Ulcerated diaper dermatitis: Child abuse mimicker

Abstract

Irritant diaper dermatitis is a common dermatologic problem among infants and young children. Severe erosive presentations, although uncommon, are diagnostically challenging and can mimic non‐accidental trauma (NAT). Diagnosing inflicted injury and NAT where it does not exist can cause parental distress, yet failing to diagnose inflicted injury and NAT can result in re‐injury. We describe three cases of severe erosive diaper dermatitis in pediatric patients aged 2–6 years that were initially concerning for inflicted scald burn or neglect.