Rare Operative Intervention for Urinary and Fecal Incontinence-Associated Dermatitis

Samantha Delapena, MD; Philomene Spadafore, RN, MHA; Stephanie E. Bollenbach, MD; Areta Kowal-Vern, MD; Kevin N. Foster, MD, MBA, FACS; Marc R. Matthews, MD, FASC


Wounds. 2021;33(4):E31-E33. 

In This Article


Both patients required operative intervention and diligent wound care for management of IAD. Although infrequent for IAD, depending on the type of skin destruction, skin grafts may be necessary to reconstruct the cutaneous tissue in severe cases. Incontinence-associated dermatitis resembling chemical burn-like injuries are rarely reported. There is a report of a feces-induced chemical burn in an 84-year-old female with dementia who drank kerosene, thinking it was water.[9] The buttocks healed with topical corticosteroid treatment.