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Noticed skin growth on butt crack of one year baby. What should I do?

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Dr. Das Arindam

General & Family Physician

Practicing since :2008

Answered : 1416 Questions

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Posted on Fri, 28 Dec 2012 in Skin Hair and Nails
Question: my child is 1 yr and 4 months old. from last 3-4 months I am seeing some skin growth in her butt crack; previously it was quite small so i didn't notice it much but now I see sudden growth.... seems like cyst but still i am not sure, its painless for now, also I want to know do diapering to baby is adding to it. What should I do?
doctor
Answered by Dr. Das Arindam 1 hour later
Hello,
Thank you for posting a query.

Firstly, I have seen the pictures of that lesions. Very bad focussing. Pictures are blurred.

Still, I think the lesions are small, cystic, may be bullous lesion. Now, at that particular area, some congenital cysts can be found. They should be ruled out first.

Another possibility is hemangioma. These are benign lesions of blood vessels. From the picture my opinion is more in favor of this.

So, to give a definite diagnosis you have to visit a pediatric surgeon for clinical examination and to find out its nature. If these are just benign hemangiomas, you have no reason to worry. Just wait for 2 to 3 years. If the lesion does not disappear spontaneously, or it gets larger day by day , then only surgical excision is required. In our clinical experience, the lesions are disappeared spontaneously in many cases.

Use of diapers cannot lead to this type of conditions.

So, for right now, just make an appointment with a pediatric surgeon for clinical examination, for ordering required investigation and also for further management accordingly.

Hope this information suffices. Let me know, if you have any more question.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Das Arindam 10 hours later
Thanks for your valuable advice. I am really sorry about the pictures however this is due to website size acceptance for pictures I was not able to send good quality pics however now I have send pictures @ YYYY@YYYY as suggested by their customer care.Please review it once more.

Also I have already been to 3-4 docs but till now didnt find satisfactory answer. Pediatric suggested skin specialst and skin doc does know what excatly the problem. However she said seems infection or bacterial growth.

I am quite new to hyderabad if possible please suggest doctor.
doctor
Answered by Dr. Das Arindam 3 hours later
Hello,

Thank you for writing back.

Now, the pictures are good.

After viewing the pictures several times, I think, the lesion is either a vesicobullous lesion of skin may be due to infection by bacterial or viral agents, or a rare variety of hemangioma occuring in skin giving rise to this type of lesion. A biopsy taken from these lesions can give us a definite idea about what it is. This type of skin biopsy should be done by a dermatologist.

I can understand your situation. But, you have to keep patience.

I cannot recommend any particular doctor or clinic here. You should go to any tertiary care hospital / medical college. There you can consult with multiple specialities at a place. But, specifically, you should consult a dermatologist first.

Hope, you have your answers.

Regards.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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