Limitación del esfuerzo terapéutico en medicina interna / Limitation of therapeutic effort in departments of internal medicine

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Jacquet erosive diaper dermatitis after surgery for Hirschsprung disease.

We report a case of Jacquet erosive diaper dermatitis that occurred as a consequence of severe diarrhea following extensive colectomy and coloanal anastomosis for Hirschsprung disease. Perianal pseudoverrucous papules and nodules and granuloma gluteal infantum have also been seen following this kind of surgery. We propose that these three entities represent variants in a spectrum of skin lesions associated with severe diaper dermatitis.