Gregory Schweitz1, Dan Quan1,2* and Thomas Bostwick1,2
1Department of Emergency Medicine, Maricopa Integrated Health System, Phoenix, Arizona, USA
2Department of Emergency Medicine, University of Arizona College of Medicine, Phoenix, Arizona, USA
There is a plethora of potential diagnoses for diaper dermatitis. When abuse is a significant concern, elucidating the etiology is of the utmost importance. While the clinician should always consider abuse in the differential, an appreciation for the imitators of abuse is also essential.A16 month-old female presented to the emergency department after the development of diaper dermatitis. Further investigation revealed she ingested chocolate laxatives containing senna, later determined to be the etiology of etiology of the diaper lesion. Awareness of these less common presentations can facilitate more straightforward clinical assessment, easier disposition and guard the parents of these patients from the scrutiny they are often subjected to when abuse is a serious consideration.
Schweitz G, Quan D, Bostwick T. Senna Induced Blistering Diaper Dermatitis. Ann Clin Case Rep. 2017; 2: 1349.