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Infantile perianal pyramidal protrusion: a case report with dermoscopy and ultrasound findings
Arianna Lamberti1, Georgios Filippou2, Antonella Adinolfi2
1Department of Medicine, Surgery and Neurosciences, Dermatology Section, University of Siena, Italy.
Insights
Infantile perianal pyramidal protrusion (IPPP) is a rare, benign skin condition often misdiagnosed. Early recognition using dermoscopy and ultrasonography aids proper management and prevents unnecessary treatments.
Area of Science:
- Dermatology
- Pediatric Dermatology
Background:
- Infantile perianal pyramidal protrusion (IPPP) is a rare benign cutaneous condition.
- It is frequently under-reported and misdiagnosed in pediatric literature.
- Misdiagnosis can lead to parental and physician concern, resulting in unnecessary treatments.
Purpose of the Study:
- To describe a typical presentation of IPPP.
- To highlight the importance of accurate diagnosis for proper management.
- To emphasize the utility of non-invasive diagnostic tools.
Main Methods:
- Case report of a child with IPPP.
- Diagnostic evaluation included dermoscopy and ultrasonography.
- Non-invasive methods were key to diagnosis.
Main Results:
- A typical case of IPPP was successfully diagnosed.
- Dermoscopy and ultrasonography proved effective for diagnosis.
- The diagnosis facilitated appropriate management.
Conclusions:
- Accurate recognition of IPPP is crucial for appropriate patient care.
- Non-invasive tools like dermoscopy and ultrasonography are valuable for diagnosing IPPP.
- Timely diagnosis prevents unnecessary interventions and parental anxiety.
Abstract:
Infantile perianal pyramidal protrusion, it is a rare benign cutaneous condition described in relatively recent times. It is considered to be under-reported in the pediatric literature because it is often mistaken for other conditions. The unawareness of this lesion may be responsible for an excessive concern both in physician and in parents, which leads to overly aggressive and unnecessary treatments. Thus its recognition has many implications regarding proper management and treatment. We report a typical presentation of IPPP in which the diagnosis was based on the use of non-invasive diagnostic tools and in particular of dermoscopy and ultrasonography.
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