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PERIANAL DERMATITIS OF THE NEWBORN FREE

A. G. PRATT, M.D.
[+] Author Affiliations

Associate Professor of Dermatology, Jefferson Medical College, Philadelphia.

This work was done at the Maternity Nurseries of the Cooper Hospital, Camden, N. J., with the cooperation of Dr. George B. German, Obstetrician and Dr. Vincent P. Del Duca, Pediatrician.


AMA Am J Dis Child. 1951;82(4):429-432. doi:10.1001/archpedi.1951.02040040447003.
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PERIANAL dermatitis of the newborn is a common eruption which is not described in leading American dermatologic and pediatric textbooks.1 This may be because of confusion with the well-recognized napkin dermatitis. The two differ, however, in location, age incidence, and cause.

Napkin dermatitis is also called diaper eruption, erythema gluteale, and erythema of Jacquet. This, in the words of Cooke,2 is a dermatitis "limited to the convex surfaces of the thighs and buttocks since the approximated flexures and the sulci between them are protected from constant contact with the diaper and ammonia." The perianal dermatitis, on the other hand, is an irritation of the skin about the anus. It is erythematous, red, and frequently exudative. Patients with severer disease show multiple small superficial ulcerations. The involved area varies from 3 to 4 cm. in diameter and centers at the anus. The inflammatory reaction fades gradually at the periphery.

REFERENCES

Holt, L. E., and Howland, J.: Holt's Diseases of Infancy and Childhood: A Textbook for the Use of Students and Practitioners , revised by L. E. Holt Jr. and R. McIntosh, ed. 11, New York, D. Appleton-Century Company, Inc., 1940;.
Mitchell, A. G., and Nelson, W. E.: Mitchell-Nelson's Textbook of Pediatrics , edited by W. E. Nelson, ed. 4, Philadelphia, W. B. Saunders Company, 1946;.
MacKee, G. M., and Cipollaro, A. C.: Skin Diseases in Children , ed. 2, New York, Paul B. Hoeber, Inc., 1946;.
Andrews, G. C.: Diseases of the Skin for Practitioners and Students , ed. 3, Philadelphia, W. B. Saunders Company, 1946;.
Becker, S. W., and Obermayer, M. E.: Modern Dermatology and Syphilology , ed. 2, Philadelphia, J. B. Lippincott Company, 1947;.
Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939;.
Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , ed. 7, Philadelphia, Lea & Febiger, 1948;.
Cooke, J. V.:  Dermatitis of the Diaper Region in Infants (Jacquet Dermatitis) , Arch. Dermat. & Syph. 14:539 ( (Nov.) ) 1926;.
Andrews, G. C.: Diseases of the Skin , ed. 3, Philadelphia, W. B. Saunders Company, 1946;, p. 116.
Cooke, J. V.:  The Etiology and Treatment of Ammonia Dermatitis of the Gluteal Region of Infants , Am. J. Dis. Child. 22:481 ( (Nov.) ) 1921;.
Grulee, C. G., and Sanford, H. N.:  The Newborn , in Brennemann's Practice of Pediatrics , edited by I. McQuarrie, Hagerstown, Md., W. F. Prior Company, Inc., 1948;, Vol. 1, Chap. 42, p. 14.
Holt, and Howland,1a p. 170.
Hill, A. B.: Principles of Medical Statistics , ed. 5, London, The Lancet, Ltd., 1950;, p. 111.

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References

Holt, L. E., and Howland, J.: Holt's Diseases of Infancy and Childhood: A Textbook for the Use of Students and Practitioners , revised by L. E. Holt Jr. and R. McIntosh, ed. 11, New York, D. Appleton-Century Company, Inc., 1940;.
Mitchell, A. G., and Nelson, W. E.: Mitchell-Nelson's Textbook of Pediatrics , edited by W. E. Nelson, ed. 4, Philadelphia, W. B. Saunders Company, 1946;.
MacKee, G. M., and Cipollaro, A. C.: Skin Diseases in Children , ed. 2, New York, Paul B. Hoeber, Inc., 1946;.
Andrews, G. C.: Diseases of the Skin for Practitioners and Students , ed. 3, Philadelphia, W. B. Saunders Company, 1946;.
Becker, S. W., and Obermayer, M. E.: Modern Dermatology and Syphilology , ed. 2, Philadelphia, J. B. Lippincott Company, 1947;.
Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939;.
Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , ed. 7, Philadelphia, Lea & Febiger, 1948;.
Cooke, J. V.:  Dermatitis of the Diaper Region in Infants (Jacquet Dermatitis) , Arch. Dermat. & Syph. 14:539 ( (Nov.) ) 1926;.
Andrews, G. C.: Diseases of the Skin , ed. 3, Philadelphia, W. B. Saunders Company, 1946;, p. 116.
Cooke, J. V.:  The Etiology and Treatment of Ammonia Dermatitis of the Gluteal Region of Infants , Am. J. Dis. Child. 22:481 ( (Nov.) ) 1921;.
Grulee, C. G., and Sanford, H. N.:  The Newborn , in Brennemann's Practice of Pediatrics , edited by I. McQuarrie, Hagerstown, Md., W. F. Prior Company, Inc., 1948;, Vol. 1, Chap. 42, p. 14.
Holt, and Howland,1a p. 170.
Hill, A. B.: Principles of Medical Statistics , ed. 5, London, The Lancet, Ltd., 1950;, p. 111.

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