Multiple erythematous erosive papules and nodules on the perianal area of an 84-year-old bedridden woman

Lee, Yung-Yi; Ko, Jui‐Hung; Shih, Yi-Chin

doi:10.1016/j.dsi.2011.10.005

Cited by 2 publications

(11 citation statements)

References 5 publications

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“…Withdrawal of the offending agent and adequate hygiene are the mainstay of management. 2,4,6 Our case highlights a rare cutaneous manifestation of topical steroid abuse in adults. We emphasize the need for strict regulations on over-thecounter sale of potent topical steroids to curb their indiscriminate use leading to complications.…”

Section: Discussionmentioning

confidence: 82%

“…5 The various factors implicated include wearing plastic pants; use of topical halogenated steroids, starch powder, benzocaine, resorcinol, aggressive detergents; persistent occlusion, friction and maceration; bacterial or candidal colonization; insufficient or overzealous local hygiene; and contamination of the skin with urine or faeces. [1][2][3][4]6 In our patient, long-term application of halogenated steroid cream, inadequate cleaning, and prolonged contact with wet clothing due to perspiration and friction from undergarments were the possible predisposing factors.…”

Section: Discussionmentioning

confidence: 88%

“…EPD incorporates three related conditions: granuloma gluteale, perianal pseudoverrucous papules and nodules, and Jacquet erosive diaper dermatitis 1,2 . Granuloma gluteale infantum is an irritant dermatitis seen in the nappy area of infants, characterized by granulomatous‐appearing lesions.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical differential diagnoses considered in our case were bowenoid papulosis, extramammary Paget disease and Bowen disease. The lesions also need to be differentiated from vegetative herpes simplex, condyloma lata, condyloma acuminata, Crohn disease, bacterial or fungal infections, acrodermatitis enteropathica, Langerhans cell histocytosis, lichen planus, halogenoderma, pyoderma vegetans, pemphigus vegetans, metastases and cutaneous lymphomas 1–4,6 …”

Section: Discussionmentioning

confidence: 99%

“…Skin biopsy shows nonspecific features such as superficial ulceration, varying epidermal changes including spongiotic psoriasiform dermatitis, acanthosis, lichen simplex chronicus‐like epidermal hyperplasia, variable density of superficial and deep dermal inflammatory infiltrate, and variable proliferation and dilation of blood vessels 1,2 . Although the histopathology is nonspecific, biopsy is imperative to exclude other diseases.…”

Section: Discussionmentioning

confidence: 99%

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Ominous‐appearing papulonodules in the genitocrural area

Kumar

Batrani²,

Kapoor

et al. 2021

Clin Experimental Derm

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A 40-year-old man presented with a 6-month history of gradually progressive, slightly itchy lesions on his genitalia and thighs. He gave a history of frequent application of nonprescription clobetasol propionate 0.05% cream to the affected site. He was ambulatory and denied urinary or faecal incontinence. Physical examination revealed closely set erythematous papules on the anteromedial thighs and genitalia (Fig. 1a), and erythematous patches with tiny ulcerations involving the pubic area, groins and upper inner thighs (Fig. 1b). General physical and systemic examination was normal. Gram stain, potassium hydroxide mount and culture of the representative tissue did not reveal bacterial or fungal organisms. All routine investigations were normal. Tests for viral markers and syphilis (VDRL) were negative. A skin biopsy was taken from the scrotum and another from the upper inner aspect of the thigh. The patient was prescribed antihistamines, and advised to stop the topical steroid and maintain hygiene. The lesions resolved in around 2 months leaving behind dyspigmentation and a few atrophic scars (Fig. 1c).

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Ominous‐appearing papulonodules in the genitocrural area

Kumar

Batrani²,

Kapoor

et al. 2021

Clin Experimental Derm

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Perianal Pseudoverrucous Papules and Nodules in an Elderly Patient

Kim,

Park,

Lee

et al. 2023

CCID

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Pseudoverrucous papules and nodules is a reaction to irritation usually associated with urostomies. We report a case of perianal pseudoverrucous papules and nodules in an elderly patient who developed a characteristic diaper dermatitis after infrequent diaper change. The perianal papulonodular lesions improved after saline wet dressing and topical steroid application. These perianal pseudoverrucous papules and nodules indicate a unique type of irritant diaper dermatitis, which can be distinguished from Jacquet erosive diaper dermatitis and granuloma gluteale adultorum. Identifying this condition is important because pseudoverrucous papules and nodules can resemble more serious dermatoses, leading to unnecessary investigations being carried out.

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Multiple erythematous erosive papules and nodules on the perianal area of an 84-year-old bedridden woman

Cited by 2 publications

References 5 publications

Ominous‐appearing papulonodules in the genitocrural area

Ominous‐appearing papulonodules in the genitocrural area

Perianal Pseudoverrucous Papules and Nodules in an Elderly Patient

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