Autoeczematization Id reaction following candidal diaper dermatitis

A report describes a case of a six-month-old infant who presented with a one-week history of multiple reddish, scaly skin lesions in the trunk area. The diaper area of the patient displayed multiple reddish, moist, elevated skin lesions. The parents documented no history of atopy or psoriasis in the family members. 

An examination demonstrated a well-defined area of intense erythema and papules with some satellite papules around the larger lesion in the diaper area, also affecting the groin folds. Similar lesions were also found in the neck fold area. The trunk area showed multiple well-defined erythematous plaques with loosely adherent white scales. 

A potassium hydroxide (KOH) test of the diaper and neck fold area showed budding yeast cells indicating Candida albicans, while the trunk lesions revealed no fungal elements. 

Routine blood investigations of the patient came normal. The patient received treatment with oral fluconazole at a dose of 6 mg/kg of body weight for ten days. The lesions in the diaper area, neck folds, and trunk resolved entirely with post-inflammatory hypopigmentation in ten days with no succeeding reoccurrence.

Ganjoo S, Gupta T. Autoeczematization Id reaction following candidal diaper dermatitis. Our Dermatol Online. 2022;13(2):187-189.