George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Division of Dermatology, Children's National Hospital, Washington, DC, USA.
Pediatr Dermatol. 2024 Jan-Feb;41(1):87-90. doi: 10.1111/pde.15374. Epub 2023 Jun 17.
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.
刺激性尿布皮炎是婴儿和幼儿中常见的皮肤病问题。严重的侵蚀性表现虽然不常见，但具有诊断挑战性，并且可能模仿非故意外伤（NAT）。在不存在虐待性损伤和 NAT 的情况下进行诊断会导致父母的痛苦，但是未能诊断出虐待性损伤和 NAT 可能会导致再次受伤。我们描述了 3 例年龄在 2-6 岁的儿科患者的严重侵蚀性尿布皮炎病例，这些病例最初令人担忧是虐待性烫伤或忽视。
