Pseudoverrucous papules and nodules This unique diaper dermatitis was originally described in the skin surrounding urostomies, but can occur as a result of chronic diarrhea (sometimes from Hirschsprung disease), encopresis, or urinary incontinence. The flat topped or round lesions are shiny, erythematous, and moist (Fig. 10-20). They resolve completely when the problem causing chronic irritation in the diaper area has been corrected. Source: Allergic and Irritant Contact Dermatitis, Weinberg's Color Atlas of Pediatric Dermatology, 5e Citation: Prose NS, Kristal L. Weinberg's Color Atlas of Pediatric Dermatology, 5e; 2017 Available at: http://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/1913/weinderm5_ch10_f020.png&sec=138562404&BookID=1913&ChapterSecID=138562372&imagename= Accessed: October 18, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved