Perianal dermatoses can encompass anything from benign eczematous processes to advanced malignancies, and the breadth of the differential often leads to a difficult diagnostic challenge. The symptoms of the dermatoses can very often go unnoticed or can be the presenting complaint of a
Nappy rash is not one distinct diagnosis, but is a multifactorial problem. Differential diagnosis Perianal streptococcal cellulitis localized welldemarcated erythema that covers a circular area 12 cm radius around the anus with fissuring and macerated skin.
A mother brought her 3yearold son into the office for a worsening rash in the perianal area. Mother and child had been in the office 2 weeks earlier for the rash, and the physician had prescribed topical clotrimazole cream for a presumed case of Candida infection.