What is Jacquet Diaper Dermatitis?

Discussion The differential diagnosis of diaper dermatitis is usually fairly easy with irritant, fungal and bacterial causes being the most common. These are usually easily treated with resolution. When it is not improving then the differential must be expanded and other disease processes must be considered. These again usually include problems that are relatively easily treated such as scabies, lice or tinea. Other much less likely conditions in this age group would be syphilis or granuloma inguinale. Other signs or symptoms need to also be considered as Crohn’s disease, histocytosis or acrodermatitis enteropathica can present as a diaper rash also. A review of rashes by distribution and pattern can be seen here. Learning Point Jacquet erosive diaper dermatitis (JED) is a severe irritant dermatitis that affects the genital area caused by prolonged moisture contact and fecal enzymes which alter the skin permeability and change the skin pH. These changes cause severe but non-specific inflammatory patterns. There are several patterns that have different names that are similar and some people believe they are all one disease process. JED are 2-5 mm umbilicated or eroded papules and nodules which may be red-purple to begin with and have a heterogenerous pattern. Perianal pseudoverrucous papules and nodules are papules and nodes that appear verrucous mainly in the perianal area but other areas as well.. Granuloma glutaela infantum is red-purpose nodules mainly the glutea...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news