Granuloma in infant buttocks
Introduction
Introduction to baby granuloma Granulomaglutealeinfantum was first reported by Tappeiner et al in 1971. A light red-blue nodule with a smooth bulge, round or oval, ranging from a few millimeters to a few centimeters in diameter, irregularly distributed over the area covered by the diaper, with no symptoms. basic knowledge The proportion of illness: the probability of illness in infants and young children is 0.03% Susceptible people: children Mode of infection: non-infectious Complications: acute lymphangitis chronic diarrhea
Cause
Infant hip granuloma cause
(1) Causes of the disease
The cause is still unknown, but the child has a long history of topical fluorocortic hormone treatment of diaper rash, stop treatment, skin lesions can gradually fade slowly.
(two) pathogenesis
The pathogenesis is still unclear.
Prevention
Baby hip granuloma prevention
(1) Avoid local eczema and avoid local long-term application of hormonal drugs.
(2) Avoid marriage by close relatives. Pregnant women with family history can be given early intervention. It is recommended to do prenatal examination.
(3) Strengthen nursing and nutrition to improve the resistance and immunity of children.
(4) Prevention of infection should pay attention to isolation and minimize contact with pathogens.
Complication
Baby hip granuloma complications Complications Acute lymphangitis chronic diarrhea
1. Repeated infections, local skin lesions, leading to repeated bacterial and viral infections, causing lymphangitis, lymphadenitis, etc.
2. Accompanied by chronic diarrhea, rhinitis and other allergic problems.
3. Due to chronic diarrhea, the absorption of nutrients is affected, causing developmental retardation and short stature.
4. Repeated infection leads to lymphangitis, causing local edema, scars, etc., and a small number of skin malignant changes due to ulcers, scars and inflammation.
Symptom
Baby hip granuloma symptoms common symptoms nodules
A light red-blue nodule with a smooth bulge, round or oval, ranging from a few millimeters to a few centimeters in diameter, irregularly distributed over the area covered by the diaper, with no symptoms.
Examine
Baby granuloma examination
Histopathology: epidermal hyperkeratosis and acanthosis hypertrophy, dense pleomorphic inflammatory infiltration of the dermis, including mononuclear cells, neutrophils and eosinophils, in addition, red blood cell overflow, capillary proliferation and neutral A small abscess composed of granulocytes and eosinophils.
Diagnosis
Diagnosis and identification of baby granuloma
Differential diagnosis:
1. Hard chancre: Similar to the early inguinal granuloma, can be distinguished according to dark field microscopy and syphilis serum test.
2. Sexually transmitted lymphogranuloma: The difference from inguinal granuloma is that the sexually transmitted lymphogranuloma mainly shows painful transverse diaphragm, and its pathogen is Chlamydia trachomatis.
3. Soft squat: The incidence of soft chancre is acute, the incubation period is 2 to 5 days, often multiple, ulcer pain, painful groin in the groin, short course of disease, the pathogen is Haemophilus ducrei, can be cultured and identified.
4. Genital herpes: Unlike inguinal granuloma, genital herpes starts with multiple small blisters, which quickly become superficial erosions or ulcers, and local lymph nodes can be enlarged. The pathogen is herpes simplex virus.
