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Contributor

Randy Cordle, MD

Diagnosis

burn, chemical Ex-Lax induced chemical burn

Body Site

buttock genital vulva (labia) diaper area

Age

2 years

Pigmentation

light

Organization

confluent

Color

red

Morphology

vesiculobullous (blister, pustule)

Pattern

symmetric central (centrifugal - trunk predominant)

Comments

This 2-year-old girl developed large diarrheal stools and a chemical burn on her buttocks, perineum, and genital area after getting into her mother's laxative medication. The night before she had eaten 5 Ex-Lax tablets (Sennosides chewable tablets, 25 mg). Chemical burns from diarrhea resulting from ingestion of laxatives was reported by the author in Pediatrics, July 22, 2009, pp 179-80. The report emphasizes the importance of distinguishing this process from non-accidental injuries caused by hot water.

Description

large well-demarcated symmetric red patches with scattered bullae

Categories

drug reaction environmental injury

Image Added

8/18/2009 22:56:45

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Other Resources

PubMed Medline Plus Medscape

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