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Topical Sucralfate for Erosive Irritant Diaper Dermatitis
Trevor Markham, MB, MRCPI;
Fionnuala Kennedy, BSc, PharmBA;
Paul Collins, MD, MRCPI, DCH
From the St Vincent's University Hospital, Dublin, Ireland.
Arch Dermatol. 2000;136:1199-1200.
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REPORT OF A CASE
We present the case of a 42-year-old woman with spina bifida and paraplegia who was referred to us because of chronic discomfort related to erosions and ulcerations of her perineal area, buttocks, and upper posterior thighs (Figure 1).
Figure appears in full text version.
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Figure 1. Erythema, erosions, and ulceration of buttocks, perineum, and upper thigh.
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Twenty years previously she had an ileal diversion and urostomy resulting in chronic urethral discharge and diarrhea for 5 years. She required a diaper constantly and developed erosive dermatitis. Her discomfort had persisted for 5 years and failed to respond to 1% clotrimazole (Canesten; Bayer AG, Leverkusen, Germany) and a zinc oxide preparation (Sudocrem; Tosara Products Ltd, Dublin, Ireland).
THERAPEUTIC CHALLENGE
This case was complicated by chronic immobility as well as fecal and urinary incontinence. The wet and weeping surface coupled with long-term diaper use prevented the . . . [Full Text of this Article]
SOLUTION
COMMENT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Prevention, Diagnosis, and Management of Diaper Dermatitis
Nield and Kamat
CLIN PEDIATR 2007;46:480-486.
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