Kim En Hyung, Park Jun Su, Lee Ji Su, Lee Ji Yeoun
Department of Dermatology, College of Medicine, Chungbuk National University, Cheongju, Chungbuk, South Korea.
Department of Dermatology, Chungbuk National University Hospital, Cheongju, Chungbuk, South Korea.
Clin Cosmet Investig Dermatol. 2023 Oct 13;16:2863-2867. doi: 10.2147/CCID.S428120. eCollection 2023.
Pseudoverrucous papules and nodules is a reaction to irritation usually associated with urostomies. We report a case of perianal pseudoverrucous papules and nodules in an elderly patient who developed a characteristic diaper dermatitis after infrequent diaper change. The perianal papulonodular lesions improved after saline wet dressing and topical steroid application. These perianal pseudoverrucous papules and nodules indicate a unique type of irritant diaper dermatitis, which can be distinguished from Jacquet erosive diaper dermatitis and granuloma gluteale adultorum. Identifying this condition is important because pseudoverrucous papules and nodules can resemble more serious dermatoses, leading to unnecessary investigations being carried out.
假性疣状丘疹和结节是一种通常与造口术相关的刺激性反应。我们报告一例老年患者肛周假性疣状丘疹和结节的病例，该患者因不常更换尿布而出现典型的尿布皮炎。肛周丘疹结节性病变在生理盐水湿敷和外用类固醇后有所改善。这些肛周假性疣状丘疹和结节提示一种独特类型的刺激性尿布皮炎，可与雅克布糜烂性尿布皮炎和成人臀部肉芽肿相鉴别。识别这种情况很重要，因为假性疣状丘疹和结节可能类似于更严重的皮肤病，从而导致进行不必要的检查。
