Ulcerated diaper dermatitis: Child abuse mimicker

Document Type

Journal Article

Publication Date

6-17-2023

Journal

Pediatric dermatology

DOI

10.1111/pde.15374

Keywords

child abuse mimicker; cow's milk; diarrhea; irritant diaper dermatitis; laxatives; non-accidental trauma; scald burn; sennoside; tomatoes

Abstract

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.

Department

Dermatology

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