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Updated: May 25, 2026

10:50
Denver Papillae Protocol for Objective Analysis of Fungiform Papillae
Published on: June 8, 2015
An infant who has dome-shaped papules
Ajay Rana1, Stephen de Waal Malefyt
1Department of Pediatrics, Albany Medical Center, Albany, NY, USA.
Pediatrics in Review
|February 4, 2012
Summary
Juvenile xanthogranuloma (JXG) is a benign skin condition in young children. Diagnosis often requires biopsy, and ophthalmologic screening is crucial for those under two with multiple lesions.
Area of Science:
- Dermatology
- Pediatrics
- Ophthalmology
Background:
- Juvenile xanthogranuloma (JXG) is a rare, benign neoplastic proliferation.
- It primarily affects infants and children under two years old.
Observation:
- JXG typically presents as solitary or multiple yellow-red cutaneous nodules.
- Rarely, JXG can manifest in extracutaneous organs.
Findings:
- Clinical diagnosis of solitary cutaneous JXG often necessitates a biopsy for confirmation.
- Multiple JXG lesions warrant dermatological referral to differentiate from other conditions.
- Ocular involvement must be excluded in patients under two with multiple JXG lesions via ophthalmologic referral.
Implications:
- Early diagnosis and appropriate management of JXG are essential to prevent potential complications.
- Regular ophthalmologic screening is recommended for high-risk pediatric patients.
- Understanding JXG's presentation aids in timely and accurate clinical decision-making.
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