Department of Dermatology, University Hospital, François Rabelais University, Trousseau Hospital, 37044 Tours, France.
Eur J Dermatol. 2013 Apr 1;23(2):246-9. doi: 10.1684/ejd.2013.1967.
The use of reusable diapers, often made of cotton and bamboo material, is becoming more widespread in France--with the "eco" fashion, as they are considered more natural, ecologic and economic. We report 5 cases of papulonodular lesions in convex skin areas associated with the use of these diapers in infants. One case was typical Sevestre and Jacquet erosive dermatitis. The 4 others presented skin-coloured umbilicated papules or nodules with slight or no erythema and could be considered early-stage Sevestre and Jacquet erosive dermatitis, granuloma gluteale (1 case) or pseudo-verrucous papules. These 3 diagnoses probably belong to the same disease spectrum, proposed as "irritant napkin papulonodules". Napkin lesions occurred subsequent to 1) in all cases, use of reusable diapers, which are probably less absorbent than disposable diapers; 2) in 2 cases, insufficient food, which was responsible for lack of weight gain and delayed healing; and 3) in 1 case, diarrhea, which worsened the moisture. We alert physicians to possible papulonodular napkin dermatitis in infants wearing reusable diapers.
法国越来越多地使用可重复使用的尿布，通常由棉和竹材料制成，因为它们被认为更自然、更环保、更经济，所以这种“生态时尚”正在流行。我们报告了 5 例与使用这些尿布有关的凸面皮肤区域的丘疹结节性病变。其中 1 例为典型的 Sevestre 和 Jacquet 糜烂性皮炎。另外 4 例表现为肤色脐状丘疹或结节，轻度或无红斑，可被认为是 Sevestre 和 Jacquet 糜烂性皮炎早期、臀部肉芽肿（1 例）或假性疣状丘疹。这 3 种诊断可能属于同一疾病谱，被提议为“尿布丘疹结节”。尿布病变发生在：1）所有情况下均使用可重复使用的尿布，其可能不如一次性尿布吸收性好；2）2 例中存在营养不足，这导致体重增加不良和愈合延迟；3）1 例存在腹泻，使湿度恶化。我们提醒医生注意可能与婴儿使用可重复使用尿布有关的丘疹结节性尿布皮炎。
