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Perianal pseudoverrucous papules and nodules.
Ameet Dandale1, Rachita Dhurat, Smita Ghate
1Department of Dermatology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, India.
Indian Journal of Sexually Transmitted Diseases and AIDS
|August 7, 2013
Summary
Perianal pseudoverrucous papules and nodules (PPPN) is a rare skin condition linked to chronic irritation. This case highlights PPPN in a spina bifida patient, emphasizing its distinct presentation and diagnostic considerations.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Perianal pseudoverrucous papules and nodules (PPPN) is a rare condition.
- It is typically associated with chronic irritation.
Observation:
- A 14-year-old girl with spina bifida and lifelong fecal/urinary incontinence presented with asymptomatic whitish lesions.
- Lesions were observed on the inner thighs, labia majora, and perianal area, forming papules, nodules, and plaques.
Findings:
- Histological examination revealed marked epidermal hyperplasia and pale keratinocytes.
- Diagnosis of PPPN was confirmed.
Implications:
- PPPN can be misdiagnosed as a sexually transmitted disease.
- Accurate diagnosis is crucial to avoid unnecessary investigations and treatment.
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