Granuloma Gluteal Infantum: Not your Everyday Diaper Rash

Granuloma Gluteale Infantum is a rare type of diaper dermatitis. It is of unclear etiology, yet it may be preceded by contact dermatitis, prolonged corticosteroid use or candidal infection. It is generally a self-limiting condition and may be treated by barrier agents and good hygiene.

We report Granuloma Gluteale Infantum in an 8-month-old girl, with a prolonged course of contact diaper dermatitis treated with Zinc oxide ointment and petroleum jelly for three weeks without improvement. One month later, the patient developed subsequent erythematous nodules in the perineal region involving the vulva and buttocks but sparing the skin folds. Coincidentally, the patient is a case of Arrhinia (congenital absence of the nose) which is also extremely rare, but this does not seem to be of any relevance to the development of her GGI.

Granuloma Gluteale as a benign rare type of diaper dermatitis, a diagnosis to consider in diaper dermatitis refractory to treatment. This is the first case reported in the Kingdom of Bahrain.