Perianal pseudoverrucous papules and nodules after surgery for Hirschsprung disease

• Published in: The Journal of pediatrics Vol. 125; no. 6; pp. 914 - 916
• Main Authors: Cano, Laura Rodríguez, Briones, Vicente García-Patos, Jové, Ramón Pedragosa, Rodellas, Antonio Castells
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.12.1994; Elsevier; Mosby-Year Book, Inc
• Subjects: Anal Canal - surgery; Anastomosis, Surgical; Biological and medical sciences; Child, Preschool; Diagnosis, Differential; Diaper Rash - diagnosis; Diaper Rash - etiology; Diarrhea - diagnosis; Diarrhea - etiology; Gastroenterology. Liver. Pancreas. Abdomen; Hirschsprung Disease - surgery; Humans; Intestinal Obstruction - surgery; Male; Malformations; Medical sciences; Postoperative Complications - diagnosis; Postoperative Complications - etiology; Severity of Illness Index; Skin Diseases - diagnosis; Skin Diseases - etiology; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Warts - diagnosis; Warts - etiology; Human; Postoperative; Immunopathology; Skin disease; Nervous system diseases; Neuronal intestinal dysplasia; Congenital; Aganglionosis; Clinical form; Napkin dermatitis; Infant; Congenital disease; Colonic disease; Case study; Malformation; Surgery; Megacolon; Hirschsprung disease; Diseases of the autonomic nervous system; Digestive diseases; Intestinal disease; Complication; Diaper dermatitis; Colon
• ISSN: 0022-3476; 1097-6833
• DOI: 10.1016/S0022-3476(05)82008-6

We report two patients with Hirschsprung disease in whom severe diarrhea and a distinctive diaper dermatitis developed after delayed ileoanal anastomosis. The perianal papulonodular lesions cleared in months or years without specific treatment after resolution of the diarrhea. These perianal pseudoverrucous papules and nodules represent a peculiar form of primary irritant diaper dermatitis, distinct from Jacquet erosive diaper dermatitis and granuloma gluteale infantum. (J P EDIATR 1994;125:914-6)