites.…”