Ulcerated diaper dermatitis: Child abuse mimicker

Irritant diaper dermatitis is a common dermatologic problem among infants and young children. Severe erosive presentations, although uncommon, are diagnostically challenging and can mimic non‐accidental trauma (NAT). Diagnosing inflicted injury and NAT where it does not exist can cause parental dist...

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Bibliographic Details
Published in:Pediatric dermatology 2024-01, Vol.41 (1), p.87-90
Main Authors: Caldas, Stella A., Murphy, Emily, Habeshian, Kaiane, Kirkorian, Anna Yasmine, Hinds, Tanya
Format: Article
Language:English
Subjects:
Child abuse & neglect
child abuse mimicker
cow's milk
Dermatitis
Dermatology
diarrhea
irritant diaper dermatitis
laxatives
non‐accidental trauma
Pediatrics
Scald
scald burn
sennoside
tomatoes
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Summary:Irritant diaper dermatitis is a common dermatologic problem among infants and young children. Severe erosive presentations, although uncommon, are diagnostically challenging and can mimic non‐accidental trauma (NAT). Diagnosing inflicted injury and NAT where it does not exist can cause parental distress, yet failing to diagnose inflicted injury and NAT can result in re‐injury. We describe three cases of severe erosive diaper dermatitis in pediatric patients aged 2–6 years that were initially concerning for inflicted scald burn or neglect.
ISSN:0736-8046
1525-1470
DOI:10.1111/pde.15374