Laxative-Induced Contact Dermatitis.

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.

• Authors: Jennifer E Melvin, Robert W Hickey
• Journal: Pediatric emergency care (Pediatr Emerg Care) Vol. 35 Issue 7 Pg. e127 (Jul 2019) ISSN: 1535-1815 [Electronic] United States
• PMID: 29746360 (Publication Type: Case Reports, Journal Article)

Chemical References

• Laxatives
• Phenolphthalein

Topics

• Charcot-Marie-Tooth Disease (complications)
• Child Abuse (diagnosis)
• Child, Preschool
• Constipation (drug therapy)
• Dermatitis, Contact (etiology)
• Diagnosis, Differential
• Diaper Rash (diagnosis, etiology)
• Female
• Humans
• Laxatives (adverse effects)
• Phenolphthalein (adverse effects)