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Dermatology Images

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DermAtlas: DIAPER AREA - dermatitis, diaper
© 2001-2009, DermAtlas
Image Name: diaper_dermatitis_1_071128   File Type: jpg
Diagnosis: DERMATITIS, DIAPER /
JACQUET DERMATITIS /
DERMATITIS, CONTACT IRRITANT
  Category: papulosquamous eruptions /
environmental injury
Body Site: diaper area / thigh
vulva (labia)
  Age: 8 months
Contributor: Bernard Cohen, MD    
Description: symmetric confluent red plaques with lichenification purple papules over skin prominences and relative sparing of the creases
Comments: This healthy 8-month-old girl developed a recurrent and chronic diaper dermatitis over the skin prominences of the thigh, vulva, and suprapubic area. She was growing well, had no recent exposure to sytemic antibiotics, and had not diarrhea or constipation or underlying medical disorders. She was treated with barrier paste and tapering topical steroids. A skin biopsy was planned if the eruption did not clear.

DermAtlas: VULVA (LABIA) - candidiasis
© 2001-2009, DermAtlas
Image Name: candida_1_060623   File Type: jpg
Diagnosis: CANDIDIASIS /
DERMATITIS, DIAPER
  Category: neonatal dermatology /
environmental injury
Body Site: vulva (labia) / diaper area   Age: 6 months
Contributor: Bernardo Raigosa, MD    
Description: confleunt red papules involving creases and skin prominences
Comments: This 6-month-old girl developed an itchy painful contact irritant dermatitis with secondary candida. The eruption improved with topical nystatin cream applied with diaper changes.

DermAtlas: PERIANAL - streptococcal infection, perianal
© 2001-2009, DermAtlas
Image Name: perianal_strep_1_060219   File Type: jpg
Diagnosis: STREPTOCOCCAL INFECTION, PERIANAL /
DERMATITIS, DIAPER
  Category: infections and infestations /
ulcer /
mucous membrane disorders
Body Site: perianal   Age: 4 years
Contributor: Elizabeth Phillips    
Description: well demarcated red eroded crusted patch with surrounding scale
Comments: This healthy 4-year-old boy had a 3 month history of itchy painful perianal eruption that was treated with oral antibiotics with temproary relief. A streptoccocal screen was positive, and he was retreated with a 3 week course of oral cephalexin.
Related Images: perianal_strep_2_060219 

DermAtlas: PERIANAL - streptococcal infection, perianal
© 2001-2009, DermAtlas
Image Name: perianal_strep_2_060219   File Type: jpg
Diagnosis: STREPTOCOCCAL INFECTION, PERIANAL /
DERMATITIS, DIAPER
  Category: infections and infestations /
ulcer /
mucous membrane disorders
Body Site: perianal   Age: 4 years
Contributor: Elizabeth Phillips    
Description: well demarcated red eroded crusted patch with surrounding scale
Comments: This healthy 4-year-old boy had a 3 month history of itchy painful perianal eruption that was treated with oral antibiotics with temproary relief. A streptoccocal screen was positive, and he was retreated with a 3 week course of oral cephalexin.
Related Images: perianal_strep_1_060219 

DermAtlas: DIAPER AREA - dermatitis, contact irritant
© 2001-2009, DermAtlas
Image Name: jacquet_diaper_dermatitis_1_050820   File Type: jpg
Diagnosis: DERMATITIS, CONTACT IRRITANT /
DERMATITIS, JACQUET DIAPER /
DERMATITIS, DIAPER /
JACQUET DERMATITIS
  Category: environmental injury
Body Site: diaper area / vulva (labia)
thigh
  Age: 3 years
Contributor: Will Sorey, MD    
Description: symmetric hyperpigmented plaques studded with edematous papules with central crusts
Comments: This 3-year-old girl with a history of spina bifida and incontinence developed a chronic diaper dermatitis which failed to respond to topical antibiotic and antifungal creams.

DermAtlas: PERINEUM - dermatitis, diaper
© 2001-2009, DermAtlas
Image Name: Diaper_dermatitis_1_040607   File Type: jpg
Diagnosis: DERMATITIS, DIAPER /
DERMATITIS, CONTACT IRRITANT
  Category: papulosquamous eruptions /
environmental injury
Body Site: perineum / diaper area
vulva (labia) / genital
  Age: 1 years
Contributor: Jayakar Thomas, MD. PhD    
Description: symmetric red minimally scaly eruption sparing creases
Comments: This 1-year-old girl developed an irritant contact diaper dermatitis. Note the involvement of the skin prominences and sparing of the flexural creases.

DermAtlas: PERINEUM - dermatitis, diaper
© 2001-2009, DermAtlas
Image Name: Diaper_dermatitis_2_040607   File Type: jpg
Diagnosis: DERMATITIS, DIAPER /
DERMATITIS, CONTACT IRRITANT
  Category: papulosquamous eruptions /
environmental injury
Body Site: perineum / diaper area
vulva (labia) / genital
  Age: 1 years
Contributor: Jayakar Thomas, MD. PhD    
Description: symmetric red minimally scaly eruption sparing creases
Comments: This 1-year-old girl developed an irritant contact diaper dermatitis. Note the involvement of the skin prominences and sparing of the flexural creases.

DermAtlas: DIAPER AREA - candidiasis
© 2001-2009, DermAtlas
Image Name: Candidiasis_1_040130   File Type: jpg
Diagnosis: CANDIDIASIS /
INTERTRIGO /
DERMATITIS, DIAPER
  Category: papulosquamous eruptions /
infections and infestations /
environmental injury
Body Site: diaper area / genital
thigh / scrotum
  Age: 4 days
Contributor: Douglas Hoffman, MD    
Description: moist intertriginous and scrotal erythema with red satellite papules
Comments: A potassium hydroxide preparation of scale from a satellite papule revealed abundant hyphae.

DermAtlas: DIAPER AREA - candidiasis
© 2001-2009, DermAtlas
Image Name: Candidiasis_1_031219   File Type: jpg
Diagnosis: CANDIDIASIS /
DERMATITIS, DIAPER
  Category: infections and infestations /
papulosquamous eruptions /
neonatal dermatology
Body Site: diaper area / genital
thigh / buttock
vulva (labia)
  Age: 3 weeks
Contributor: Douglas Hoffman, MD    
Description: confluent bright red papules and plaques with scattered pustules, overlying scale, and satellite lesions at the periphery
Comments: A potassium hydroxide wet mount of material scraped from this diaper dermatitis revealed abundant hyphae. The infant also had thrush. Treatment included oral and topical nystatin, extra air drying between diaper changes, and boiling of rubber nipples and tips for prevention.

DermAtlas: PERINEUM - dermatitis, diaper
© 2001-2009, DermAtlas
Image Name: Diaper_Dermatitis_1_031031   File Type: jpg
Diagnosis: DERMATITIS, DIAPER /
DERMATITIS, CONTACT IRRITANT
  Category: papulosquamous eruptions /
vesiculobullous eruptions
Body Site: perineum / diaper area
perianal / genital
vulva (labia)
  Age: 4 months
Contributor: Douglas Hoffman, MD    
Description: symmetric uniform 2-3 mm red eroded papules
Comments: This diaper dermatitis cleared rapidly with frequent application of a barrier paste and air drying after diaper changes.

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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