Jacquet’s Erosive Napkin Dermatitis Clinical and Therapeutic Study with Its Prevalence in Iraqi Infants

K. Al-Kayalli, Khudair

	Jacquet’s Erosive Napkin Dermatitis Clinical and Therapeutic Study with Its Prevalence in Iraqi Infants
Diyala Journal For Pure Science
Article 1, Volume 6, Issue 3, 2010, Pages 227-235
Author
Khudair K. Al-Kayalli
Abstract
Objectives : Primary irritant contact napkin dermatitis is an inflammatory skin eruption of the napkin area , most commonly seen in the infants between 7th and 12th month of age , and is relatively a common skin disease all over the world , and many aetiological factors are implicated , the Jacquet’s erosive napkin dermatitis is a rare variant form of this disease , which is an erosive form affecting the napkin area . This study was done to describe the clinical features , possible aetiological factors , treatment and the prevalence of the jacquet’s erosive napkin dermatitis in Iraqi infants . Methods : A total number of 18034 patients with different skin diseases was seen in a private and outpatient clinic of Baquba Teaching Hospital for the period Jan. 2004 to Nov. 2006 . 127 infants out of this total number had primary irritant contact napkin dermatitis , and 29 infants out of this number had erosive type , they were 15 males and 14 females , their ages ranged from 4 months to 18 month . They were complained of a rash on the napkin area , which was diagnosed clinically as Jacquet’s erosive napkin dermatitis , and they were treated by topical clotrimazol cream three times daily for 2-3 weeks with discontinuation of wearing diapers and using of topical corticosteroids , and followed up for 3 weeks . Results : The study showed that both the primary irritant contact napkin dermatitis and the Jacquet’s erosive type were a relatively rare among Iraqi patients with a different skin diseases ( 0.7% and 0.16% respectively ) , and in those with different types of eczema and dermatitis ( 3.5% and 0.7% respectively ) , but the Jacquet’s erosive type was a relatively common among Iraqi infants with primary irritant contacts napkin dermatitis ( 22.8 ) , and both sex were equally affected by both types . We thought that Jacquet’s erosive napkin dermatitis was developed as one of the complications of rather than as a variant form of primary irritant napkin dermatitis, as a results of using topical corticosteroids and secondary infections. The clinical features were characteristic of that of Jacquet’s erosive napkin dermatitis with presence of friable crust. The disease was cured with in 2-3 weeks of treatment by topical clotrimazol and discontinuation of wearing of diapers and using of topical corticosteroids. Conclusion: It was concluded that Jacquet’s erosive napkin dermatitis was a relatively common among Iraqi infants with primary irritant contact napkin dermatitis and it was a complication, rather than a variant form of this disease , and could be arise as a result of using topical corticosteroids and secondary infections i.e. there was a close relation to the infantile gluteal granuloma .
Keywords
Jacquet; Napkin dermatitis; Gluteal granuloma; Clotrimazol; Corticosteroids

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