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September 1992

Diaper Dermatitis and Perianal Pseudoverrucous Papules

Author Affiliations

Department of Dermatology Yamanashi Medical College Yamanashi 409-38, Japan

Arch Dermatol. 1992;128(9):1277. doi:10.1001/archderm.1992.01680190137022

To the Editor.—  In their article in the February 1992 issue of the Archives, Goldberg et al reported "Perianal Pseudoverrucous Papules and Nodules in Children."1 Although they report that these changes have not been described as occurring on the perianal area or around colostomies, similar conditions have been reported in connection with diaper dermatitis in the aged2 as well as in children after undergoing an operation for Hirschsprung's disease.3 Our cases were very similar to those reported in the article by Goldberg et al. We agree with them in that the lesions regress spontaneously when the irritating factors are removed, which was also the case in our experience. We also agree with them in that this condition is more common than expected, and this should be recognized by dermatologists to avoid unnecessary workups.The CORRESPONDENCE department of the Archives is meant to provide a forum for exchange

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