Jacquet erosive dermatitis in an era of ‘going green’

[摘要] An 8-week infant male presented to paediatric dermatology with a 1-month history of a deteriorating perianal rash. Since birth, he had been unsettled and requiring hourly nappy changes because of loose, frequent bowel motions. He was exclusively breastfed.Examination revealed symmetrical well-demarcated erythematous perianal erosions, typical of Jacquet erosive dermatitis (JED) (Figure 1). JED is a severe irritant dermatitis caused by prolonged contact with moisture and faecal enzymes. Despite the dramatic appearance, education on nappy use, barrier ointments, +/– a moderate topical steroid typically promote complete healing within weeks. The presented case was complicated by cow milk protein allergy (CMPA), symptoms of which settled with exclusion of dairy from the mother’s diet.

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[效力级别]  [学科分类] 卫生学

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