Autosensitisation (Autoeczematisation) reactions in a case of diaper dermatitis candidiasis

Abstract

Diaper dermatitis is the most common cutaneous diagnosis in infants. Most cases are associated with the yeast colonisation of Candida or diaper dermatitis candidiasis (DDC). It is an irritating and inflammatory acute dermatitis in the perineal and perianal areas resulting from the occlusion and irritation caused by diapers. Autoeczematization to a distant focus of dermatophyte infection very rarely presents as DDC. We present a 1-month-old boy with lesion on diaper area (gluteal area, perineum, groin and genitalia) and with clusters of pustules and vesicles on a large erythematous base over the dorsal area of both hands.

Unusual Rash Development in a 7-Year-Old Male

“…This is a type IV hypersensitivity reaction that results in a generalized, acute skin rash developing as a response to an underlying infectious agentor inflammatory skin condition. [1][2][3] In this case, the underlying cause is the impetigo found on the left lower extremity noted prior to the onset of the more generalized rash of the id reaction. Note the wellcircumscribed erythematous border with central crusting on the image of the primary lesion.…”