Granuloma gluteale infantum

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Granuloma Gluteale Infantum is a rare and benign skin disorder of unclear etiology. It is characterized by the presence of asymptomatic, firm, dome-shaped, purple or red nodules in the diaper area. The condition is most commonly seen in infants, but can also occur in adults.

Etiology[edit | edit source]

The exact cause of Granuloma Gluteale Infantum is unknown. However, it is believed to be associated with prolonged exposure to moisture, irritants, and occlusion in the diaper area. It has also been linked to the use of high-potency topical steroids.

Clinical Features[edit | edit source]

Granuloma Gluteale Infantum presents as asymptomatic, firm, dome-shaped, purple or red nodules in the diaper area. The nodules can range in size from a few millimeters to several centimeters. They are typically located on the buttocks, but can also be found on the lower abdomen, thighs, and genitals.

Diagnosis[edit | edit source]

The diagnosis of Granuloma Gluteale Infantum is primarily clinical, based on the characteristic appearance of the lesions. A skin biopsy may be performed to confirm the diagnosis and rule out other conditions.

Treatment[edit | edit source]

The mainstay of treatment for Granuloma Gluteale Infantum is the removal of the causative factors, such as discontinuing the use of topical steroids and improving diaper hygiene. Topical antibiotics or antifungal creams may also be used. In severe cases, surgical removal of the nodules may be necessary.

Prognosis[edit | edit source]

With appropriate treatment, the prognosis for Granuloma Gluteale Infantum is excellent. The nodules typically resolve completely without scarring.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD