Topical sucralfate for erosive irritant diaper dermatitis.

We present the case of a 42-year-old woman with spina bifida and paraplegia who was referred to us because of chronic discomfort related to erosions and ulcerations of her perineal area, buttocks, and upper posterior thighs (Figure 1). Twenty years previously she had an ileal diversion and urostomy resulting in chronic urethral discharge and diarrhea for 5 years. She required a diaper constantly and developed erosive dermatitis. Her discomfort had persisted for 5 years and failed to respond to 1% clotrimazole (Canesten; Bayer AG, Leverkusen, Germany) and a zinc oxide preparation (Sudocrem; Tosara Products Ltd, Dublin, Ireland).