1. Contact Dermatitis...CONTINUE READING THE FULL ARTICLE>>>

Contact dermatitis is a skin condition in which the skin becomes inflamed after contact with an “irritant” or “allergic” substance, usually resulting in a red, streaky, or patchy rash at the contact site. Common irritants include dyes, soaps, shampoos, detergents, industrial or agricultural chemicals, cement, etc.

Treatment includes thorough washing to remove the irritant/allergen and avoiding further exposure to the inciting substance. Moisturizers, wet dressings and anti-itching lotions are also used to provide supportive care for the skin to heal. Severe cases may require corticosteroid creams.

2. Urticaria or Hives

Urticaria or hives are allergic reactions triggered by an allergen to which a person is susceptible. Allergen in this case is usually eaten or inhaled as opposed to mere skin contact (as in allergic contact dermatitis). Insect bites can also cause hives. The skin rash is almost always accompanied by itching.

Treatment involves antihistamine medications, avoiding allergy-triggering agents, and avoiding irritating the rash area with hot baths or tight clothes.

3. Eczema

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Eczema or atopic dermatitis can also cause rash on the buttocks. It is characterized by prolonged scaly and itchy rashes. Exposure to certain “substances” can worsen the symptoms of eczema.

Treatment involves the use of moisturizer creams, topical steroid creams, avoiding substances that worsen the symptoms, and antihistamine medications.

4. Psoriasis

Psoriasis is a skin disorder characterized by thick, red skin with flaky, silver-white “scales”. The lesion can occur over the buttock regions, although it is not the usual site for the psoriasis lesion to occur.

Treatment involves topical treatments (cortisone creams, coal tar or anthralin-containing creams, moisturizers, vitamin D and vitamin A), novel systemic immunosuppressant drugs (e.g. etanercept, infliximab, etc.), and phototherapy.

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5. Systemic Lupus Erythematosus

Systemic lupus erythematosus is a multisystem autoimmune disorder with very variable symptom presentation. Buttock rash may occasionally occur in SLE, usually associated with other symptoms. Other autoimmune disorders like rheumatoid arthritis can also result in rash.

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Treatment is focused on symptomatic relief by the use of immunosuppressant medications like NSAIDs and corticosteroids. No cure is available for this condition.

6. Cellulitis

Cellulitis refers to the bacterial infection of the skin. Cellulitis in the buttocks region can result in a rash on the buttocks.

Treatments include antibiotics and NSAIDs (as painkillers). The person is also thoroughly evaluated for immune system dysfunction.

7. Erythema Nodosum

Erythema nodosum is an inflammatory condition characterized by painful nodules under the skin which can occur secondarily to a large number of medical conditions.

Treatment involves the use of NSAIDs for pain relief and reducing inflammation and the use of corticosteroids in severe cases.

8. Infections

Some of the commonly occurring conditions that can result in buttock rash are listed below. None of them have buttock rash as the “classical” presenting feature. However, the rash associated with these conditions may occur in the buttocks region.

Ringworm. Fungal infection of the skin

Scabies. Itching skin disease caused by a mite

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Chickenpox. Viral infection resulting in itchy blisters over the body

Scarlet Fever. Bacterial infection usually starts with fever and sore throat

Meningitis. Inflammation of the meninges (covering of the brain)

Impetigo. Bacterial infection of the skin, commonly occurring at the sites of break in the continuity of the skin

Pityriasis Rosea. Commonly occurring skin rash caused by a virus, usually lasting 4-8 weeks

Other Infections. Other infectious conditions like Rocky Mountain Spotted Fever, Lyme Disease, Yaws

Treatment of the rash on the buttocks due to an infectious cause will depend upon the cause and usually involves the use of an antimicrobial agent.

9. Other Causes

Diaper Rash. A type of contact dermatitis occurs due to prolonged exposure to wet diapers.
Intertrigo. A type of inflammation of the adjacent areas of the skin (“body folds”). Results in a rash in the buttock crack.

Heat Rash. Blockage of sweat glands of the skin covering the buttocks can result in “heat rash”. Usually resolves on its own without any medical intervention…CONTINUE READING>>

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