Laxative-Induced Contact Dermatitis. Issue 7 (July 2019)

• Record Type: Journal Article
• Authors: Melvin, Jennifer E.; Hickey, Robert W.
• Is Part Of: Pediatric emergency care. Volume 35:Issue 7(2019)
• Publication Date: 2019-07
• Subjects: senna -- laxative-induced dermatitis -- nonaccidental trauma; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000001498
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Abstract: A 5-year-old female with Charcot-Marie-Tooth neuropathy and a history of constipation presented to the emergency department with a new blistering buttocks rash, which was initially concerning for nonaccidental burn. Upon further investigation, it was found that Ex-Lax had been given to the patient for constipation. This had resulted in a bowel movement, which led to an irritant dermatitis. The patient was eventually diagnosed with senna-induced erosive diaper dermatitis. This case report highlights the importance of a thorough history and physical examination to prevent an unnecessary child abuse work-up.